IOP / PHP
|
ChargeMaster | |||||
Fee Schedule Mapping ID# | CPT ID# | CPT Code | CPT Description | Rev Code | RVU Work | Price |
3095 | 42802 | 90853 | GRP PSYCHOTHERAPY 45 MIN | 915 | 250.32 | |
3096 | 42803 | G0410 | GRP PSYCH PARITICAL HOSP | 915 | 250.32 | |
3097 | 42804 | G0177 | OPPS/PHP TRAING/ED SERVFICES | 942 | 250.32 | |
3098 | 42805 | G0129 | OCCUPATIONAL THERAPY GRP | 433 | 300.00 | |
3099 | 42806 | 90832 | INDIVIDIAL THERAPY 20-30 MIN | 914 | 250.32 | |
3100 | 42807 | 90834 | INDIVIDIAL THERAPY 45-50 MIN | 914 | ||
3101 | 42808 | 90846 | FAMILY THERAPY W/O PT | 916 | ||
3102 | 42809 | 90847 | FAMILY THERAPYWITH PT | 916 |
Fee Schedule Mapping ID# | CPT ID# | CPT Code | CPT Description | Rev Code | RVU Work | Price |
2788 | 40913 | 10060 | DRAINAGE OF SKIN ABSCESS | 521 | 1.22 | 225 |
2789 | 40914 | 10061 | DRAINAGE OF SKIN ABSCESS | 521 | 2.45 | 400 |
2790 | 40915 | 10121 | REMOVE FOREIGN BODY | 521 | 2.74 | 200 |
2791 | 40916 | 10140 | DRAINAGE OF HEMATOMA/FLUID | 521 | 1.58 | 150 |
2792 | 40757 | 11056 | TRIM SKIN LESIONS, 2 TO 4 | 521 | 0.5 | 159 |
2793 | 40758 | 11100 | BIOPSY, SKIN LESION | 521 | 0.81 | 105 |
2794 | 40759 | 11200 | REMOVAL OF SKIN TAGS | 521 | 0.82 | 90 |
2795 | 40760 | 11719 | TRIM NAIL(S) | 521 | 0.17 | 45 |
2796 | 40761 | 11720 | DEBRIDE NAIL, 1-5 | 521 | 0.32 | 134 |
2797 | 40762 | 11721 | DEBRIDE NAIL, 6 OR MORE | 521 | 0.54 | 200 |
2798 | 40917 | 11730 | REMOVAL OF NAIL PLATE | 521 | 1.1 | 200 |
2799 | 40763 | 11900 | INJECTION INTO SKIN LESIONS | 521 | 0.52 | 75 |
2800 | 40918 | 11981 | INSERT DRUG IMPLANT DEVICE | 521 | 1.48 | 200 |
2801 | 40919 | 11982 | REMOVE DRUG IMPLANT DEVICE | 521 | 1.78 | 200 |
2802 | 40764 | 12001 | REPAIR SUPERFICIAL WOUND(S) | 521 | 0.84 | 200 |
2803 | 40765 | 12002 | REPAIR SUPERFICIAL WOUND(S) | 521 | 1.14 | 250 |
2804 | 40766 | 12004 | REPAIR SUPERFICIAL WOUND(S) | 521 | 1.44 | 300 |
2805 | 40767 | 12005 | REPAIR SUPERFICIAL WOUND(S) | 521 | 1.97 | 350 |
2806 | 40768 | 17110 | DESTRUCT B9 LESION, 1-14 | 521 | 0.7 | 125 |
2807 | 40769 | 20610 | DRAIN/INJECT, JOINT/BURSA | 521 | 0.79 | 135 |
2808 | 40920 | 23931 | DRAINAGE OF ARM BURSA | 521 | 1.84 | 400 |
2809 | 40921 | 26010 | DRAINAGE OF FINGER ABSCESS | 521 | 1.59 | 350 |
2810 | 40922 | 36415 | ROUTINE VENIPUNCTURE | 300 | 0 | 15 |
2811 | 40770 | 69210 | REMOVE IMPACTED EAR WAX | 521 | 0.61 | 100 |
2812 | 40923 | 80053 | COMPREHEN METABOLIC PANEL | 300 | 0 | 221 |
2813 | 40924 | 80061 | LIPID PANEL | 300 | 0 | 60 |
2814 | 40925 | 80069 | RENAL FUNCTION PANEL | 300 | 0 | 40 |
2815 | 40926 | 80074 | ACUTE HEPATITIS PANEL | 300 | 0 | 212 |
2816 | 40927 | 80076 | HEPATIC FUNCTION PANEL | 300 | 0 | 40 |
2817 | 40791 | 80185 | ASSAY OF PHENYTOIN, TOTAL | 300 | 0 | 60 |
2818 | 40793 | 81003 | URINALYSIS, AUTO, W/O SCOPE | 300 | 0 | 35 |
2819 | 40909 | 81025 | URINE PREGNANCY TEST | 300 | 0 | 35 |
2820 | 40794 | 82043 | MICROALBUMIN, QUANTITATIVE | 300 | 0 | 25 |
2821 | 40928 | 82150 | ASSAY OF AMYLASE | 300 | 0 | 28 |
2822 | 40795 | 82270 | OCCULT BLOOD, FECES | 300 | 0 | 20 |
2823 | 40929 | 82310 | ASSAY OF CALCIUM | 300 | 0 | 24 |
2824 | 40930 | 82378 | CARCINOEMBRYONIC ANTIGEN | 300 | 0 | 85 |
2825 | 40931 | 82533 | TOTAL CORTISOL | 300 | 0 | 72 |
2826 | 40932 | 82550 | ASSAY OF CK (CPK) | 300 | 0 | 28 |
2827 | 40796 | 82553 | CREATINE, MB FRACTION | 300 | 0 | 48 |
2828 | 40933 | 82570 | ASSAY OF URINE CREATININE | 300 | 0 | 24 |
2829 | 40934 | 82607 | VITAMIN B-12 | 300 | 0 | 68 |
2830 | 40935 | 82626 | DEHYDROEPIANDROSTERONE | 300 | 0 | 112 |
2831 | 40797 | 82652 | ASSAY OF DIHYDROXYVITAMIN D | 300 | 0 | 172 |
2832 | 40936 | 82670 | ASSAY OF ESTRADIOL | 300 | 0 | 124 |
2833 | 40937 | 82672 | ASSAY OF ESTROGEN | 300 | 0 | 100 |
2834 | 40938 | 82728 | ASSAY OF FERRITIN | 300 | 0 | 60 |
2835 | 40798 | 82746 | BLOOD FOLIC ACID SERUM | 300 | 0 | 64 |
2836 | 40799 | 82784 | ASSAY OF GAMMAGLOBULIN IGM | 300 | 0 | 40 |
2837 | 40800 | 82785 | ASSAY OF GAMMAGLOBULIN IGE | 300 | 0 | 72 |
2838 | 40801 | 83001 | GONADOTROPIN (FSH) | 300 | 0 | 80 |
2839 | 40802 | 83002 | GONADOTROPIN (LH) | 300 | 0 | 80 |
2840 | 40908 | 83036 | GLYCOSYLATED HEMOGLOBIN TEST | 300 | 0 | 40 |
2841 | 40803 | 83516 | IMMUNOASSAY, NONANTIBODY | 300 | 0 | 48 |
2842 | 40939 | 83525 | ASSAY OF INSULIN | 300 | 0 | 48 |
2843 | 40940 | 83540 | ASSAY OF IRON | 300 | 0 | 28 |
2844 | 40941 | 83550 | IRON BINDING TEST | 300 | 0 | 36 |
2845 | 40942 | 83655 | ASSAY OF LEAD | 300 | 0 | 52 |
2846 | 40943 | 83690 | ASSAY OF LIPASE | 300 | 0 | 32 |
2847 | 40944 | 83735 | ASSAY OF MAGNESIUM | 300 | 0 | 28 |
2848 | 40804 | 83880 | NATRIURETIC PEPTIDE | 300 | 0 | 160 |
2849 | 40945 | 84100 | ASSAY OF PHOSPHORUS | 300 | 0 | 20 |
2850 | 40946 | 84132 | ASSAY OF SERUM POTASSIUM | 300 | 0 | 20 |
2851 | 40947 | 84144 | ASSAY OF PROGESTERONE | 300 | 0 | 92 |
2852 | 40948 | 84146 | ASSAY OF PROLACTIN | 300 | 0 | 88 |
2853 | 40805 | 84153 | ASSAY OF PSA, TOTAL | 300 | 0 | 80 |
2854 | 40806 | 84402 | ASSAY OF TESTOSTERONE | 300 | 0 | 112 |
2855 | 40949 | 84403 | ASSAY OF TOTAL TESTOSTERONE | 300 | 0 | 112 |
2856 | 40950 | 84432 | ASSAY OF THYROGLOBULIN | 300 | 0 | 72 |
2857 | 40951 | 84436 | ASSAY OF TOTAL THYROXINE | 300 | 0 | 28 |
2858 | 40952 | 84439 | ASSAY OF FREE THYROXINE | 300 | 0 | 40 |
2859 | 40953 | 84443 | ASSAY THYROID STIM HORMONE | 300 | 0 | 72 |
2860 | 40954 | 84466 | ASSAY OF TRANSFERRIN | 300 | 0 | 60 |
2861 | 40955 | 84479 | ASSAY OF THYROID (T3 OR T4) | 300 | 0 | 28 |
2862 | 40956 | 84481 | FREE ASSAY (FT-3) | 300 | 0 | 72 |
2863 | 40807 | 84484 | ASSAY OF TROPONIN, QUANT | 300 | 0 | 48 |
2864 | 40957 | 84550 | ASSAY OF BLOOD/URIC ACID | 300 | 0 | 20 |
2865 | 40958 | 84702 | CHORIONIC GONADOTROPIN TEST | 300 | 0 | 64 |
2866 | 40959 | 84703 | CHORIONIC GONADOTROPIN ASSAY | 300 | 0 | 32 |
2867 | 40906 | 85018 | HEMOGLOBIN | 300 | 0 | 15 |
2868 | 40960 | 85025 | COMPLETE CBC W/AUTO DIFF WBC | 300 | 0 | 36 |
2869 | 40961 | 85045 | AUTOMATED RETICULOCYTE COUNT | 300 | 0 | 16 |
2870 | 40962 | 85060 | BLOOD SMEAR INTERPRETATION | 300 | 0.45 | 35 |
2871 | 40808 | 85378 | FIBRIN DEGRADE, SEMIQUANT | 300 | 0 | 40 |
2872 | 40963 | 85610 | PROTHROMBIN TIME | 300 | 0 | 16 |
2873 | 40809 | 85651 | RBC SED RATE, NONAUTOMATED | 300 | 0 | 16 |
2874 | 40810 | 85652 | RBC SED RATE, AUTOMATED | 300 | 0 | 12 |
2875 | 40811 | 85730 | THROMBOPLASTIN TIME, PARTIAL | 300 | 0 | 24 |
2876 | 40812 | 86003 | ALLERGEN SPECIFIC IGE | 300 | 0 | 24 |
2877 | 40964 | 86038 | ANTINUCLEAR ANTIBODIES | 300 | 0 | 52 |
2878 | 40813 | 86060 | ANTISTREPTOLYSIN O, TITER | 300 | 0 | 32 |
2879 | 40965 | 86140 | C-REACTIVE PROTEIN | 300 | 0 | 24 |
2880 | 40814 | 86215 | DEOXYRIBONUCLEASE, ANTIBODY | 300 | 0 | 60 |
2881 | 40966 | 86235 | NUCLEAR ANTIGEN ANTIBODY | 300 | 0 | 80 |
2882 | 40815 | 86301 | IMMUNOASSAY, TUMOR, CA 19-9 | 300 | 0 | 92 |
2883 | 40816 | 86308 | MONO | 300 | 0 | 24 |
2884 | 40817 | 86318 | H.PYLORI | 300 | 0 | 72 |
2885 | 40818 | 86431 | RHEUMATOID FACTOR, QUANT | 300 | 0 | 24 |
2886 | 40897 | 86580 | TB INTRADERMAL TEST | 300 | 0 | 25 |
2887 | 40819 | 86592 | BLOOD SEROLOGY, QUALITATIVE | 300 | 0 | 20 |
2888 | 40820 | 86593 | BLOOD SEROLOGY, QUANTITATIVE | 300 | 0 | 20 |
2889 | 40821 | 86671 | FUNGUS ANTIBODY | 300 | 0 | 52 |
2890 | 40823 | 86695 | HERPES SIMPLEX TEST | 300 | 0 | 60 |
2891 | 40824 | 86696 | HERPES SIMPLEX TYPE 2 | 300 | 0 | 80 |
2892 | 40825 | 86703 | HIV-1/HIV-2, SINGLE ASSAY | 300 | 0 | 60 |
2893 | 40826 | 86704 | HEP B CORE ANTIBODY, TOTAL | 300 | 0 | 52 |
2894 | 40967 | 86706 | HEP B SURFACE ANTIBODY | 300 | 0 | 48 |
2895 | 40827 | 86708 | HEP A ANTIBODY, TOTAL | 300 | 0 | 56 |
2896 | 40968 | 86735 | MUMPS ANTIBODY | 300 | 0 | 56 |
2897 | 40969 | 86757 | RICKETTSIA ANTIBODY | 300 | 0 | 84 |
2898 | 40970 | 86762 | RUBELLA ANTIBODY | 300 | 0 | 64 |
2899 | 40971 | 86765 | RUBEOLA ANTIBODY | 300 | 0 | 56 |
2900 | 40972 | 86774 | TETANUS ANTIBODY | 300 | 0 | 56 |
2901 | 40973 | 86787 | VARICELLA-ZOSTER ANTIBODY | 300 | 0 | 56 |
2902 | 40974 | 86800 | THYROGLOBULIN ANTIBODY | 300 | 0 | 72 |
2903 | 40975 | 86803 | HEPATITIS C AB TEST | 300 | 0 | 60 |
2904 | 40976 | 87015 | SPECIMEN INFECT AGNT CONCNTJ | 300 | 0 | 32 |
2905 | 40977 | 87045 | FECES CULTURE AEROBIC BACT | 300 | 0 | 40 |
2906 | 40978 | 87046 | STOOL CULTR AEROBIC BACT EA | 300 | 0 | 40 |
2907 | 40979 | 87070 | CULTURE OTHR SPECIMN AEROBIC | 300 | 0 | 40 |
2908 | 40980 | 87086 | URINE CULTURE/COLONY COUNT | 300 | 0 | 36 |
2909 | 40981 | 87088 | URINE BACTERIA CULTURE | 300 | 0 | 36 |
2910 | 40982 | 87177 | OVA AND PARASITES SMEARS | 300 | 0 | 40 |
2911 | 40983 | 87186 | MICROBE SUSCEPTIBLE MIC | 300 | 0 | 40 |
2912 | 40984 | 87205 | SMEAR GRAM STAIN | 300 | 0 | 20 |
2913 | 40985 | 87209 | SMEAR COMPLEX STAIN | 300 | 0 | 80 |
2914 | 40986 | 87210 | SMEAR WET MOUNT SALINE/INK | 300 | 0 | 24 |
2915 | 40987 | 87290 | VARICELLA ZOSTER AG IF | 300 | 0 | 52 |
2916 | 40988 | 87324 | CLOSTRIDIUM AG IA | 300 | 0 | 52 |
2917 | 40989 | 87340 | HEPATITIS B SURFACE AG IA | 300 | 0 | 44 |
2918 | 40990 | 87389 | HIV-1 AG W/HIV-1 & HIV-2 AB | 300 | 0 | 104 |
2919 | 40991 | 87420 | RESP SYNCYTIAL AG IA | 300 | 0 | 56 |
2920 | 40992 | 87491 | CHYLMD TRACH DNA AMP PROBE | 300 | 0 | 160 |
2921 | 40993 | 87591 | N.GONORRHOEAE DNA AMP PROB | 300 | 0 | 152 |
2922 | 40994 | 87661 | TRICHOMONAS VAGINALIS AMPLIF | 300 | 0 | 152 |
2923 | 40995 | 87798 | DETECT AGENT NOS DNA AMP | 300 | 0 | 152 |
2924 | 40996 | 87804 | INFLUENZA ASSAY W/OPTIC | 300 | 0 | 64 |
2925 | 40997 | 87806 | HIV ANTIGEN W/HIV ANTIBODIES | 300 | 0 | 128 |
2926 | 40998 | 87880 | STREP A ASSAY W/OPTIC | 300 | 0 | 64 |
2927 | 40999 | 88175 | CYTOPATH C/V AUTO FLUID REDO | 310 | 0 | 120 |
2928 | 41000 | 90471 | IMMUNIZATION ADMIN | 771 | 0.17 | 10 |
2929 | 41001 | 90472 | IMMUNIZATION ADMIN EACH ADD | 771 | 0.15 | 15 |
2930 | 41002 | 90473 | IMMUNE ADMIN ORAL/NASAL | 771 | 0.17 | 25 |
2931 | 41003 | 90632 | HEPA VACCINE ADULT IM | 250 | 0 | 50 |
2932 | 41004 | 90633 | HEPA VACC PED/ADOL 2 DOSE IM | 250 | 0 | 50 |
2933 | 41005 | 90647 | HIB PRP-OMP VACC 3 DOSE IM | 250 | 0 | 50 |
2934 | 41006 | 90651 | 9VHPV VACCINE 2/3 DOSE IM | 250 | 0 | 50 |
2935 | 41007 | 90658 | IIV3 VACCINE SPLT 0.5 ML IM | 636 | 0 | 25 |
2936 | 41008 | 90670 | PCV13 VACCINE IM | 636 | 0 | 25 |
2937 | 41009 | 90680 | RV5 VACC 3 DOSE LIVE ORAL | 250 | 0 | 20 |
2938 | 41010 | 90691 | TYPHOID VACCINE IM | 250 | 0 | 50 |
2939 | 41011 | 90696 | DTAP-IPV VACCINE 4-6 YRS IM | 250 | 0 | 25 |
2940 | 41012 | 90698 | DTAP-IPV/HIB VACCINE IM | 250 | 0 | 20 |
2941 | 41013 | 90700 | DTAP VACCINE < 7 YRS IM | 250 | 0 | 20 |
2942 | 41014 | 90710 | MMRV VACCINE SC | 250 | 0 | 65 |
2943 | 41015 | 90713 | POLIOVIRUS IPV SC/IM | 250 | 0 | 50 |
2944 | 41016 | 90714 | TD VACC NO PRESV 7 YRS+ IM | 250 | 0 | 30 |
2945 | 41017 | 90715 | TDAP VACCINE 7 YRS/> IM | 250 | 0 | 40 |
2946 | 41018 | 90723 | DTAP-HEP B-IPV VACCINE IM | 250 | 0 | 50 |
2947 | 41019 | 90734 | MCV4 MENACWY VACCINE IM | 636 | 0 | 50 |
2948 | 41020 | 90744 | HEPB VACC 3 DOSE PED/ADOL IM | 636 | 0 | 20 |
2949 | 41021 | 92551 | PURE TONE HEARING TEST AIR | 471 | 0 | 15 |
2950 | 41022 | 93000 | ELECTROCARDIOGRAM COMPLETE | 730 | 0.17 | 80 |
2951 | 41023 | 93040 | RHYTHM ECG WITH REPORT | 730 | 0.15 | 30 |
2952 | 41024 | 93224 | ECG MONIT/REPRT UP TO 48 HRS | 731 | 0.52 | 50 |
2953 | 41025 | 93306 | TTE W/DOPPLER COMPLETE | 483 | 1.3 | 55 |
2954 | 41026 | 93880 | EXTRACRANIAL BILAT STUDY | 920 | 0.6 | 275 |
2955 | 41027 | 93925 | LOWER EXTREMITY STUDY | 920 | 0.8 | 350 |
2956 | 41028 | 93926 | LOWER EXTREMITY STUDY | 920 | 0.5 | 227 |
2957 | 41029 | 93970 | EXTREMITY STUDY | 921 | 0.7 | 275 |
2958 | 41030 | 93971 | EXTREMITY STUDY | 921 | 0.45 | 175 |
2959 | 41031 | 93975 | VASCULAR STUDY | 921 | 1.8 | 359 |
2960 | 41032 | 94640 | AIRWAY INHALATION TREATMENT | 410 | 0 | 30 |
2961 | 41033 | 96360 | HYDRATION IV INFUSION INIT | 260 | 0.17 | 60 |
2962 | 41034 | 96361 | HYDRATE IV INFUSION ADD-ON | 260 | 0.09 | 20 |
2963 | 41035 | 96372 | THER/PROPH/DIAG INJ SC/IM | 521 | 0.17 | 35 |
2964 | 41036 | 97012 | MECHANICAL TRACTION THERAPY | 420 | 0.25 | 30 |
2965 | 41037 | 97035 | ULTRASOUND THERAPY | 420 | 0.21 | 25 |
2966 | 41038 | 97110 | THERAPEUTIC EXERCISES | 420 | 0.45 | 50 |
2967 | 41039 | 97140 | MANUAL THERAPY 1/> REGIONS | 420 | 0.43 | 50 |
2968 | 41040 | 97162 | PT EVAL MOD COMPLEX 30 MIN | 420 | 0 | 150 |
2969 | 41041 | 97530 | THERAPEUTIC ACTIVITIES | 420 | 0.44 | 50 |
2970 | 41042 | 99051 | MED SERV EVE/WKEND/HOLIDAY | 521 | 0 | 25 |
2971 | 41043 | 99173 | VISUAL ACUITY SCREEN | 920 | 0 | 25 |
2972 | 41044 | 99202 | OFFICE/OUTPATIENT VISIT NEW | 521 | 0.93 | 270 |
2973 | 41045 | 99203 | OFFICE/OUTPATIENT VISIT NEW | 521 | 1.42 | 270 |
2974 | 41046 | 99204 | OFFICE/OUTPATIENT VISIT NEW | 521 | 2.43 | 270 |
2975 | 41047 | 99211 | OFFICE/OUTPATIENT VISIT EST | 521 | 0.18 | 270 |
2976 | 41048 | 99212 | OFFICE/OUTPATIENT VISIT EST | 521 | 0.48 | 270 |
2977 | 41049 | 99213 | OFFICE/OUTPATIENT VISIT EST | 521 | 0.97 | 270 |
2978 | 41050 | 99214 | OFFICE/OUTPATIENT VISIT EST | 521 | 1.5 | 270 |
2979 | 41051 | 99215 | OFFICE/OUTPATIENT VISIT EST | 521 | 2.11 | 270 |
2980 | 41052 | 99381 | INIT PM E/M NEW PAT INFANT | 521 | 1.5 | 268.27 |
2981 | 41053 | 99382 | INIT PM E/M NEW PAT 1-4 YRS | 521 | 1.6 | 268.27 |
2982 | 41054 | 99383 | PREV VISIT NEW AGE 5-11 | 521 | 1.7 | 268.27 |
2983 | 41055 | 99384 | PREV VISIT NEW AGE 12-17 | 521 | 2 | 268.27 |
2984 | 41056 | 99385 | PREV VISIT NEW AGE 18-39 | 521 | 1.92 | 268.27 |
2985 | 41057 | 99386 | PREV VISIT NEW AGE 40-64 | 521 | 2.33 | 268.27 |
2986 | 41058 | 99391 | PER PM REEVAL EST PAT INFANT | 521 | 1.37 | 268.27 |
2987 | 41059 | 99392 | PREV VISIT EST AGE 1-4 | 521 | 1.5 | 268.27 |
2988 | 41060 | 99393 | PREV VISIT EST AGE 5-11 | 521 | 1.5 | 268.27 |
2989 | 41061 | 99394 | PREV VISIT EST AGE 12-17 | 521 | 1.7 | 268.27 |
2990 | 41062 | 99395 | PREV VISIT EST AGE 18-39 | 521 | 1.75 | 268.27 |
2991 | 41063 | 99396 | PREV VISIT EST AGE 40-64 | 521 | 1.9 | 268.27 |
2992 | 41064 | 99397 | PER PM REEVAL EST PAT 65+ YR | 521 | 2 | 268.27 |
2993 | 41065 | G0103 | Psa screening | 300 | 0 | 95 |
2994 | 41066 | G0438 | Ppps, initial visit | 521 | 2.43 | 200 |
2995 | 41067 | G0439 | Ppps, subseq visit | 521 | 1.5 | 200 |
2996 | 41068 | J0696 | CEFTRIAXONE SODIUM INJECTION 1 GM | 636 | 0 | 40 |
2998 | 41070 | J1885 | Ketorolac tromethamine inj | 250 | 0 | 30 |
2999 | 41071 | J2010 | Lincomycin injection | 250 | 0 | 25 |
3000 | 41072 | J2550 | Promethazine hcl injection | 250 | 0 | 20 |
3001 | 41073 | J3420 | Vitamin b12 injection | 250 | 0 | 20 |
3002 | 41074 | T1015 | Clinic service | 521 | 0 | 97.38 |
3003 | 41075 | J0696 | CEFTRIAXONE SODIUM INJECTION 250MG | 636 | 0 | 10 |
3004 | 41076 | J0696 | CEFTRIAXONE SODIUM INJECTION 500MG | 636 | 0 | 20 |
3005 | 41096 | J1885 | Ketorolac tromethamine inj | 250 | 0 | 30 |
3006 | 41077 | J3301 | TRIAMCINOLONE ACETONIDE 40MG/ML INJ | 250 | 0 | 15 |
3007 | 41078 | J1940 | Furosemide injection | 250 | 0 | 15 |
3008 | 41079 | J2930 | Methylprednisolone injection | 250 | 0 | 25 |
3009 | 41080 | J0702 | Betamethasone acet&sod phosp | 250 | 0 | 25 |
3010 | 41081 | J0171 | Adrenalin epinephrine inject | 250 | 0 | 10 |
3011 | 41082 | J2310 | Inj naloxone hydrochloride | 250 | 0 | 20 |
3012 | 41083 | J2540 | Penicillin g potassium inj | 250 | 0 | 20 |
3013 | 41084 | 90756 | CCIIV4 VACC ABX FREE IM | 636 | 0 | 35 |
3014 | 41085 | J1050 | Medroxyprogesterone acetate | 250 | 0 | 75 |
3015 | 41086 | 99205 | OFFICE/OUTPATIENT VISIT NEW | 521 | 3.17 | 270 |
3016 | 41087 | J7612 | Levalbuterol non-comp con | 410 | 0 | 15 |
3017 | 41088 | J7620 | Albuterol ipratrop non-comp | 410 | 0 | 15 |
3018 | 41089 | J7644 | Ipratropium bromide non-comp | 410 | 0 | 15 |
3019 | 41090 | G0008 | Admin influenza virus vac | 771 | 0 | 45 |
3020 | 41091 | G0444 | Depression screen annual | 521 | 0.18 | 10 |
3021 | 41092 | 92588 | EVOKED AUDITORY TST COMPLETE | 471 | 0.55 | 25 |
3022 | 41093 | 87807 | RSV ASSAY W/OPTIC | 300 | 0 | 40 |
3024 | 40907 | 85014 | HEMATOCRIT | 300 | 0 | 15 |
3025 | 41095 | J1200 | Diphenhydramine hcl injectio | 250 | 0 | 20 |
3026 | 40910 | 81002 | URINALYSIS NON-AUTO W/O SCOPE | 300 | 0 | 20 |
3027 | 40911 | 80305 | DRUG TEST PRSMV DIR OPT OBS | 300 | 0 | 35 |
3028 | 40912 | 82962 | GLUCOSE BLOOD TEST | 300 | 0 | 10 |
3029 | 41126 | 99221 | INITIAL HOSPITAL CARE | 960 | 1.92 | 150 |
3030 | 41127 | 99222 | INITIAL HOSPITAL CARE | 960 | 2.61 | 225 |
3031 | 41128 | 99223 | INITIAL HOSPITAL CARE | 960 | 3.86 | 250 |
3032 | 41129 | 99231 | SUBSEQUENT HOSPITAL CARE | 960 | 0.76 | 75 |
3033 | 41130 | 99232 | SUBSEQUENT HOSPITAL CARE | 960 | 1.39 | 100 |
3034 | 41131 | 99233 | SUBSEQUENT HOSPITAL CARE | 960 | 2 | 150 |
3035 | 41132 | 99238 | HOSPITAL DISCHARGE DAY | 960 | 1.28 | 125 |
3036 | 41534 | G0101 | Ca screen;pelvic/breast exam | 300 | 0.45 | 40 |
3037 | 41535 | Q0091 | Obtaining screen pap smear | 300 | 0.37 | 35 |
3038 | 41533 | 88142 | CYTOPATH C/V THIN LAYER | 310 | 0 | 88 |
3039 | 41532 | 82274 | ASSAY TEST FOR BLOOD FECAL | 300 | 0 | 80 |
3040 | 40892 | J1100 | DEXAMETHASONE SODIUM PHOS 4MG | 636 | 0 | 28 |
3041 | 41529 | 90834 | PSYTX W PT 45 MINUTES | 521 | 2 | 268.27 |
3042 | 41530 | 99401 | PREVENTIVE MEDICAL COUNSELING (15 MINUTE | 521 | 0.48 | 268.27 |
3043 | 41531 | 99402 | PREVENTIVE MEDICAL COUNSELING (30 MINUTE | 521 | 0.98 | 268.27 |
3044 | 41536 | 99406 | BEHAV CHNG SMOKING 3-10 MIN | 521 | 0.24 | 60 |
3045 | 41537 | 99407 | BEHAV CHNG SMOKING > 10 MIN | 521 | 0.5 | 120 |
3046 | 41539 | 17000 | DESTRUCT PREMALG LESION | 520 | 0.61 | 125 |
3047 | 41581 | 99387 | INIT PM E/M NEW PAT 65+ YRS | 521 | 2.5 | 268.27 |
3055 | 41589 | 90685 | IIV4 VACC NO PRSV 0.25 ML IM | 636 | 0 | 0 |
3056 | 41590 | 90686 | IIV4 VACC NO PRSV 0.5 ML IM | 636 | 0 | 0 |
3057 | 41591 | 90620 | MENB-4C VACC 2 DOSE IM | 636 | 0 | 0 |
3058 | 41592 | 90707 | MMR VACCINE SC | 636 | 0 | 0 |
3059 | 41593 | 90716 | VAR VACCINE LIVE SUBQ | 636 | 0 | 0 |
3061 | 41595 | 90853 | GROUP PSYCHOTHERAPY | 915 | 0.59 | 250.32 |
3068 | 41602 | 90471 | IMMUNIZATION ADMIN/NON-MEDICAID VFC ELIG | 771 | 0.17 | 10 |
3069 | 5173 | 58300 |
INSERT INTRAUTERINE DEVICE
|
1.01 | 0 | |
3070 | 41654 | 90674 | CCIIV4 VAC NO PRSV 0.5 ML IM | 636 | 0 | 50 |
3071 | 41660 | 90832 | PSYTX W PT 30 MINUTES | 521 | 1.5 | 268.27 |
3072 | 41661 | 90837 | PSYTX W PT 60 MINUTES | 521 | 3 | 268.27 |
3073 | 41662 | 90838 | PSYTX W PT W E/M 60 MIN | 521 | 2.5 | 268.27 |
3074 | 41663 | 0 |
SEQUESTRATION ADJUSTMENT CHARGE – HUMANA
|
0 | 14.93 | |
3075 | 41667 | 99441 | PHONE E/M PHYS/QHP 5-10 MIN | 521 | 0.25 | 100 |
3076 | 41668 | 99442 | PHONE E/M PHYS/QHP 11-20 MIN | 521 | 0.5 | 100 |
3077 | 41669 | 99443 | PHONE E/M PHYS/QHP 21-30 MIN | 521 | 0.75 | 100 |
3078 | 41670 | G0071 | COMM SVCS BY RHC/FQHC 5 MIN | 521 | 0 | 100 |
3079 | 41673 | G2025 | RHC TELEMED DISTANT SITE SERVICE | 521 | 0 | 92.86 |
3087 | 42760 | 0011A | ADM SARSCOV2 100MCG/0.5ML1ST | 636 | 0 | 40 |
3088 | 42761 | 0012A | ADM SARSCOV2 100MCG/0.5ML2ND | 636 | 0 | 40 |
3089 | 42762 | 91301 | SARSCOV2 VAC 100MCG/0.5ML IM | 771 | 0 | 0 |
3090 | 42763 | 0031A | ADM SARSCOV2 VAC AD26 .5ML | 771 | 0 | 40 |
3091 | 42764 | 91303 | SARSCOV2 VAC AD26 .5ML IM | 636 | 0 | 0.01 |
3092 | 42799 | 91300 | SARSCOV2 VAC 30MCG/0.3ML IM | 636 | 0 | 0 |
3093 | 42800 | 0001A | ADM SARSCOV2 30MCG/0.3ML 1ST | 771 | 0 | 40 |
3094 | 42801 | 0002A | ADM SARSCOV2 30MCG/0.3ML 2ND | 771 | 0 | 40 |
chargeMaster | code | department.code | description | defaultRevenueCode |
defaultUnitAmount
|
Charge Master | 24 | 552 | INPATIENT REHAB (IRF) PP | 24 | $- |
Charge Master | 1001 | 676 | DISTILLED WATER 1000CC | 270 | $5.00 |
Charge Master | 1002 | 676 | SALINE POUR 1000C | 270 | $5.00 |
Charge Master | 1003 | 676 | IV SALINE INJ 1000C | 270 | $6.00 |
Charge Master | 1004 | 676 | IV 5% RL 1000C | 270 | $4.00 |
Charge Master | 1005 | 676 | IV D5W 1000C | 270 | $4.00 |
Charge Master | 1006 | 676 | IV 5% DEX 45% SOD CHL 10 | 270 | $4.00 |
Charge Master | 1007 | 676 | IV SOD CHL 45% 1000CC | 270 | $4.00 |
Charge Master | 1008 | 676 | IV D5 NS 1000CC | 270 | $4.00 |
Charge Master | 1009 | 676 | IV NS 500CC | 270 | $6.00 |
Charge Master | 1010 | 676 | IV RL 1000CC | 270 | $5.00 |
Charge Master | 1011 | 676 | IV Y TYPE BLOOD SET | 270 | $8.00 |
Charge Master | 1012 | 676 | URINAL | 270 | $2.00 |
Charge Master | 1013 | 676 | SPECIMEN COLL (STOOL) | 270 | $2.00 |
Charge Master | 1014 | 676 | SPECIMEN COLL (HAT) | 270 | $2.00 |
Charge Master | 1015 | 676 | INTAKE/OUTPUT GLASS | 270 | $1.00 |
Charge Master | 1016 | 676 | FEEDING TUBE BAG SETUP | 270 | $25.00 |
Charge Master | 1017 | 676 | KY JELLY 5 GRAM | 270 | $2.00 |
Charge Master | 1018 | 676 | BANDAIDS 3/4″ | 270 | $1.00 |
Charge Master | 1019 | 676 | BANDAIDS XL | 270 | $1.00 |
Charge Master | 1020 | 676 | STERI STRIP 1/8X3 | 270 | $3.00 |
Charge Master | 1021 | 676 | STERI STRIP 1/4X1 1/2 | 270 | $3.00 |
Charge Master | 1022 | 676 | STERI STRIP 1/2X4 | 270 | $5.00 |
Charge Master | 1023 | 676 | COTTON TIP APPLICATORS/BOX | 270 | $7.00 |
Charge Master | 1024 | 676 | BITE (JAWLOCK) | 270 | $3.00 |
Charge Master | 1025 | 676 | TONGUE BLADE STERILE | 270 | $1.00 |
Charge Master | 1026 | 676 | TOOTHETTES | 270 | $3.00 |
Charge Master | 1027 | 676 | DRESSING TELFA 2X3 | 270 | $3.00 |
Charge Master | 1028 | 676 | DRESSING OP SITE 2X3 | 270 | $9.00 |
Charge Master | 1029 | 676 | DRESSING OP SITE 5.5X4 | 270 | $13.00 |
Charge Master | 1030 | 676 | DRESSING ADAPTIC 3X8 | 270 | $4.00 |
Charge Master | 1031 | 676 | DRESSING VASELINE 3X18 | 270 | $2.00 |
Charge Master | 1032 | 676 | DRESSING XEROFORM | 270 | $3.00 |
Charge Master | 1033 | 676 | DRESSING ALLEVYN 4X4 | 270 | $15.00 |
Charge Master | 1034 | 676 | DRESSING ALGISITE 4X4 | 270 | $17.00 |
Charge Master | 1035 | 676 | DRESSING ALLEVYN 5X5 | 270 | $23.00 |
Charge Master | 1036 | 676 | DRESSING SURGICAL 8X6 | 270 | $2.00 |
Charge Master | 1037 | 676 | DRESSING SURGICAL 4X6 | 270 | $2.00 |
Charge Master | 1038 | 676 | INSULIN SYRINGE 1CC | 270 | $2.00 |
Charge Master | 1039 | 676 | SYRINGE 3CC | 270 | $1.00 |
Charge Master | 1040 | 676 | SYRINGE 5CC | 270 | $1.00 |
Charge Master | 1041 | 676 | SYRINGE TB | 270 | $2.00 |
Charge Master | 1042 | 676 | SYRINGE 10CC | 270 | $1.00 |
Charge Master | 1043 | 676 | SYRINGE 20CC | 270 | $2.00 |
Charge Master | 1044 | 676 | SYRINGE 60CC | 270 | $8.00 |
Charge Master | 1045 | 676 | UNDERPADS | 270 | $2.00 |
Charge Master | 1047 | 676 | DIAPER ADULT | 270 | $2.00 |
Charge Master | 1048 | 676 | BEDPAN | 270 | $4.00 |
Charge Master | 1049 | 676 | BEDPAN FRACTURE | 270 | $3.00 |
Charge Master | 1050 | 676 | ADMIT KIT | 270 | $15.00 |
Charge Master | 1051 | 676 | CATH FOLEY KIT 16FR | 270 | $51.00 |
Charge Master | 1052 | 676 | CONDOM CATH | 270 | $5.00 |
Charge Master | 1053 | 676 | IRRIGATION TRAY | 270 | $9.00 |
Charge Master | 1054 | 676 | CATH KIT FEMALE | 270 | $17.00 |
Charge Master | 1055 | 676 | ENEMA SET | 270 | $6.00 |
Charge Master | 1056 | 676 | URINARY DRAIN BAG | 270 | $6.00 |
Charge Master | 1057 | 676 | URINARY LEG BAG | 270 | $25.00 |
Charge Master | 1058 | 676 | CATH LEG STRAP | 270 | $12.00 |
Charge Master | 1059 | 676 | CATH RED RUBBER 14FR | 270 | $32.00 |
Charge Master | 1060 | 676 | CATH RED RUBBER 18FR | 270 | $32.00 |
Charge Master | 1061 | 676 | B/P CUFF | 270 | $- |
Charge Master | 1062 | 676 | BAG FEEDING FLEXI ENTERNAL | 270 | $24.00 |
Charge Master | 1063 | 676 | STETHESCOPE DISP | 270 | $15.00 |
Charge Master | 1064 | 676 | IV CATH 24G | 270 | $8.00 |
Charge Master | 1065 | 676 | IV CATH 20G | 270 | $8.00 |
Charge Master | 1066 | 676 | IV CATH 18G | 270 | $8.00 |
Charge Master | 1067 | 676 | IV CATH 22G | 270 | $6.00 |
Charge Master | 1068 | 676 | IV SEC MED SET | 270 | $4.00 |
Charge Master | 1069 | 676 | IV EXT SET INTERLINK | 270 | $6.00 |
Charge Master | 1070 | 676 | IV CONTINUE FLO | 270 | $10.00 |
Charge Master | 1071 | 676 | IV START KIT | 270 | $17.00 |
Charge Master | 1072 | 676 | IV INJ CAP NEEDLELESS | 270 | $4.00 |
Charge Master | 1073 | 676 | IV LEVEL LOCK CANNULA | 270 | $1.00 |
Charge Master | 1074 | 676 | IV INJ SITE NEEDLELESS | 270 | $3.00 |
Charge Master | 1075 | 676 | PERSONAL CARE KIT | 270 | $14.00 |
Charge Master | 1076 | 676 | SLIPPER SOCKS/MEDIUM | 270 | $5.00 |
Charge Master | 1077 | 676 | SLIPPER SOCKS LARGE/XLARGE | 270 | $9.00 |
Charge Master | 1078 | 676 | ALWAYS PAD | 270 | $1.00 |
Charge Master | 1079 | 676 | HEEL/ELBOW PROTECTOR | 270 | $22.00 |
Charge Master | 1080 | 676 | DENTURE CUP | 270 | $1.00 |
Charge Master | 1081 | 676 | PERINEAL PERSONAL CLEANER | 270 | $13.00 |
Charge Master | 1082 | 676 | ALOE VESTA OINTMENT 4OZ | 270 | $4.00 |
Charge Master | 1083 | 676 | ALOE VESTA ANTIFUNGAL CREAM | 270 | $9.00 |
Charge Master | 1084 | 676 | SOLOSITE | 270 | $34.00 |
Charge Master | 1085 | 676 | WOUND CLEANSER | 270 | $26.00 |
Charge Master | 1086 | 676 | SHAVE KIT | 270 | $6.00 |
Charge Master | 1087 | 676 | SKIN STAPLE REMOVER | 270 | $8.00 |
Charge Master | 1088 | 676 | SUTURE REMOVER KIT | 270 | $12.00 |
Charge Master | 1089 | 676 | HYPAFIX TAPE 2″ | 270 | $10.00 |
Charge Master | 1090 | 676 | HYPAFIX TAPE 4″ | 270 | $31.00 |
Charge Master | 1091 | 676 | DRESSING ABD 8X10 | 270 | $3.00 |
Charge Master | 1092 | 676 | CO WRAP 2″ | 270 | $5.00 |
Charge Master | 1093 | 676 | CO WRAP 4″ | 270 | $7.00 |
Charge Master | 1094 | 676 | BULKY BANDAGE | 270 | $6.00 |
Charge Master | 1095 | 676 | ACE BANDAGE 6″ | 270 | $10.00 |
Charge Master | 1096 | 676 | ACE BANDAGE 4″ | 270 | $10.00 |
Charge Master | 1097 | 676 | ACE BANDAGE 2″ | 270 | $6.00 |
Charge Master | 1098 | 676 | KLING 2″ | 270 | $2.00 |
Charge Master | 1099 | 676 | KLING 4″ | 270 | $2.00 |
Charge Master | 1100 | 676 | KLING 6″ | 270 | $5.00 |
Charge Master | 1101 | 676 | SPECIMEN CUP STERILE | 270 | $1.00 |
Charge Master | 1102 | 676 | GAUZE 4X4 STERILE | 270 | $3.00 |
Charge Master | 1103 | 676 | ICE PACKS | 270 | $- |
Charge Master | 1104 | 676 | TED THIGH SM/LONG | 270 | $31.00 |
Charge Master | 110403 | 743 | DRESSING CHANGE 15 MIN | 420 | $20.00 |
Charge Master | 1105 | 676 | TED THIGH MED/REG | 270 | $31.00 |
Charge Master | 1106 | 676 | TED THIGH MED/LONG | 270 | $31.00 |
Charge Master | 1107 | 676 | TED THIGH LG/REG | 270 | $31.00 |
Charge Master | 1108 | 676 | TED HIGH LG XL/LONG | 270 | $31.00 |
Charge Master | 1109 | 676 | GLOVES SURG 6.5 PAIR | 270 | $1.00 |
Charge Master | 1110 | 676 | GLOVES PF MED/LG BOX | 270 | $9.00 |
Charge Master | 1111 | 676 | GLOVES SURG 7-7.5/PAIR | 270 | $1.00 |
Charge Master | 1112 | 676 | GLOVES SURG 8 | 270 | $1.00 |
Charge Master | 1114 | 676 | ADHESIVE TAPE REMOVER/PAD | 270 | $1.00 |
Charge Master | 1115 | 676 | AIRWAY ADULT SIZE 4 | 270 | $5.00 |
Charge Master | 1116 | 676 | ADULT WIPES/PACK | 270 | $6.00 |
Charge Master | 1117 | 676 | ARMBOARD SHORT | 270 | $5.00 |
Charge Master | 1118 | 676 | BETADINE SWAB STICKS | 270 | $2.00 |
Charge Master | 1119 | 676 | CATH DRAIN PLUG | 270 | $3.00 |
Charge Master | 1120 | 676 | CATH SUCTION 14FR | 270 | $5.00 |
Charge Master | 1121 | 676 | CATH SUCTION 6.5FR | 270 | $4.00 |
Charge Master | 1122 | 676 | CATH TRAY 16FR | 270 | $18.00 |
Charge Master | 1123 | 676 | SUCTION TUBING | 270 | $4.00 |
Charge Master | 1124 | 676 | DRESSING CHANGE KIT | 270 | $33.00 |
Charge Master | 1125 | 676 | EGGCRATE MATTRESS | 270 | $40.00 |
Charge Master | 1126 | 676 | ENDO TUBE 5.0 | 270 | $18.00 |
Charge Master | 1127 | 676 | ENDO TUBE 6.0 | 270 | $18.00 |
Charge Master | 1128 | 676 | ENDO TUBE 7.5 | 270 | $18.00 |
Charge Master | 1129 | 676 | ENDO TUBE 8.0 | 270 | $18.00 |
Charge Master | 1130 | 676 | GOMCO CANNISTER | 270 | $32.00 |
Charge Master | 1131 | 676 | GOMCO FILTER | 270 | $63.00 |
Charge Master | 1132 | 676 | GOMCO TUBING | 270 | $52.00 |
Charge Master | 1133 | 676 | GOWN ISOLATION | 270 | $4.00 |
Charge Master | 1135 | 676 | LIMBAR PUNCTURE TRAY | 270 | $- |
Charge Master | 1136 | 676 | MEASURING TAPE | 270 | $2.00 |
Charge Master | 1137 | 676 | NASAL CANNULA | 270 | $19.00 |
Charge Master | 1138 | 676 | PAD DUO THERM 14X20 | 270 | $65.00 |
Charge Master | 1139 | 676 | RESTRAINT WRIST | 270 | $22.00 |
Charge Master | 1140 | 676 | SALEN SUMP 16 FR | 270 | $27.00 |
Charge Master | 1141 | 676 | SCALPEL SZ 10 | 270 | $5.00 |
Charge Master | 1142 | 676 | SCALPEL SZ 11 | 270 | $5.00 |
Charge Master | 1143 | 676 | SCALPEL SZ 15 | 270 | $5.00 |
Charge Master | 1144 | 676 | AED PADS | 270 | $162.00 |
Charge Master | 1150 | 676 | TOURNIQUET | 270 | $- |
Charge Master | 1151 | 676 | TRACH CARE SET | 270 | $7.00 |
Charge Master | 1152 | 676 | GELOCAST | 270 | $34.00 |
Charge Master | 1153 | 676 | VEST RESTRAINT | 270 | $59.00 |
Charge Master | 1155 | 676 | WHEELCHAIR PAD | 270 | $38.00 |
Charge Master | 1156 | 676 | YANKAUR SUCTION INST IV SUPPLI | 270 | $19.00 |
Charge Master | 1157 | 676 | SODIUM CHLORIDE 0.9% 250ML | 270 | $7.00 |
Charge Master | 118 | 552 | PVT Room Charge | 118 | $1,000.00 |
Charge Master | 1188 | 702 | PARASITES (OCP ONLY) | 300 | $45.00 |
Charge Master | 1189 | 676 | OPSITE FLEXIFIX STRIP | 270 | $2.00 |
Charge Master | 1197 | 676 | TED KNEE | 270 | $35.00 |
Charge Master | 1201 | 676 | DRESSOING STICK | 270 | $18.00 |
Charge Master | 1202 | 676 | GAIT BELT 60″ WASHABLE | 270 | $26.00 |
Charge Master | 1203 | 676 | WHEECHAIR CUSHION FOAM | 270 | $52.00 |
Charge Master | 1204 | 676 | UNIVERSAL CUFF | 270 | $35.00 |
Charge Master | 1220 | 676 | ADULT ELECTRODES | 270 | $45.00 |
Charge Master | 1221 | 676 | EZ CLIDE SHOEHORN 18″ | 270 | $35.00 |
Charge Master | 1222 | 676 | LONG SCRUB SPONGE | 270 | $13.00 |
Charge Master | 1223 | 676 | REACHER 26″ | 270 | $109.00 |
Charge Master | 1224 | 676 | REACHER 32″ | 270 | $110.00 |
Charge Master | 1225 | 676 | SOCK AID | 270 | $60.00 |
Charge Master | 1226 | 676 | WALKER POUCH | 270 | $47.00 |
Charge Master | 1227 | 676 | GAIT BELT 72″ | 270 | $68.00 |
Charge Master | 1228 | 676 | GAIT BELT 54″ | 270 | $68.00 |
Charge Master | 1229 | 676 | LEG LIFTER 34″ | 270 | $60.00 |
Charge Master | 1230 | 676 | LEG LIFTER 31″ | 270 | $60.00 |
Charge Master | 1231 | 676 | BUTTON HOOKS W/ ZIPPER PULL | 270 | $23.00 |
Charge Master | 1232 | 676 | ANTIPASTICITY BALL SPLINT | 270 | $156.00 |
Charge Master | 1233 | 676 | BUILT UP SPORK | 270 | $71.00 |
Charge Master | 1234 | 676 | BUILT UP HANDLE FORK | 270 | $34.00 |
Charge Master | 1235 | 676 | BUILT UP HANDLE KNIFE | 270 | $34.00 |
Charge Master | 1236 | 676 | BUILT UP HANDLE SPOON | 270 | $34.00 |
Charge Master | 1237 | 676 | FUNTCTIONAL POSITION HAND SPLI | 270 | $272.00 |
Charge Master | 1241 | 676 | JAR OPENER 9″ | 270 | $56.00 |
Charge Master | 1242 | 676 | SCOOP DISH WHITE PARTITIONED | 270 | $25.00 |
Charge Master | 1243 | 676 | INNER CANNULA 6MM XLT/TRACH | 270 | $28.00 |
Charge Master | 1244 | 676 | PLASTIC SHOELACE 37″ | 270 | $12.00 |
Charge Master | 1245 | 676 | UTENSIL HOLDER | 270 | $47.00 |
Charge Master | 1246 | 676 | WEIGHTED FORK | 270 | $45.00 |
Charge Master | 1247 | 676 | WEIGHTED KNIFE | 270 | $22.00 |
Charge Master | 1248 | 676 | WEIGHTED TABLESPOON | 270 | $34.00 |
Charge Master | 1249 | 676 | WEIGHTED TEASPOON | 270 | $34.00 |
Charge Master | 1250 | 676 | BREATHER | 270 | $150.00 |
Charge Master | 1251 | 676 | DRESSING ISLAND/TELFA 4X8 | 270 | $8.00 |
Charge Master | 1252 | 676 | GAUZE 2X2 | 270 | $1.00 |
Charge Master | 1253 | 676 | 1 1/2 NEEDLE | 270 | $2.00 |
Charge Master | 1254 | 676 | BUTTERFLY NEEDLE | 270 | $5.00 |
Charge Master | 1255 | 676 | URINE CUP | 270 | $1.00 |
Charge Master | 1256 | 676 | ALCOHOL PREP PADS | 270 | $1.00 |
Charge Master | 1257 | 676 | 10ML STERILE WATER | 270 | $1.00 |
Charge Master | 1258 | 676 | RAZOR-DISPOSABLE | 270 | $1.00 |
Charge Master | 1259 | 676 | NEBULIZER TUBING W/ MASK | 270 | $17.00 |
Charge Master | 1260 | 676 | BODY WASH AND SHAMPOO 4OZ | 270 | $2.00 |
Charge Master | 1261 | 676 | COTTON Q-TIP APPLICATOR 2/PK | 270 | $1.00 |
Charge Master | 1263 | 676 | TRAY INCISION DRAINAGE | 270 | $9.00 |
Charge Master | 1264 | 676 | TRAY MINOR PROCEDURE | 270 | $12.00 |
Charge Master | 1266 | 676 | INSULIN SYRINGES | 270 | $2.00 |
Charge Master | 1272 | 676 | LATEX EXT TUBING W/ CONN | 270 | $6.00 |
Charge Master | 1273 | 676 | SUCTION CANNISTER | 270 | $10.00 |
Charge Master | 1275 | 676 | DERMA FOAM HEEL | 270 | $20.00 |
Charge Master | 1276 | 676 | PAPER TAPE 3″ | 270 | $6.00 |
Charge Master | 1277 | 676 | TAPE TRANSP 3″ | 270 | $6.00 |
Charge Master | 1278 | 676 | TAPE TRANSP 2″ | 270 | $6.00 |
Charge Master | 1280 | 676 | CALCIUM ALIGNATE DRESSING | 270 | $16.00 |
Charge Master | 1281 | 676 | DRESSING RETENTION TAPE 4X10 | 270 | $2.00 |
Charge Master | 1282 | 676 | DUODERM 4X4 STERILE GAUZE | 270 | $45.00 |
Charge Master | 1283 | 676 | KLEENEX / BOX | 270 | $2.00 |
Charge Master | 1284 | 676 | SHAVING CREAM | 270 | $2.00 |
Charge Master | 1285 | 676 | TOOTHBRUSH | 270 | $1.00 |
Charge Master | 1286 | 676 | DUODERM 4X4 (EXTRA THIN) | 270 | $15.00 |
Charge Master | 1300 | 676 | PASTE STOMAHESIVE | 270 | $31.00 |
Charge Master | 1301 | 676 | EAKIN COHESIVE SEAL | 270 | $17.00 |
Charge Master | 1302 | 676 | HY-TAPE LATEX FREE 2″ | 270 | $22.00 |
Charge Master | 1303 | 676 | NO-STING BARRIER WIPES | 270 | $2.00 |
Charge Master | 1304 | 676 | AQUACEL 3/4 X 18 | 270 | $59.00 |
Charge Master | 1305 | 676 | DRAINABLE POUCH | 270 | $24.00 |
Charge Master | 1306 | 676 | WAFER STOMA | 270 | $5.00 |
Charge Master | 1307 | 676 | OPSITE 5.5X10 | 270 | $4.00 |
Charge Master | 1309 | 676 | POWDER STOMAHESIVE | 270 | $25.00 |
Charge Master | 1310 | 676 | COLOSTOMY BAG | 270 | $15.00 |
Charge Master | 1400 | 702 | CBC W/AUTO DIFF | 300 | $12.00 |
Charge Master | 1401 | 702 | BASIC METABOLIC PANEL | 300 | $11.00 |
Charge Master | 1402 | 702 | ELECTROLYTES PANEL | 300 | $3.00 |
Charge Master | 1403 | 702 | COMPREHENSIVE METABOLIC PANEL | 300 | $11.00 |
Charge Master | 1404 | 702 | LIPID PANEL | 300 | $5.00 |
Charge Master | 1405 | 702 | HEPATIC FUNCTION PANEL | 300 | $10.00 |
Charge Master | 1406 | 702 | URINALYSIS | 300 | $16.00 |
Charge Master | 1407 | 702 | GLUCOSE SERUM | 300 | $3.00 |
Charge Master | 1408 | 702 | CARBAMAZEPINE (TEGRETOL LEVEL) | 300 | $57.00 |
Charge Master | 1409 | 702 | DIGOXIN | 300 | $25.00 |
Charge Master | 1410 | 702 | VALPROIC ACID/DEPAKENE | 300 | $54.00 |
Charge Master | 1411 | 702 | SED RATE (ESR) | 300 | $10.00 |
Charge Master | 1412 | 702 | PHENOBARBITAL | 300 | $25.00 |
Charge Master | 1413 | 702 | DILANTIN/PHENYTOIN | 300 | $45.00 |
Charge Master | 1414 | 702 | THEOPHYLINE/AMINOPHYLINE | 300 | $47.00 |
Charge Master | 1415 | 702 | VANCOMYCINE LEVEL | 300 | $9.00 |
Charge Master | 1416 | 702 | CPK TOTAL | 300 | $9.00 |
Charge Master | 1417 | 702 | ALBUMIN SERUM | 300 | $21.00 |
Charge Master | 1418 | 702 | MICROALBUMIN, RANDOM URINE | 300 | $17.00 |
Charge Master | 1419 | 702 | AMYLASE, SERUM | 300 | $22.00 |
Charge Master | 1420 | 702 | OCCULT BLOOD | 300 | $13.00 |
Charge Master | 1421 | 702 | CREATINE, SERUM | 300 | $4.00 |
Charge Master | 1422 | 702 | CALCIUM, SERUM | 300 | $9.00 |
Charge Master | 1423 | 702 | FERRITIN, SERUM | 300 | $32.00 |
Charge Master | 1424 | 702 | URIC ACID, SERUM | 300 | $11.00 |
Charge Master | 1425 | 702 | CREATINE CLEARANCE 24 HR URINE | 300 | $9.00 |
Charge Master | 1426 | 702 | VITAMIN B 12 | 300 | $33.00 |
Charge Master | 1427 | 702 | FOLIC ACID/FOLATCE | 300 | $25.00 |
Charge Master | 1428 | 702 | BNP | 300 | $260.00 |
Charge Master | 1429 | 702 | GLYCOHEMGLOBIN A1C | 300 | $54.00 |
Charge Master | 1430 | 702 | IRON, SERUM | 300 | $5.00 |
Charge Master | 1431 | 702 | IBC, TOTAL AND IRON | 300 | $7.00 |
Charge Master | 1432 | 702 | LIPASE | 300 | $22.00 |
Charge Master | 1433 | 702 | MAGNESIUM, SERUM | 300 | $16.00 |
Charge Master | 1434 | 702 | BNP-B TYPE NAT PEPTIDE | 300 | $216.00 |
Charge Master | 1435 | 702 | PHOSPHORUS, SERUM | 300 | $16.00 |
Charge Master | 1436 | 702 | POTASSIUM, SERUM | 300 | $13.00 |
Charge Master | 1437 | 702 | PREALBUMIN | 300 | $67.00 |
Charge Master | 1438 | 702 | PSA | 300 | $11.00 |
Charge Master | 1439 | 702 | TOTAL PROTEIN, URINE | 300 | $5.00 |
Charge Master | 1440 | 702 | T4 TOTAL | 300 | $11.00 |
Charge Master | 1441 | 702 | T-7 (T4, T3UPTAKE) | 300 | $8.00 |
Charge Master | 1442 | 702 | THYROID PANEL (T3UPTAKE,T4,TSH | 300 | $13.00 |
Charge Master | 1443 | 702 | TSH | 300 | $16.00 |
Charge Master | 1444 | 702 | SGOT (AST) | 300 | $3.00 |
Charge Master | 1445 | 702 | SGPT (ALT) | 300 | $3.00 |
Charge Master | 1446 | 702 | TROPONIN | 300 | $94.00 |
Charge Master | 1447 | 702 | GRAM STAIN | 300 | $16.00 |
Charge Master | 1448 | 702 | HEMOGLOBIN AND HEMATROCRITE | 300 | $3.00 |
Charge Master | 1449 | 702 | RETICULOCYTE | 300 | $5.00 |
Charge Master | 1450 | 702 | PROTHROMBIN TIME | 300 | $16.00 |
Charge Master | 1451 | 702 | HEMOGRAM/PLATELETE, A | 300 | $5.00 |
Charge Master | 1452 | 702 | SMAC | 300 | $1.00 |
Charge Master | 1453 | 702 | ASSAY, DIHYRDOXYVITE | 300 | $60.00 |
Charge Master | 1454 | 702 | AUTOMATED HEMOGRAM | 300 | $10.00 |
Charge Master | 1455 | 702 | CLOSTRIDIUM AG, EIA | 300 | $57.00 |
Charge Master | 1456 | 702 | BLOOD CULTURE | 300 | $14.00 |
Charge Master | 1457 | 702 | NATRIURETIC PEPTIDE | 300 | $49.00 |
Charge Master | 1458 | 702 | HGB A1C GLYCOHGB | 300 | $28.00 |
Charge Master | 1459 | 702 | BACTERIAL ID AEROBIC | 300 | $57.00 |
Charge Master | 1460 | 702 | SUSCEPTIBILITY MIC | 300 | $25.00 |
Charge Master | 1461 | 702 | PT-INR | 300 | $8.00 |
Charge Master | 1462 | 702 | LAMOTRIGINE LEVEL | 300 | $130.00 |
Charge Master | 1463 | 702 | AMMONIA | 300 | $57.00 |
Charge Master | 1464 | 702 | URINALYSIS W/ MICROSCROP | 300 | $24.00 |
Charge Master | 1551 | 702 | APTT | 300 | $5.00 |
Charge Master | 1552 | 702 | C REACTIVE PROTEIN | 300 | $22.00 |
Charge Master | 1553 | 702 | RF, RHEUMATOID FACTOR | 300 | $8.00 |
Charge Master | 1554 | 702 | RPR, RAPIS, PLASMA REAGIN | 300 | $7.00 |
Charge Master | 1555 | 702 | C-DIFF TOXIN A&B | 300 | $30.00 |
Charge Master | 1556 | 702 | URINE CULTURE | 300 | $33.00 |
Charge Master | 1557 | 702 | ID EACH ORGANISM | 300 | $8.00 |
Charge Master | 1558 | 702 | SENSITIVITY EACH ORGANISM | 300 | $38.00 |
Charge Master | 1559 | 702 | ANA | 300 | $10.00 |
Charge Master | 1560 | 702 | CULTURE SPECIMEN, B | 300 | $25.00 |
Charge Master | 1561 | 702 | ASSAT OF VITAMIN D | 300 | $87.00 |
Charge Master | 1562 | 702 | CREATIN KINASE, MB | 300 | $20.00 |
Charge Master | 1563 | 702 | THERAPEUTIC DRUG, AS | 300 | $9.00 |
Charge Master | 1564 | 702 | D-DIMER | 300 | $210.00 |
Charge Master | 1600 | 702 | SADNA AB | 300 | $22.00 |
Charge Master | 1602 | 702 | DIBRIN DEGRADATION | 300 | $70.00 |
Charge Master | 180 | 552 | LOS Hold | 180 | $- |
Charge Master | 3001 | 676 | NPWT GAUZ DRS KIT WOUND CARE | 270 | $90.00 |
Charge Master | 3002 | 676 | NPWT CANISTER WOUND CARE | 270 | $75.00 |
Charge Master | 3003 | 676 | NPWT TUBING WOUND CARE | 270 | $72.00 |
Charge Master | 3004 | 676 | NPWT PUMP RENTAL WOUND VAC | 270 | $105.00 |
Charge Master | 3999 | 676 | WALKING BOOT | 270 | $390.00 |
Charge Master | 4000 | 710 | BLOOD ADMINISTERED | 391 | $4,184.00 |
Charge Master | 4001 | 702 | LAB: CBC | 300 | $10.00 |
Charge Master | 4002 | 702 | LAB: CHEM 7/BMP | 300 | $11.00 |
Charge Master | 4003 | 702 | LAB: TSH | 300 | $13.00 |
Charge Master | 4004 | 702 | LAB: CHEM 20 | 300 | $11.00 |
Charge Master | 4005 | 702 | LAB: UA | 300 | $9.00 |
Charge Master | 4006 | 702 | LAB: UA WITH C&S | 300 | $13.00 |
Charge Master | 4007 | 702 | LAB: TYPE | 300 | $- |
Charge Master | 4008 | 676 | ACCU CHECK | 270 | $9.00 |
Charge Master | 4009 | 740 | RESPIRATORY NEBULIZER | 410 | $35.00 |
Charge Master | 4010 | 740 | INCENTIVE SPIROMETER | 410 | $20.00 |
Charge Master | 4011 | 740 | OXYGEN/PRN (1 HR) | 410 | $8.00 |
Charge Master | 4012 | 713 | EKG | 730 | $158.00 |
Charge Master | 4013 | 723 | CT SCAN | 350 | $2,150.00 |
Charge Master | 4014 | 740 | RESPIRATORY ASSESSMENT | 410 | $75.00 |
Charge Master | 4015 | 676 | OXYGEN SET UP | 270 | $31.00 |
Charge Master | 4016 | 676 | OXYGEN NASAL CANNULA | 270 | $9.00 |
Charge Master | 4017 | 740 | OXYGEN/CON/2LPM | 410 | $190.00 |
Charge Master | 4018 | 740 | CPAP SETUP | 410 | $246.00 |
Charge Master | 4019 | 740 | CPAP DAILY | 410 | $35.00 |
Charge Master | 4020 | 740 | CPAP THERAPIST ASSESSMENT | 410 | $125.00 |
Charge Master | 4021 | 740 | ABG | 410 | $57.00 |
Charge Master | 40212 | 733 | TYLENOL EXTRA STRENGTH | 250 | $2.00 |
Charge Master | 4022 | 717 | EEG | 740 | $250.00 |
Charge Master | 4023 | 740 | THERAPIST INTERVENTION TRACH C | 410 | $125.00 |
Charge Master | 4024 | 676 | BANDAGE SCISSORS | 270 | $14.00 |
Charge Master | 4025 | 676 | SOAP TOWELETTES | 270 | $1.00 |
Charge Master | 4026 | 676 | JEVITY 1.2 (CAN) | 270 | $6.00 |
Charge Master | 4027 | 676 | ADULT BRIEFS/SMALL | 270 | $4.00 |
Charge Master | 4028 | 676 | PLASTIC MEASURING SHEET | 270 | $6.00 |
Charge Master | 4029 | 740 | BI PAP SETUP | 410 | $150.00 |
Charge Master | 4030 | 740 | BI PAP DAILY | 410 | $35.00 |
Charge Master | 4031 | 740 | BUBBLE HUMIDIFIER | 410 | $108.00 |
Charge Master | 4032 | 676 | MEASURING TAPE | 270 | $15.00 |
Charge Master | 4033 | 676 | OXYGEN EAR PROTECTORS | 270 | $15.00 |
Charge Master | 4034 | 702 | PPD (TB) SKIN TEST | 300 | $14.00 |
Charge Master | 4036 | 702 | PTH LEVEL | 300 | $81.00 |
Charge Master | 4037 | 702 | IONIZED CALCIUM | 300 | $105.00 |
Charge Master | 4038 | 702 | LIVER FUNCTION TEST | 300 | $123.00 |
Charge Master | 4039 | 676 | NEOSPORIN/TRIPLE ANTIBIOTIC OI | 270 | $1.00 |
Charge Master | 4040 | 676 | KERLIX BANDAGE ROLL | 270 | $12.00 |
Charge Master | 4041 | 676 | DRESSING ABD 5X9 | 270 | $2.00 |
Charge Master | 4042 | 676 | SKIN PREP PAD | 270 | $1.00 |
Charge Master | 4043 | 676 | COMBINE PADS 5X9 | 270 | $2.00 |
Charge Master | 4044 | 702 | WOUND CULTURE | 300 | $47.00 |
Charge Master | 4045 | 676 | PREFILLED SALINE FLUSH | 270 | $9.00 |
Charge Master | 4046 | 676 | ABDUCTION PILLOW | 270 | $390.00 |
Charge Master | 4047 | 676 | IV PUMP/DAILY | 270 | $72.00 |
Charge Master | 4048 | 676 | URINARY DRAIN BAG HOLDER | 270 | $75.00 |
Charge Master | 4049 | 676 | ANGIO CATH 22G | 270 | $16.00 |
Charge Master | 4050 | 676 | DRESSING ISLAND 3X8 | 270 | $1.00 |
Charge Master | 4051 | 702 | SPUTUM CULTURE | 300 | $246.00 |
Charge Master | 4052 | 676 | DUODERM 3.7 X 3.8IN X 9 | 270 | $24.00 |
Charge Master | 4053 | 740 | CONCENTRATOR (DAILY) | 410 | $188.00 |
Charge Master | 4054 | 740 | NEBULIZER MACHINE (DAILY) | 410 | $66.00 |
Charge Master | 4055 | 676 | DENTURE ADHESIVE 2 OZ | 270 | $7.00 |
Charge Master | 4056 | 676 | DRESSING OPSITE 4X4 3/4 | 270 | $9.00 |
Charge Master | 4057 | 702 | KEPPRA LEVEL | 300 | $165.00 |
Charge Master | 4058 | 702 | PEAK & TROUGH | 300 | $54.00 |
Charge Master | 4059 | 676 | AIR MATTRESS (DAILY) | 270 | $38.00 |
Charge Master | 4060 | 676 | DYNAREX LUBE STERILE PACKETS 2 | 270 | $3.00 |
Charge Master | 4061 | 676 | DRAIN SPONGES 4X4 6PLY / EACH | 270 | $2.00 |
Charge Master | 4062 | 676 | INNER CANNULA 5.0MM | 270 | $21.00 |
Charge Master | 4063 | 702 | SODIUM, SERUM | 300 | $16.00 |
Charge Master | 4064 | 740 | SUCTION MACHINE (DAILY) | 410 | $66.00 |
Charge Master | 4065 | 676 | HYPAFIX TAPE 6″ | 270 | $38.00 |
Charge Master | 4066 | 676 | AQUACEL DRESSING 4X4 6PLY / EA | 270 | $20.00 |
Charge Master | 4067 | 676 | TRACH COLLAR FOAM | 270 | $3.00 |
Charge Master | 4068 | 676 | OPSITE FLEXIFIX TAPE 4IN / 10. | 270 | $57.00 |
Charge Master | 4069 | 676 | DRESSING ISLAND 4X4 | 270 | $4.00 |
Charge Master | 4070 | 676 | TRANSPARENT SEMI-PERMEABLE D | 270 | $3.00 |
Charge Master | 4071 | 676 | ACE BANDAGE 3″ | 270 | $8.00 |
Charge Master | 4072 | 733 | DULCOLAX SUPPOSITORY | 270 | $2.00 |
Charge Master | 4073 | 676 | STRETCH GAUZE 4″ROLL | 270 | $6.00 |
Charge Master | 4074 | 676 | FOLEY CATH KIT 14FR | 270 | $42.00 |
Charge Master | 4075 | 676 | GAUZE 4X4 NON-STERILE | 270 | $2.00 |
Charge Master | 4076 | 676 | 20G 1″ NEEDLE | 270 | $1.00 |
Charge Master | 4077 | 676 | GAUZE 4X4 (NON-STERILE) 200 CO | 270 | $24.00 |
Charge Master | 4078 | 676 | HYDROGEN PEROXIDE 16OZ | 270 | $3.00 |
Charge Master | 4079 | 702 | CHEM 14 | 300 | $13.00 |
Charge Master | 4080 | 676 | 18G 1″ NEEDLE | 270 | $1.00 |
Charge Master | 4081 | 676 | SILK TAPE 1″ ROLL | 270 | $4.00 |
Charge Master | 4082 | 676 | HUBER NEEDLE 18GX1″ | 270 | $1.00 |
Charge Master | 4083 | 676 | 21G X 1 NEEDLE | 270 | $1.00 |
Charge Master | 4084 | 676 | GOLD BOND POWDER (MEDICATED) | 270 | $11.00 |
Charge Master | 4085 | 676 | ANIT-FUNGAL SPRAY 5.3OZ CAN | 270 | $10.00 |
Charge Master | 4086 | 676 | ATHLETES FEET SPRAY 5.3OZ SPRA | 270 | $13.00 |
Charge Master | 4087 | 676 | STRETCH GAUZE 3″ ROLL | 270 | $14.00 |
Charge Master | 4088 | 676 | TELFA OUCHLESS ADHESIVE PAD 3 | 270 | $6.00 |
Charge Master | 4089 | 676 | INNER CANNULA (DISPOSABLE) SIZ | 270 | $14.00 |
Charge Master | 4090 | 676 | 12CC LUER LOCK SYRINGE | 270 | $1.00 |
Charge Master | 4091 | 676 | 23G X 1″ NEEDLE | 270 | $2.00 |
Charge Master | 4092 | 702 | TESTOSTERONE LEVEL | 300 | $386.00 |
Charge Master | 4093 | 676 | STRETCH GAUZE 6″ ROLL | 270 | $8.00 |
Charge Master | 4094 | 702 | TRACH CULTURE | 300 | $29.00 |
Charge Master | 4095 | 676 | WATER PITCHER | 270 | $11.00 |
Charge Master | 4096 | 676 | SELF CATHETER 14FR | 270 | $4.00 |
Charge Master | 4097 | 676 | PROFORE LITE DRESSING 14CM X 2 | 270 | $59.00 |
Charge Master | 4098 | 740 | PULSE OX/OVERNIGHT RENTAL | 410 | $150.00 |
Charge Master | 4099 | 702 | C-PEPTIDE LEVEL | 300 | $90.00 |
Charge Master | 4100 | 676 | Y-PORT CONNECTOR 18/20FR | 270 | $54.00 |
Charge Master | 4101 | 676 | ALLEVYN DRESSING 7.5X7.5CM | 270 | $23.00 |
Charge Master | 4103 | 676 | ALLEVYN DRESSING 3X3 | 270 | $20.00 |
Charge Master | 4104 | 676 | STRETCH GAUZE 2″ ROLL | 270 | $4.00 |
Charge Master | 4105 | 676 | SELF CATHETER 16F | 270 | $5.00 |
Charge Master | 4106 | 676 | 22G 1 1/2″ NEEDLE | 270 | $1.00 |
Charge Master | 4107 | 676 | CATHETER 16FR | 270 | $5.00 |
Charge Master | 4108 | 676 | ALLEVYN DRESSING 2X2 | 270 | $19.00 |
Charge Master | 4109 | 676 | 27 G NEEDLE | 270 | $1.00 |
Charge Master | 4110 | 676 | SYRINGE 30ML | 270 | $1.00 |
Charge Master | 4111 | 733 | TESTOSTERONE INJ/VIAL | 250 | $80.00 |
Charge Master | 4112 | 724 | MRI | 320 | $900.00 |
Charge Master | 4113 | 724 | MRA | 320 | $900.00 |
Charge Master | 4114 | 676 | BOTTLE LOTION 2OZ | 270 | $2.00 |
Charge Master | 4114A | 676 | BODY LOTION 8OZ | 270 | $7.00 |
Charge Master | 4115 | 733 | TORADOL INJ/60MG VIAL | 250 | $15.00 |
Charge Master | 4116 | 724 | VENOUS DOPPLER | 320 | $825.00 |
Charge Master | 4117 | 676 | NEBULIZER TUBING W/ MOUTHPIECE | 270 | $23.00 |
Charge Master | 4118 | 676 | CORTAID (HYDROCORTIZONE CREAM) | 270 | $8.00 |
Charge Master | 4119 | 733 | LASIX INJ/40MG/STOCK | 250 | $15.00 |
Charge Master | 4120 | 733 | LOVENOX INJ 60MG/STOCK | 250 | $132.00 |
Charge Master | 4121 | 676 | PAPER TAPE 1″ ROLL | 270 | $3.00 |
Charge Master | 4122 | 676 | PICC LINE PLACEMENT | 270 | $1,050.00 |
Charge Master | 4123 | 733 | 5ML HEPARIN FLUSH | 250 | $19.00 |
Charge Master | 4124 | 733 | NITROSTAT SUBLINGUAL PILL/EACH | 250 | $2.00 |
Charge Master | 4125 | 702 | CARDIAC ENZYMES | 300 | $91.00 |
Charge Master | 4126 | 724 | VQ SCAN/LUNGS | 320 | $5,865.00 |
Charge Master | 4127 | 676 | NEEDLE FREE CAREFUSION IV CAPS | 270 | $5.00 |
Charge Master | 4128 | 676 | STEP LOCK ANKLE WRAP/BOOT | 270 | $195.00 |
Charge Master | 4129 | 676 | STATLOCK STABILIZATION DEVICE | 270 | $30.00 |
Charge Master | 4130 | 676 | HUBER NEEDLE WINGED EXTENSION | 270 | $20.00 |
Charge Master | 4131 | 676 | URINARY LEG BAG KIT/1000ML | 270 | $32.00 |
Charge Master | 4132 | 724 | C-SPINE | 320 | $135.00 |
Charge Master | 4133 | 733 | CELESTONE INJ/STOCK | 250 | $111.00 |
Charge Master | 4134 | 676 | DRAIN SPONGE 4X4 6PLY/PER PACK | 270 | $19.00 |
Charge Master | 4135 | 733 | GEODON 20MG/STOCK | 250 | $28.00 |
Charge Master | 4136 | 676 | FEEDING PUMP/DAILY | 270 | $75.00 |
Charge Master | 4137 | 676 | BETADINE PREP PADS | 270 | $1.00 |
Charge Master | 4138 | 676 | DISTILLED WATER 1 GALLON | 270 | $4.00 |
Charge Master | 4139 | 676 | BABY POWDER 2OZ | 270 | $3.00 |
Charge Master | 4140 | 676 | MOUTWASH/RINSE 4OZ | 270 | $2.00 |
Charge Master | 4141 | 676 | MOISTURIZING LOTION /HAND & BO | 270 | $3.00 |
Charge Master | 4142 | 676 | ROLL ON DEODERANT 1.5OZ | 270 | $2.00 |
Charge Master | 4143 | 676 | LEMON-GYLCERIN SWAB/BOX | 270 | $36.00 |
Charge Master | 4144 | 676 | LEMON-GYLCERIN SWAB/EACH | 270 | $1.00 |
Charge Master | 4145 | 702 | FREE T4 | 300 | $20.00 |
Charge Master | 4146 | 676 | GAUZE 4X4 / TRAY (W/12 EACH) | 270 | $17.00 |
Charge Master | 4147 | 676 | BASIC SOLUTION SET / 20 DROPS | 270 | $48.00 |
Charge Master | 4148 | 676 | OPTIFORM DRESSING 6X6 | 270 | $42.00 |
Charge Master | 4149 | 676 | AQUACEL DRESSING/PAD 10CM X 10 | 270 | $21.00 |
Charge Master | 4150 | 676 | NORMAL SALINE 0.9% 1000ML BAG | 270 | $15.00 |
Charge Master | 4151 | 676 | INSULIN SYRINGE 1/2 CC | 270 | $1.00 |
Charge Master | 4152 | 702 | TRANSFERRITIN | 300 | $81.00 |
Charge Master | 4153 | 702 | DIRECT COOMBS | 300 | $32.00 |
Charge Master | 4154 | 702 | INDIRECT COOMBS/MONO | 300 | $45.00 |
Charge Master | 4155 | 676 | BODYWASH & SHAMPOO 8OZ | 270 | $15.00 |
Charge Master | 4156 | 676 | ALOE VESTA OINTMENT 8OZ | 270 | $16.00 |
Charge Master | 4157 | 676 | CALCIUM ALIGNATE ROPE 12″ EACH | 270 | $18.00 |
Charge Master | 4158 | 676 | DRESSING OPSITE 10X10 / EACH | 270 | $19.00 |
Charge Master | 4159 | 724 | UPPER GI SERIES | 320 | $750.00 |
Charge Master | 4160 | 702 | NASAL SWAB CULTURE | 300 | $47.00 |
Charge Master | 4161 | 676 | TOOTHPASTE (1.5OZ TUBE) | 270 | $2.00 |
Charge Master | 4162 | 676 | BODY POWDER (4OZ) | 270 | $1.00 |
Charge Master | 4163 | 676 | HAIR BRUSH | 270 | $3.00 |
Charge Master | 4164 | 676 | COMB | 270 | $2.00 |
Charge Master | 4165 | 676 | IMMOBILIZER LEG BRACE | 270 | $108.00 |
Charge Master | 4166 | 702 | MONOSPOT | 300 | $15.00 |
Charge Master | 4167 | 676 | BIO-PATCH (GUARD IVA) EACH | 270 | $64.00 |
Charge Master | 4168 | 724 | ECHOCARDIOGRAM | 320 | $1,125.00 |
Charge Master | 4169 | 724 | ABDOMINAL ULTRASOUND | 320 | $825.00 |
Charge Master | 4170 | 740 | OXYGEN PRN 2 HRS | 410 | $16.00 |
Charge Master | 4171 | 740 | OXYGEN PRN 3 HRS | 410 | $24.00 |
Charge Master | 4172 | 740 | OXYGEN PRN 4 HRS | 410 | $32.00 |
Charge Master | 4173 | 740 | OXYGEN PRN 5 HRS | 410 | $40.00 |
Charge Master | 4174 | 740 | OXYGEN PRN 6 HRS | 410 | $47.00 |
Charge Master | 4175 | 740 | OXYGEN PRN 7 HRS | 410 | $55.00 |
Charge Master | 4176 | 740 | OXYGEN PRN 8 HRS | 410 | $63.00 |
Charge Master | 4177 | 676 | STERILE WATER 3.3FL OZ 100ML | 270 | $2.00 |
Charge Master | 4178 | 676 | MEPITEL DRESSING 5X7.5 | 270 | $15.00 |
Charge Master | 4179 | 676 | XEROFORM PETROLATUM DRESSING | 270 | $7.00 |
Charge Master | 4180 | 740 | OXYGEN PRN 9 HRS | 410 | $71.00 |
Charge Master | 4181 | 740 | OXYGEN PRN 10 HRS | 410 | $79.00 |
Charge Master | 4182 | 740 | OXYGEN PRN 11 HRS | 410 | $87.00 |
Charge Master | 4183 | 740 | OXYGEN PRN 12 HRS | 410 | $95.00 |
Charge Master | 4184 | 740 | OXYGEN PRN 13 HRS | 410 | $103.00 |
Charge Master | 4185 | 740 | OXYGEN PRN 14 HRS | 410 | $111.00 |
Charge Master | 4186 | 740 | OXYGEN PRN 15 HRS | 410 | $119.00 |
Charge Master | 4187 | 702 | BUN (BLOOD UREA NITROGEN) | 300 | $13.00 |
Charge Master | 4188 | 740 | OXYGEN PRN 16 HRS | 410 | $126.00 |
Charge Master | 4189 | 702 | LANOXIN LEVEL | 300 | $21.00 |
Charge Master | 4190 | 676 | POLIDENT DENTURE/CLEANSER | 270 | $1.00 |
Charge Master | 4191 | 676 | ENSURE 8OZ BOTTLE/EACH | 270 | $6.00 |
Charge Master | 4192 | 676 | ENSURE 8OZ CAN/EACH | 270 | $5.00 |
Charge Master | 4193 | 676 | STERILE WATER 250ML | 270 | $20.00 |
Charge Master | 4194 | 702 | PTT | 300 | $23.00 |
Charge Master | 4195 | 676 | POISE OVERNIGHT PADS/EACH | 270 | $1.00 |
Charge Master | 4196 | 676 | WRIST MOBILIZER | 270 | $56.00 |
Charge Master | 4197 | 702 | ALKALINE PHROSPHATASE FRACTION | 300 | $111.00 |
Charge Master | 4198 | 702 | LIVER SURVEY | 300 | $10.00 |
Charge Master | 4199 | 676 | GLUCERNA SUPPLEMENT | 270 | $4.00 |
Charge Master | 4200 | 676 | ISOSOURCE 1.5 | 270 | $2.00 |
Charge Master | 4201 | 676 | MEDICAL TRANSPORT | 270 | $300.00 |
Charge Master | 4202 | 676 | IMMOBILIZER KNEE BRACE | 270 | $185.00 |
Charge Master | 4203 | 676 | GLUCERNA 1.5 / 8OZ | 270 | $11.00 |
Charge Master | 4227 | 702 | HEPATITIS ACUTE | 300 | $158.00 |
Charge Master | 4228 | 702 | CA 19-9 | 300 | $60.00 |
Charge Master | 4501 | 676 | NORMAL SALINE FLUSH SYRINGE | 270 | $3.00 |
Charge Master | 4901 | 676 | SLING ARM DELUXE MEDIUM | 270 | $30.00 |
Charge Master | 4902 | 676 | CRUTCHES ADULT | 270 | $235.00 |
Charge Master | 5001 | 676 | XL ADULT BRIEFS/PACK | 270 | $39.00 |
Charge Master | 5002 | 676 | XL ADULT BRIEFS/EACH | 270 | $5.00 |
Charge Master | 5003 | 676 | ADULT BRIEFS/PULL UPS | 270 | $5.00 |
Charge Master | 5005 | 676 | NO RINSE SHAMPOO | 270 | $2.00 |
Charge Master | 5006 | 676 | ISOLATION MASK | 270 | $2.00 |
Charge Master | 5007 | 676 | ISOLATION SHOE COVER | 270 | $2.00 |
Charge Master | 5008 | 676 | BRIEF ADULT LARGE | 270 | $4.00 |
Charge Master | 5009 | 676 | BRIEF ADULT 3X | 270 | $5.00 |
Charge Master | 5010 | 676 | OP SITE (IV) | 270 | $5.00 |
Charge Master | 5011 | 676 | PROTECTIVE EYE WEAR | 270 | $6.00 |
Charge Master | 5013 | 676 | SHOULDER IMMOBILIZER | 270 | $35.00 |
Charge Master | 5014 | 676 | SLING W/ SWATCH (LARGE) | 270 | $180.00 |
Charge Master | 5015 | 676 | KERLIX SUPER SPONGE | 270 | $6.00 |
Charge Master | 5016 | 676 | WOUND DRAPE | 270 | $1.00 |
Charge Master | 5017 | 676 | OXYGEN MASK | 270 | $17.00 |
Charge Master | 5018 | 676 | OXYGEN TUBING | 270 | $7.00 |
Charge Master | 5019 | 676 | IV TX/MGT | 270 | $45.00 |
Charge Master | 5020 | 676 | ISOSOURCE BOTTLE 1.5 | 270 | $6.00 |
Charge Master | 5021 | 676 | NEPRO NUTRITIONAL SUPPLEMENT 1 LITER | 270 | $- |
Charge Master | 5022 | 676 | SALINE POUR 250CC | 270 | $1.00 |
Charge Master | 5023 | 676 | ORTHOWEDGE FOOT SHOE | 270 | $78.00 |
Charge Master | 5024 | 676 | NAIL CLIPPERS | 270 | $99.00 |
Charge Master | 5025 | 676 | NAIL CLIPPERS | 270 | $4.00 |
Charge Master | 5026 | 676 | M9 ODOR ELIMINATOR | 270 | $12.00 |
Charge Master | 5027 | 676 | ISOLATION CAP | 270 | $1.00 |
Charge Master | 5028 | 676 | DIGITAL THERMOMETER | 270 | $15.00 |
Charge Master | 5029 | 676 | PEN NEEDLE 5/16″ | 270 | $1.00 |
Charge Master | 5030 | 676 | TOE NAIL CLIPPERS | 270 | $2.00 |
Charge Master | 5031 | 676 | EKG PADS | 270 | $1.00 |
Charge Master | 5032 | 676 | ENSURE SUPPLEMENT | 270 | $4.00 |
Charge Master | 5033 | 676 | PEN NEEDLE 31G | 270 | $1.00 |
Charge Master | 5034 | 676 | BIOTENE MM Mouthwash | 270 | $- |
Charge Master | 6001 | 676 | RESTING HAND SPLINT | 270 | $870.00 |
Charge Master | 70100 | 724 | MANDIBLE LESS THAN 4 VIEWS | 320 | $29.00 |
Charge Master | 70140 | 724 | FACIAL BONES COMPLETE MIN 3 VI | 320 | $- |
Charge Master | 70160 | 724 | NASAL BONES COMPL MIN 3 VIEWS | 320 | $- |
Charge Master | 70200 | 724 | ORBITS COMPL MIN 4 VIEWS | 320 | $- |
Charge Master | 70210 | 724 | PARANASAL SINUSES LESS THAN 3 | 320 | $- |
Charge Master | 70250 | 724 | SKULL LESS THAN 4 VIEWS | 320 | $- |
Charge Master | 70336 | 724 | MRI TEMPEROMANDIBULAR JOINT | 610 | $350.00 |
Charge Master | 70360 | 724 | NECK FOR SOFT TISSUES | 610 | $31.00 |
Charge Master | 70371 | 724 | COMPLEX DYNAMIC PHARYNGEAL | 320 | $89.00 |
Charge Master | 70373 | 724 | LARYNGEAL CONTRAST | 320 | $74.00 |
Charge Master | 70450 | 723 | CT HEAD W/O CONTR | 350 | $126.00 |
Charge Master | 70460 | 723 | CT HEAD W/CONTR | 350 | $178.00 |
Charge Master | 70470 | 723 | CT HEAD W/O & W/CONTR | 350 | $209.00 |
Charge Master | 70480 | 723 | CT ORBIT/SELLA W/O CONTR | 350 | $253.00 |
Charge Master | 70481 | 723 | CT ORBIT/SELLA W/CONTR | 350 | $299.00 |
Charge Master | 70482 | 723 | CT ORBIT/SELLA W/O & W/CONTR | 350 | $326.00 |
Charge Master | 70486 | 723 | CT MAXILLOFACIAL W/O CONTR | 350 | $158.00 |
Charge Master | 70487 | 723 | CT MAXILLOFACIAL W/CONTR | 350 | $182.00 |
Charge Master | 70488 | 723 | CT MAXILLOFACIAL W/O & W/CONTR | 350 | $222.00 |
Charge Master | 70490 | 723 | CT SOFT TISSUE NECK W/O CONTR | 350 | $184.00 |
Charge Master | 70491 | 723 | CT SOFT TISSUE NECK W/CONTR | 350 | $222.00 |
Charge Master | 70492 | 723 | CT SOFT TISSUE NECK W/O & W/CO | 350 | $267.00 |
Charge Master | 70540 | 724 | MRI ORBIT/FACE/NECK W/O CONTRA | 610 | $295.00 |
Charge Master | 70542 | 724 | MRI ORBIT FACE/NECK WITH CONTR | 610 | $350.00 |
Charge Master | 70543 | 724 | MRI ORBIT FACE/NECK WO & W CON | 610 | $439.00 |
Charge Master | 70551 | 724 | MRI BRAIN W/O CONTR | 611 | $252.00 |
Charge Master | 70552 | 724 | MRI BRAIN W/CONTR | 611 | $349.00 |
Charge Master | 70553 | 724 | MRI BRAIN W/O & W/CONTR | 611 | $412.00 |
Charge Master | 7060 | 724 | NECK TISSUE | 320 | $26.00 |
Charge Master | 71010 | 724 | CHEST SINGLE VIEW | 320 | $450.00 |
Charge Master | 71020 | 724 | CHEST TWO VIEWS | 320 | $450.00 |
Charge Master | 71100 | 724 | RIBS UNILAT 2 VIEWS | 320 | $270.00 |
Charge Master | 71120 | 724 | STERNUM MIN 2 VIEWS | 320 | $- |
Charge Master | 71250 | 723 | CT CHEST W/O CONTR | 350 | $178.00 |
Charge Master | 71260 | 723 | CT CHEST W/CONTR | 350 | $214.00 |
Charge Master | 71270 | 723 | CT CHEST W/O & W/CONTR | 350 | $256.00 |
Charge Master | 71550 | 724 | MRI CHEST WO CONTRAST | 614 | $450.00 |
Charge Master | 71551 | 724 | MRI CHEST WITH CONTRAST | 614 | $454.00 |
Charge Master | 71552 | 724 | MRI CHEST WITHOUT & WITH CONTR | 614 | $628.00 |
Charge Master | 72040 | 724 | SPINE CERVICAL 3 OR LESS VIEWS | 320 | $696.00 |
Charge Master | 72070 | 724 | THORACIC | 320 | $93.00 |
Charge Master | 72071 | 724 | ULTRASOUND UNILATERAL | 320 | $610.00 |
Charge Master | 72100 | 724 | SPINE LUMBOSACRAL 2 OR 3 VIEWS | 320 | $655.00 |
Charge Master | 72125 | 723 | CT CERVICAL SPINE W/O CONTR | 350 | $201.00 |
Charge Master | 72126 | 723 | CT CERVICAL SPINE W/CONTR | 350 | $227.00 |
Charge Master | 72127 | 723 | CT CERVICAL SPINE W & W/O CONT | 350 | $293.00 |
Charge Master | 72128 | 723 | CT THORACIC SPINE W/O CONTR | 350 | $196.00 |
Charge Master | 72129 | 723 | CT THORACIC SPINE W/CONTR | 350 | $249.00 |
Charge Master | 72130 | 723 | CT THORACIC SPINE W/O & W/CONT | 350 | $295.00 |
Charge Master | 72131 | 723 | CT LUMBAR SPINE W/O CONT | 350 | $196.00 |
Charge Master | 72132 | 723 | CT LUMBAR SPINE W/CONT | 350 | $248.00 |
Charge Master | 72133 | 723 | CT LUMBAR SPINE W/WO CONTRAST | 350 | $292.00 |
Charge Master | 72141 | 724 | MRI CERVICAL SPINE W/O CONTR | 612 | $245.00 |
Charge Master | 72142 | 724 | MRI CERVICAL SPINE W/CONTR | 612 | $355.00 |
Charge Master | 72146 | 724 | MRI THORACIC SPINE W/O CONTR | 610 | $246.00 |
Charge Master | 72147 | 724 | MRI THORACIC SPINE W/CONTR | 610 | $353.00 |
Charge Master | 72148 | 724 | MRI LUMBAR SPINE W/O CONTR | 610 | $245.00 |
Charge Master | 72149 | 724 | MRI LUMBAR SPINE W/CONTR | 610 | $351.00 |
Charge Master | 72156 | 724 | MRI CERVICAL SPINE W/O & W/CON | 610 | $414.00 |
Charge Master | 72157 | 724 | MRI THORACIC SPINE W/O & W/CON | 610 | $415.00 |
Charge Master | 72158 | 724 | MRI LUMBAR SPINE W/O & W/CONTR | 610 | $413.00 |
Charge Master | 72170 | 724 | PELVIS 1 OR 2 VIEWS | 320 | $650.00 |
Charge Master | 72192 | 723 | CT PELVIS WO/CONTRAST | 350 | $159.00 |
Charge Master | 72193 | 723 | CT PELVIS W/CONTRAST | 350 | $245.00 |
Charge Master | 72194 | 723 | CT PELVIS WO/W CONTRAST | 350 | $282.00 |
Charge Master | 72195 | 724 | MRI PELVIS WITHOUT CONTRAST | 610 | $344.00 |
Charge Master | 72196 | 724 | MRI PELVIS WITH CONTRAST | 610 | $378.00 |
Charge Master | 72197 | 724 | MRI PELVIS WITHOUT & WITH CONT | 610 | $463.00 |
Charge Master | 72220 | 724 | SACRUM & COCCYX MIN 2 VIEWS | 320 | $244.00 |
Charge Master | 73000 | 724 | CLAVICLE COMPLETE | 320 | $- |
Charge Master | 73010 | 724 | SCAPULA COMPLETE | 320 | $- |
Charge Master | 73030 | 724 | SHOULDER COMPL MIN 2 VIEWS | 320 | $655.00 |
Charge Master | 73060 | 724 | HUMERUS MIN 2 VIEWS | 320 | $680.00 |
Charge Master | 73080 | 724 | ELBOW COMPL MIN 3 VIEWS | 320 | $655.00 |
Charge Master | 73081 | 724 | ELBOW 2 VIEWS | 320 | $270.00 |
Charge Master | 73090 | 724 | FOREARM 2 VIEWS | 320 | $209.00 |
Charge Master | 73100 | 724 | WRIST 2 VIEWS | 320 | $324.00 |
Charge Master | 73101 | 733 | HAND X RAY 2 VIEW | 250 | $270.00 |
Charge Master | 73110 | 724 | WRIST 3 VIEWS | 320 | $- |
Charge Master | 73120 | 724 | HAND MIN 2 VIEWS | 320 | $123.00 |
Charge Master | 73130 | 724 | HAND MIN 3 VIEWS | 320 | $- |
Charge Master | 73140 | 724 | FINGER(S) MIN 2 VIEWS | 320 | $- |
Charge Master | 73200 | 723 | CT UPPER EXTREMITY W/O CONTR | 350 | $195.00 |
Charge Master | 73201 | 723 | CT UPPER EXTREMITY W/CONTR | 350 | $342.00 |
Charge Master | 73202 | 723 | CT UPPER EXT W/O & W/CONTR | 350 | $301.00 |
Charge Master | 73218 | 724 | MRI UPPER EXTREMITY WO CONTRAS | 610 | $398.00 |
Charge Master | 73219 | 724 | MRI UPPER EXTREMITY WITH CONTR | 610 | $437.00 |
Charge Master | 73220 | 724 | MRI UPPER EXTREMITY WO/W CONTR | 610 | $543.00 |
Charge Master | 73221 | 724 | MRI UPPER EXTREMITY JOINT WO C | 610 | $259.00 |
Charge Master | 73222 | 724 | MRI UPPER EXTREMITY JOINT W CO | 610 | $412.00 |
Charge Master | 73223 | 724 | MRI UPPER EXTREMITY JOINT WO/W | 610 | $511.00 |
Charge Master | 73510 | 724 | HIPS | 320 | $606.00 |
Charge Master | 73510M | 724 | VIEW HIP | 320 | $270.00 |
Charge Master | 73551 | 724 | FEMUR 1 VIEW | 320 | $606.00 |
Charge Master | 73552 | 724 | FEMUR 2 VIEW | 320 | $151.00 |
Charge Master | 73560 | 724 | KNEE 1 OR 2 VIEWS | 320 | $606.00 |
Charge Master | 73590 | 724 | TIBIA & FIBULA 2 VIEWS | 320 | $443.00 |
Charge Master | 73600 | 724 | ANKLE 2 VIEWS | 320 | $339.00 |
Charge Master | 73610 | 724 | ANKLE COMPL MIN 3 VIEWS | 320 | $- |
Charge Master | 73620 | 724 | FOOT 2 VIEWS | 320 | $- |
Charge Master | 73630 | 724 | FOOT COMPL MIN 3 VIEWS | 320 | $- |
Charge Master | 73650 | 724 | CALCANEOUS MIN 2 VIEWS | 320 | $- |
Charge Master | 73660 | 724 | TOES MIN 2 VIEWS | 320 | $- |
Charge Master | 73700 | 723 | CT LOWER EXTREMITY W/O CONTR | 350 | $196.00 |
Charge Master | 73701 | 723 | CT LOWER EXTREMITY W/CONTR | 350 | $245.00 |
Charge Master | 73702 | 723 | CT LOWER EXTREMITY W/O & W/CON | 350 | $297.00 |
Charge Master | 73718 | 724 | MRI LOWER EXTREMITY WITHOUT CO | 610 | $333.00 |
Charge Master | 73719 | 724 | MRI LOWER EXTREMITY WITH CONTR | 610 | $372.00 |
Charge Master | 73720 | 724 | MRI LOWER EXTREMITY WO/W CONTR | 610 | $462.00 |
Charge Master | 73721 | 724 | MRI LOWER EXTREMITY JOINT WO C | 610 | $259.00 |
Charge Master | 73722 | 724 | MRI LOWER EXTREMITY JOINT WITH | 610 | $415.00 |
Charge Master | 73723 | 724 | MRI LOWER EXTREMITY JOINT WO/W | 610 | $510.00 |
Charge Master | 74000 | 724 | ABDOMEN/KUB SINGLE VIEW AP | 320 | $- |
Charge Master | 74020 | 724 | ABDOMEN COMP W/DECUBES &/OR UP | 320 | $- |
Charge Master | 7410897 | 702 | OSMOL SERUM | 300 | $27.00 |
Charge Master | 7411788 | 702 | SODIUM URINE | 300 | $16.00 |
Charge Master | 74150 | 723 | CT ABDOMEN WO/CONTRAST | 350 | $164.00 |
Charge Master | 74160 | 723 | CT ABDOMEN W/CONTRAST | 350 | $251.00 |
Charge Master | 74170 | 723 | CT ABDOMEN WO/W CONTRAST | 350 | $285.00 |
Charge Master | 74176 | 723 | CT ABDOMEN & PELVIS W/O CONTRA | 350 | $219.00 |
Charge Master | 74177 | 723 | CT ABDOMEN & PELVIS W/CONTRAST | 350 | $339.00 |
Charge Master | 74178 | 723 | CT ABDOMEN & PELVIS W/WO CONTR | 350 | $384.00 |
Charge Master | 74181 | 724 | MRI ABDOMEN WO CONTRAST | 610 | $307.00 |
Charge Master | 74182 | 724 | MRI ABDOMEN WITH CONTRAST | 610 | $416.00 |
Charge Master | 74183 | 724 | MRI ABDOMEN WITHOUT & WITH CON | 610 | $464.00 |
Charge Master | 74220 | 724 | BARIUM SWALLOW | 320 | $1,018.00 |
Charge Master | 74240 | 724 | RADIOLOGIC EXAM GASTRONINTESTI | 320 | $101.00 |
Charge Master | 74241 | 724 | KUB | 320 | $270.00 |
Charge Master | 7444508 | 676 | DISPOSABLE HUMIDIFIER | 270 | $13.00 |
Charge Master | 76380 | 723 | CT AXIAL LIMITED OR LOCALIZED | 350 | $158.00 |
Charge Master | 76536 | 724 | US SOFT TISSUE HEAD & NECK | 320 | $127.00 |
Charge Master | 76700 | 724 | US ABDOMINAL COMPLETE | 320 | $134.00 |
Charge Master | 76705 | 724 | US ABDOMINAL LIMITED | 320 | $100.00 |
Charge Master | 76770 | 724 | US RETROPERITONEAL COMPLETE | 320 | $124.00 |
Charge Master | 76856 | 724 | US PELVIC COMPLETE NON-OB | 320 | $121.00 |
Charge Master | 76870 | 724 | US SCROTUM & CONTENTS | 320 | $75.00 |
Charge Master | 77012 | 723 | CT AXIAL GUIDE NEEDLE BIOPSY | 350 | $137.00 |
Charge Master | 800 | 310 | DIALYSIS | 800 | $303.00 |
Charge Master | 8000 | 733 | TOBREX eye drops | 250 | $1.00 |
Charge Master | 8001 | 733 | ACIDOPHILUS CAPSULE | 250 | $2.00 |
Charge Master | 8002 | 733 | ALBUTEROL 0.083% INHAL SOLN | 250 | $1.00 |
Charge Master | 8003 | 733 | ALENDRONATE SODIUM 70 MG TAB | 250 | $61.00 |
Charge Master | 8004 | 733 | ALLOPURINOL 100 MG TABLET | 250 | $4.00 |
Charge Master | 8005 | 733 | ALLOPURINOL 300 MG TABLET | 250 | $5.00 |
Charge Master | 8006 | 733 | ALPRAZOLAM 0.5 MG TABLET | 250 | $3.00 |
Charge Master | 8007 | 733 | AMIODARONE HCL 200 MG TABLET | 250 | $10.00 |
Charge Master | 8008 | 733 | AMITRIPTYLINE HCL 10 MG TAB | 250 | $3.00 |
Charge Master | 8009 | 733 | AMITRIPTYLINE HCL 25 MG TAB | 250 | $6.00 |
Charge Master | 8010 | 733 | AMLODIPINE BESYLATE 10 MG TAB | 250 | $14.00 |
Charge Master | 8011 | 733 | AMLODIPINE BESYLATE 2.5 MG TAB | 250 | $7.00 |
Charge Master | 8012 | 733 | AMLODIPINE BESYLATE 5 MG TAB | 250 | $6.00 |
Charge Master | 8013 | 733 | AMLODIPINE-BENAZEPRIL 5-20 MG | 250 | $9.00 |
Charge Master | 8014 | 733 | AMOX-CLAV 875-125 MG TABLET | 250 | $13.00 |
Charge Master | 8015 | 733 | AMOXICILLIN 500 MG CAPSULE | 250 | $1.00 |
Charge Master | 8016 | 733 | ANTACID 500 MG CHEWABLE TABLET | 250 | $1.00 |
Charge Master | 8017 | 733 | ANTI-DIARRHEAL 2 MG CAPLET | 250 | $1.00 |
Charge Master | 8018 | 733 | ARIPIPRAZOLE 10 MG TABLET | 250 | $82.00 |
Charge Master | 8019 | 733 | ARIPIPRAZOLE 15 MG TABLET | 250 | $78.00 |
Charge Master | 8020 | 733 | ARTHRITIS PAIN ER 650 MG CAPLT | 250 | $1.00 |
Charge Master | 8021 | 733 | ARTIFICIAL TEARS DROPS | 250 | $1.00 |
Charge Master | 8022 | 733 | ASPIRIN EC 325 MG TABLET | 250 | $2.00 |
Charge Master | 8023 | 733 | ASPIRIN EC 81 MG TABLET | 250 | $3.00 |
Charge Master | 8024 | 733 | ASPIR-LOW EC 81 MG TABLET | 250 | $4.00 |
Charge Master | 8025 | 733 | ATENOLOL 100 MG TABLET | 250 | $6.00 |
Charge Master | 8026 | 733 | ATENOLOL 25 MG TABLET | 250 | $5.00 |
Charge Master | 8027 | 733 | ATENOLOL 50 MG TABLET | 250 | $8.00 |
Charge Master | 8028 | 733 | ATORVASTATIN 10 MG TABLET | 250 | $12.00 |
Charge Master | 8029 | 733 | ATORVASTATIN 20 MG TABLET | 250 | $16.00 |
Charge Master | 8030 | 733 | ATORVASTATIN 40 MG TABLET | 250 | $16.00 |
Charge Master | 8031 | 733 | ATORVASTATIN 80 MG TABLET | 250 | $16.00 |
Charge Master | 8032 | 733 | AZITHROMYCIN 600 MG TABLET | 250 | $45.00 |
Charge Master | 8033 | 733 | B-12 1,000 MCG TABLET | 250 | $2.00 |
Charge Master | 8034 | 733 | BACITRACIN ZN 500 UNIT/GM OINT | 250 | $1.00 |
Charge Master | 8035 | 733 | BACLOFEN 10 MG TABLET | 250 | $9.00 |
Charge Master | 8036 | 733 | BANOPHEN 25 MG CAPSULE | 250 | $2.00 |
Charge Master | 8037 | 733 | BENZONATATE 100 MG CAPSULE | 250 | $7.00 |
Charge Master | 8038 | 733 | BENZONATATE 200 MG CAPSULE | 250 | $12.00 |
Charge Master | 8039 | 733 | BENZTROPINE MES 1 MG TABLET | 250 | $3.00 |
Charge Master | 8040 | 733 | BETHANECHOL 25 MG TABLET | 250 | $7.00 |
Charge Master | 8041 | 733 | BISACODYL EC 5 MG TABLET | 250 | $5.00 |
Charge Master | 8042 | 733 | BREO ELLIPTA 100/25 INH | 250 | $16.00 |
Charge Master | 8043 | 733 | BRILINTA 90 MG TABLET | 250 | $21.00 |
Charge Master | 8044 | 733 | BUMETANIDE 1 MG TABLET | 250 | $9.00 |
Charge Master | 8045 | 733 | BUMETANIDE 2 MG TABLET | 250 | $10.00 |
Charge Master | 8046 | 733 | BUPROPION HCL SR 200 MG TAB | 250 | $10.00 |
Charge Master | 8047 | 733 | BUPROPION HCL XL 150 MG TABLET | 250 | $14.00 |
Charge Master | 8048 | 733 | BUSPIRONE HCL 10 MG TABLET | 250 | $4.00 |
Charge Master | 8049 | 733 | BUSPIRONE HCL 15 MG TABLET | 250 | $6.00 |
Charge Master | 8050 | 733 | BUSPIRONE HCL 5 MG TABLET | 250 | $3.00 |
Charge Master | 8051 | 733 | BUSPIRONE HCL 7.5 MG TABLET | 250 | $4.00 |
Charge Master | 8052 | 733 | BYSTOLIC 2.5 MG TABLET | 250 | $17.00 |
Charge Master | 8053 | 733 | BYSTOLIC 5 MG TABLET | 250 | $17.00 |
Charge Master | 8054 | 733 | CALCIUM 600 + VIT D 400 TABLET | 250 | $2.00 |
Charge Master | 8055 | 733 | CALCIUM 600 MG TABLET | 250 | $1.00 |
Charge Master | 8056 | 733 | CALMOSEPTINE OINTMENT | 250 | $- |
Charge Master | 8057 | 733 | CAPSAICIN 0.025% CREAM | 250 | $1.00 |
Charge Master | 8058 | 733 | CARBAMAZEPINE 100 MG TAB CHEW | 250 | $3.00 |
Charge Master | 8059 | 733 | CARBAMAZEPINE ER 400 MG TABLET | 250 | $12.00 |
Charge Master | 8060 | 733 | CARBIDOPA-LEVODOPA 10-100 TAB | 250 | $3.00 |
Charge Master | 8061 | 733 | CARBIDOPA-LEVODOPA 25-100 TAB | 250 | $3.00 |
Charge Master | 8062 | 733 | CARVEDILOL 12.5 MG TABLET | 250 | $6.00 |
Charge Master | 8063 | 733 | CARVEDILOL 25 MG TABLET | 250 | $6.00 |
Charge Master | 8064 | 733 | CARVEDILOL 3.125 MG TABLET | 250 | $6.00 |
Charge Master | 8065 | 733 | CARVEDILOL 6.25 MG TABLET | 250 | $6.00 |
Charge Master | 8066 | 733 | CEFTRIAXONE 1 GM VIAL | 250 | $29.00 |
Charge Master | 8067 | 733 | CEFTRIAXONE 500 MG VIAL | 250 | $6.00 |
Charge Master | 8068 | 733 | CELECOXIB 200 MG CAPSULE | 250 | $20.00 |
Charge Master | 8069 | 733 | CEPHALEXIN 500 MG CAPSULE | 250 | $4.00 |
Charge Master | 8070 | 733 | CEROVITE ADVANCED FORM TAB | 250 | $3.00 |
Charge Master | 8071 | 733 | CETIRIZINE HCL 10 MG TABLET | 250 | $2.00 |
Charge Master | 8072 | 733 | CHILD ASPIRIN 81 MG CHEW TAB | 250 | $2.00 |
Charge Master | 8073 | 733 | CILOSTAZOL 100 MG TABLET | 250 | $6.00 |
Charge Master | 8074 | 733 | CIPROFLOXACIN HCL 250 MG TAB | 250 | $13.00 |
Charge Master | 8075 | 733 | CIPROFLOXACIN HCL 500 MG TAB | 250 | $6.00 |
Charge Master | 8076 | 733 | CITALOPRAM HBR 20 MG TABLET | 250 | $10.00 |
Charge Master | 8077 | 733 | CLARITHROMYCIN 500 MG TABLET | 250 | $15.00 |
Charge Master | 8078 | 733 | CLONAZEPAM 0.5 MG TABLET | 250 | $4.00 |
Charge Master | 8079 | 733 | CLONAZEPAM 1 MG TABLET | 250 | $3.00 |
Charge Master | 8080 | 733 | CLONIDINE HCL 0.1 MG TABLET | 250 | $2.00 |
Charge Master | 8081 | 733 | CLONIDINE HCL 0.2 MG TABLET | 250 | $2.00 |
Charge Master | 8082 | 733 | CLOPIDOGREL 75 MG TABLET | 250 | $19.00 |
Charge Master | 8083 | 733 | COLCHICINE 0.6 MG TABLET | 250 | $18.00 |
Charge Master | 8084 | 733 | COMBIGAN EYE DROPS | 250 | $112.00 |
Charge Master | 8085 | 733 | CYANOCOBALAMIN 1,000 MCG/ML | 250 | $80.00 |
Charge Master | 8086 | 733 | CYCLOBENZAPRINE 10 MG TABLET | 250 | $4.00 |
Charge Master | 8087 | 733 | CYCLOBENZAPRINE 5 MG TABLET | 250 | $5.00 |
Charge Master | 8088 | 733 | CYPROHEPTADINE 4 MG TABLET | 250 | $3.00 |
Charge Master | 8089 | 733 | DALIRESP 500 MCG TABLET | 250 | $42.00 |
Charge Master | 8090 | 733 | DEXAMETHASONE 20 MG/5 ML VIAL | 250 | $18.00 |
Charge Master | 8091 | 733 | DIAZEPAM 5 MG TABLET | 250 | $3.00 |
Charge Master | 8092 | 733 | DICLOFENAC SOD DR 75 MG TAB | 250 | $5.00 |
Charge Master | 8093 | 733 | DICLOFENAC SODIUM 1% GEL | 250 | $1.00 |
Charge Master | 8094 | 733 | DIGOXIN 125 MCG TABLET | 250 | $6.00 |
Charge Master | 8095 | 733 | DIGOXIN 250 MCG TABLET | 250 | $6.00 |
Charge Master | 8096 | 733 | DILTIAZEM 24HR ER 120 MG CAP | 250 | $5.00 |
Charge Master | 8097 | 733 | DILTIAZEM 30 MG TABLET | 250 | $3.00 |
Charge Master | 8098 | 733 | DILTIAZEM 60 MG TABLET | 250 | $4.00 |
Charge Master | 8099 | 733 | DIPHEDRYL 25 MG TABLET | 250 | $2.00 |
Charge Master | 8100 | 733 | DIPHEDRYL ALLERGY CAPSULE | 250 | $2.00 |
Charge Master | 8101 | 733 | DIVALPROEX SOD DR 250 MG TAB | 250 | $6.00 |
Charge Master | 8102 | 733 | DIVALPROEX SOD DR 500 MG TAB | 250 | $9.00 |
Charge Master | 8103 | 733 | DIVALPROEX SOD ER 250 MG TAB | 250 | $9.00 |
Charge Master | 8104 | 733 | DIVALPROEX SOD ER 500 MG TAB | 250 | $10.00 |
Charge Master | 8105 | 733 | DIVALPROEX TAB 500MG ER | 250 | $11.00 |
Charge Master | 8106 | 733 | DOCUSATE CALCIUM 240 MG SOFTGE | 250 | $2.00 |
Charge Master | 8107 | 733 | DOCUSATE SODIUM 100 MG CAPSULE | 250 | $1.00 |
Charge Master | 8108 | 733 | DONEPEZIL HCL 10 MG TABLET | 250 | $21.00 |
Charge Master | 8109 | 733 | DONEPEZIL HCL 5 MG TABLET | 250 | $20.00 |
Charge Master | 811 | 733 | CLUCOSAMINE-CHONDR-MSM 1500 MG | 250 | $1.00 |
Charge Master | 8110 | 733 | DOXAZOSIN MESYLATE 2 MG TAB | 250 | $5.00 |
Charge Master | 8111 | 733 | DOXAZOSIN MESYLATE 4 MG TAB | 250 | $7.00 |
Charge Master | 8112 | 733 | DOXEPIN 10 MG CAPSULE | 250 | $3.00 |
Charge Master | 8113 | 733 | DOXYCYCLINE HYCLATE 100 MG TAB | 250 | $15.00 |
Charge Master | 8114 | 733 | DULOXETINE HCL DR 30 MG CAP | 250 | $21.00 |
Charge Master | 8115 | 733 | DULOXETINE HCL DR 60 MG CAP | 250 | $5.00 |
Charge Master | 8116 | 733 | ELIQUIS 2.5 MG TABLET | 250 | $35.00 |
Charge Master | 8117 | 733 | ELIQUIS 5 MG TABLET | 250 | $25.00 |
Charge Master | 8118 | 733 | ENOXAPARIN 40 MG/0.4 ML SYR | 250 | $63.00 |
Charge Master | 8119 | 733 | ENOXAPARIN 80 MG/0.8 ML SYR | 250 | $58.00 |
Charge Master | 8120 | 733 | ENTACAPONE 200 MG TABLET | 250 | $10.00 |
Charge Master | 8121 | 733 | ENTRESTO 24 MG-26 MG TABLET | 250 | $28.00 |
Charge Master | 8122 | 733 | ESCITALOPRAM 10 MG TABLET | 250 | $13.00 |
Charge Master | 8123 | 733 | ESCITALOPRAM 20 MG TABLET | 250 | $13.00 |
Charge Master | 8124 | 733 | ESCITALOPRAM 5 MG TABLET | 250 | $12.00 |
Charge Master | 8125 | 733 | ESOMEPRAZOLE MAG DR 20 MG CAP | 250 | $23.00 |
Charge Master | 8126 | 733 | ESOMEPRAZOLE MAG DR 40 MG CAP | 250 | $24.00 |
Charge Master | 8127 | 733 | ESTRADIOL 1 MG TABLET | 250 | $4.00 |
Charge Master | 8128 | 733 | ETODOLAC 400 MG TABLET | 250 | $5.00 |
Charge Master | 8129 | 733 | FAMOTIDINE 20 MG TABLET | 250 | $7.00 |
Charge Master | 8130 | 733 | FAMOTIDINE 40 MG TABLET | 250 | $14.00 |
Charge Master | 8131 | 733 | FARXIGA 10 MG TABLET | 250 | $55.00 |
Charge Master | 8132 | 733 | FENOFIBRATE 145 MG TABLET | 250 | $16.00 |
Charge Master | 8133 | 733 | FENOFIBRATE 48 MG TABLET | 250 | $11.00 |
Charge Master | 8134 | 733 | FENOFIBRATE 54 MG TABLET | 250 | $4.00 |
Charge Master | 8135 | 733 | FENTANYL 50 MCG/HR PATCH | 250 | $67.00 |
Charge Master | 8136 | 733 | FENTANYL 75 MCG/HR PATCH | 250 | $100.00 |
Charge Master | 8137 | 733 | FERROUS GLUCONATE 324 MG TAB | 250 | $2.00 |
Charge Master | 8138 | 733 | FERROUS SULFATE 325 MG TABLET | 250 | $2.00 |
Charge Master | 8139 | 733 | FINASTERIDE 5 MG TABLET | 250 | $10.00 |
Charge Master | 8140 | 733 | FLECAINIDE ACETATE 100 MG TAB | 250 | $10.00 |
Charge Master | 8141 | 733 | FLONASE ALLERGY RLF 50 MCG SPR | 250 | $5.00 |
Charge Master | 8142 | 733 | FLUCONAZOLE 200 MG TABLET | 250 | $36.00 |
Charge Master | 8143 | 733 | FLUOCINONIDE 0.05% CREAM | 250 | $8.00 |
Charge Master | 8144 | 733 | FLUOXETINE HCL 10 MG CAPSULE | 250 | $9.00 |
Charge Master | 8145 | 733 | FLUOXETINE HCL 20 MG CAPSULE | 250 | $9.00 |
Charge Master | 8146 | 733 | FLUOXETINE HCL 40 MG CAPSULE | 250 | $15.00 |
Charge Master | 8147 | 733 | FLUTICASONE PROP 50 MCG SPRAY | 250 | $13.00 |
Charge Master | 8148 | 733 | FOLBEE TABLET | 250 | $4.00 |
Charge Master | 8149 | 733 | FOLBIC RF TABLET | 250 | $5.00 |
Charge Master | 8150 | 733 | FOLIC ACID 1 MG TABLET | 250 | $4.00 |
Charge Master | 8151 | 733 | FOLTANX TABLET | 250 | $7.00 |
Charge Master | 8152 | 733 | FUROSEMIDE 20 MG TABLET | 250 | $2.00 |
Charge Master | 8153 | 733 | FUROSEMIDE 40 MG TABLET | 250 | $2.00 |
Charge Master | 8154 | 733 | FUROSEMIDE 80 MG TABLET | 250 | $3.00 |
Charge Master | 8155 | 733 | FUSION PLUS CAPSULE | 250 | $5.00 |
Charge Master | 8156 | 733 | GABAPENTIN 100 MG CAPSULE | 250 | $2.00 |
Charge Master | 8157 | 733 | GABAPENTIN 300 MG CAPSULE | 250 | $5.00 |
Charge Master | 8158 | 733 | GABAPENTIN 400 MG CAPSULE | 250 | $5.00 |
Charge Master | 8159 | 733 | GABAPENTIN 600 MG TABLET | 250 | $7.00 |
Charge Master | 8160 | 733 | GABAPENTIN 800 MG TABLET | 250 | $8.00 |
Charge Master | 8161 | 733 | GENTAMICIN 80 MG/2 ML VIAL | 250 | $5.00 |
Charge Master | 8162 | 733 | GLIMEPIRIDE 1 MG TABLET | 250 | $3.00 |
Charge Master | 8163 | 733 | GLIMEPIRIDE 1 MG TABLET | 250 | $3.00 |
Charge Master | 8164 | 733 | GLIMEPIRIDE 2 MG TABLET | 250 | $5.00 |
Charge Master | 8165 | 733 | GLIMEPIRIDE 4 MG TABLET | 250 | $5.00 |
Charge Master | 8166 | 733 | GLIPIZIDE 10 MG TABLET | 250 | $3.00 |
Charge Master | 8167 | 733 | GLIPIZIDE 5 MG TABLET | 250 | $2.00 |
Charge Master | 8168 | 733 | GLIPIZIDE ER 10 MG TABLET | 250 | $4.00 |
Charge Master | 8169 | 733 | GLIPIZIDE ER 2.5 MG TABLET | 250 | $2.00 |
Charge Master | 8170 | 733 | GLYBURIDE 5 MG TABLET | 250 | $3.00 |
Charge Master | 8171 | 733 | GNP ADLT MV GMY | 250 | $4.00 |
Charge Master | 8172 | 733 | GNP ANTACID MAX STRGTH ORIG LI | 250 | $22.00 |
Charge Master | 8173 | 733 | GNP B-100 COMPLEX TABLET | 250 | $3.00 |
Charge Master | 8174 | 733 | GNP B12 2,500 MCG TABLET SL | 250 | $1.00 |
Charge Master | 8175 | 733 | GNP B-COMPLEX TABLET PLUS VITA | 250 | $2.00 |
Charge Master | 8176 | 733 | GNP FISH OIL 1,000 MG SOFTGEL | 250 | $3.00 |
Charge Master | 8177 | 733 | GNP FLAXSEED 1,000 MG SOFTGEL | 250 | $3.00 |
Charge Master | 8178 | 733 | GNP FOLIC ACID 400 MCG TABLET | 250 | $3.00 |
Charge Master | 8179 | 733 | GNP MAGNESIUM 250 MG TABLET | 250 | $3.00 |
Charge Master | 8180 | 733 | GNP MELATONIN 3 MG TABLET | 250 | $2.00 |
Charge Master | 8181 | 733 | GNP MELATONIN 5 MG TABLET | 250 | $3.00 |
Charge Master | 8182 | 733 | GNP NIACIN 500 MG | 250 | $3.00 |
Charge Master | 8183 | 733 | GNP POTASSIUM 99 MG TABLET | 250 | $2.00 |
Charge Master | 8184 | 733 | GNP VITAMIN B-1 100 MG TABLET | 250 | $2.00 |
Charge Master | 8185 | 733 | GNP VITAMIN C 500 MG TABLET | 250 | $2.00 |
Charge Master | 8186 | 733 | GNP VITAMIN D 1,000 UNIT TAB | 250 | $3.00 |
Charge Master | 8187 | 733 | GNP VITAMIN D 2,000 UNIT TAB | 250 | $4.00 |
Charge Master | 8188 | 733 | GNP VITAMIN D 5,000 UNIT TAB | 250 | $4.00 |
Charge Master | 8189 | 733 | GUANFACINE 1 MG TABLET | 250 | $6.00 |
Charge Master | 8190 | 733 | HALOPERIDOL 0.5 MG TABLET | 250 | $3.00 |
Charge Master | 8191 | 733 | HALOPERIDOL 1 MG TABLET | 250 | $3.00 |
Charge Master | 8192 | 733 | HUMALOG 100 UNITS/ML KWIKPEN | 250 | $124.00 |
Charge Master | 8193 | 733 | HUMALOG 100 UNITS/ML VIAL | 250 | $95.00 |
Charge Master | 8194 | 733 | HUMULIN R 100 UNITS/3 ML | 250 | $1.00 |
Charge Master | 8195 | 733 | HYDRALAZINE 100 MG TABLET | 250 | $3.00 |
Charge Master | 8196 | 733 | HYDRALAZINE 25 MG TABLET | 250 | $3.00 |
Charge Master | 8197 | 733 | HYDRALAZINE 50 MG TABLET | 250 | $2.00 |
Charge Master | 8198 | 733 | HYDROCHLOROTHIAZIDE 12.5 MG CP | 250 | $4.00 |
Charge Master | 8199 | 733 | HYDROCHLOROTHIAZIDE 25 MG TAB | 250 | $2.00 |
Charge Master | 8200 | 733 | HYDROCHLOROTHIAZIDE 50 MG TAB | 250 | $3.00 |
Charge Master | 8201 | 733 | HYDROCODONE-ACETAMINOPHEN 10-3 | 250 | $3.00 |
Charge Master | 8202 | 733 | HYDROCODONE-ACETAMINOPHEN 5-32 | 250 | $2.00 |
Charge Master | 8203 | 733 | HYDROCODONE-ACETAMINOPHEN 7.5- | 250 | $3.00 |
Charge Master | 8204 | 733 | HYDROCORTISONE 1% CREAM | 250 | $1.00 |
Charge Master | 8205 | 733 | HYDROXYCHLOROQUINE 200 MG TAB | 250 | $12.00 |
Charge Master | 8206 | 733 | HYDROXYZINE HCL 10 MG TABLET | 250 | $2.00 |
Charge Master | 8207 | 733 | HYDROXYZINE HCL 25 MG TABLET | 250 | $5.00 |
Charge Master | 8208 | 733 | HYDROXYZINE PAM 100 MG CAP | 250 | $3.00 |
Charge Master | 8209 | 733 | IBUPROFEN 200 MG TABLET | 250 | $2.00 |
Charge Master | 8210 | 733 | IBUPROFEN 600 MG TABLET | 250 | $2.00 |
Charge Master | 8211 | 733 | IBUPROFEN 800 MG TABLET | 250 | $3.00 |
Charge Master | 8212 | 733 | IBUPROFEN 800 MG TABLET | 250 | $3.00 |
Charge Master | 8213 | 733 | IBUPROFEN 800 MG TABLET | 250 | $8.00 |
Charge Master | 8214 | 733 | INDAPAMIDE 1.25 MG TABLET | 250 | $6.00 |
Charge Master | 8215 | 733 | IPRATROPIUM BR 0.02% SOLN | 250 | $2.00 |
Charge Master | 8216 | 733 | IPRATROPIUM-ALBUTEROL 0.5-3(2. | 250 | $2.00 |
Charge Master | 8217 | 733 | IRBESARTAN 300 MG TABLET | 250 | $11.00 |
Charge Master | 8218 | 733 | ISOSORBIDE DN 20 MG TABLET | 250 | $4.00 |
Charge Master | 8219 | 733 | ISOSORBIDE MN ER 30 MG TABLET | 250 | $4.00 |
Charge Master | 8220 | 733 | JANUVIA 100 MG TABLET | 250 | $60.00 |
Charge Master | 8221 | 733 | JANUVIA 50 MG TABLET | 250 | $60.00 |
Charge Master | 8222 | 733 | KETOCONAZOLE 2% CREAM | 250 | $17.00 |
Charge Master | 8223 | 733 | KETOCONAZOLE 2% SHAMPOO | 250 | $1.00 |
Charge Master | 8224 | 733 | KETOROLAC 60 MG/2 ML VIAL | 250 | $7.00 |
Charge Master | 8225 | 733 | LABETALOL HCL 200 MG TABLET | 250 | $3.00 |
Charge Master | 8226 | 733 | LACTULOSE 10 GM/15 ML SOLUTION | 250 | $3.00 |
Charge Master | 8227 | 733 | LANSOPRAZOLE DR 30 MG CAPSULE | 250 | $14.00 |
Charge Master | 8228 | 733 | LANTUS 100 UNITS/ML VIAL | 250 | $95.00 |
Charge Master | 8229 | 733 | LANTUS SOLOSTAR 100 UNITS/3ML | 250 | $200.00 |
Charge Master | 8230 | 733 | LANTUS SOLOSTAR 100 UNITS/ML | 250 | $96.00 |
Charge Master | 8231 | 733 | LATANOPROST 0.005% EYE DROPS | 250 | $95.00 |
Charge Master | 8232 | 733 | LATUDA 80 MG TABLET | 250 | $141.00 |
Charge Master | 8233 | 733 | LEFLUNOMIDE 20 MG TABLET | 250 | $42.00 |
Charge Master | 8234 | 733 | LEVALBUTEROL INH/S 0.63MG/3M/2 | 250 | $5.00 |
Charge Master | 8235 | 733 | LEVEMIR FLEXTOUCH 100 UNITS/ML | 250 | $25.00 |
Charge Master | 8236 | 733 | LEVETIRACETAM 250 MG TABLET | 250 | $7.00 |
Charge Master | 8237 | 733 | LEVETIRACETAM 500 MG TABLET | 250 | $9.00 |
Charge Master | 8238 | 733 | LEVETIRACETAM 750 MG TABLET | 250 | $13.00 |
Charge Master | 8239 | 733 | LEVOFLOXACIN 500 MG TABLET | 250 | $47.00 |
Charge Master | 8240 | 733 | LEVOFLOXACIN 750 MG TABLET | 250 | $88.00 |
Charge Master | 8241 | 733 | LEVOTHYROXINE 125 MCG TABLET | 250 | $4.00 |
Charge Master | 8242 | 733 | LEVOTHYROXINE 150 MCG TABLET | 250 | $4.00 |
Charge Master | 8243 | 733 | LEVOTHYROXINE 175 MCG TABLET | 250 | $4.00 |
Charge Master | 8244 | 733 | LEVOTHYROXINE 50 MCG TABLET | 250 | $3.00 |
Charge Master | 8245 | 733 | LEVOTHYROXINE 75 MCG TABLET | 250 | $3.00 |
Charge Master | 8246 | 733 | LEVOTHYROXINE 88 MCG TABLET | 250 | $3.00 |
Charge Master | 8247 | 733 | LIDOCAINE 5% PATCH | 250 | $27.00 |
Charge Master | 8248 | 733 | LIDOCAINE HCL 1% VIAL | 250 | $1.00 |
Charge Master | 8249 | 733 | LIDOCAINE HCL 2% JELLY | 250 | $7.00 |
Charge Master | 8250 | 733 | LISINOPRIL 10 MG TABLET | 250 | $6.00 |
Charge Master | 8251 | 733 | LISINOPRIL 20 MG TABLET | 250 | $5.00 |
Charge Master | 8252 | 733 | LISINOPRIL 40 MG TABLET | 250 | $5.00 |
Charge Master | 8253 | 733 | LISINOPRIL 5 MG TABLET | 250 | $4.00 |
Charge Master | 8254 | 733 | LISINOPRIL-HYDROCHLOROTHIAZIDE | 250 | $5.00 |
Charge Master | 8255 | 733 | LISINOPRIL-HYDROCHLOROTHIAZIDE | 250 | $5.00 |
Charge Master | 8256 | 733 | LITHIUM CARB CAP 300MG | 250 | $3.00 |
Charge Master | 8257 | 733 | L-METHYLFOLATE 15 MG CAPLET | 250 | $10.00 |
Charge Master | 8258 | 733 | LORATADINE 10 MG TABLET | 250 | $5.00 |
Charge Master | 8259 | 733 | LORAZEPAM 0.5 MG TABLET | 250 | $4.00 |
Charge Master | 8260 | 733 | LORAZEPAM 1 MG TABLET | 250 | $5.00 |
Charge Master | 8261 | 733 | LOSARTAN POTASSIUM 100 MG TAB | 250 | $13.00 |
Charge Master | 8262 | 733 | LOSARTAN POTASSIUM 25 MG TAB | 250 | $6.00 |
Charge Master | 8263 | 733 | LOSARTAN POTASSIUM 50 MG TAB | 250 | $8.00 |
Charge Master | 8264 | 733 | LOVASTATIN 20 MG TABLET | 250 | $8.00 |
Charge Master | 8265 | 733 | LYRICA 100 MG CAPSULE | 250 | $26.00 |
Charge Master | 8266 | 733 | LYRICA 150 MG CAPSULE | 250 | $27.00 |
Charge Master | 8267 | 733 | LYRICA 200 MG CAPSULE | 250 | $27.00 |
Charge Master | 8268 | 733 | LYRICA 75 MG CAPSULE | 250 | $27.00 |
Charge Master | 8269 | 733 | MAGNESIUM OXIDE 400 MG TABLET | 250 | $2.00 |
Charge Master | 8270 | 733 | MAPAP 160 MG/5 ML ELIXIR | 250 | $- |
Charge Master | 8271 | 733 | MAPAP 500 MG TABLET | 250 | $1.00 |
Charge Master | 8272 | 733 | MECLIZINE 25 MG TABLET | 250 | $2.00 |
Charge Master | 8273 | 733 | MEGESTROL ACET 40 MG/ML SUSP | 250 | $2.00 |
Charge Master | 8274 | 733 | MELOXICAM 15 MG TABLET | 250 | $14.00 |
Charge Master | 8275 | 733 | MELOXICAM 7.5 MG TABLET | 250 | $10.00 |
Charge Master | 8276 | 733 | MEMANTINE HCL 10 MG TABLET | 250 | $16.00 |
Charge Master | 8277 | 733 | MEMANTINE HCL 28 MG ER CAPS | 250 | $50.00 |
Charge Master | 8278 | 733 | MEMANTINE HCL 5 MG TABLET | 250 | $19.00 |
Charge Master | 8279 | 733 | METFORMIN HCL 1,000 MG TABLET | 250 | $5.00 |
Charge Master | 8280 | 733 | METFORMIN HCL 500 MG TABLET | 250 | $3.00 |
Charge Master | 8281 | 733 | METFORMIN HCL 500 MG TABLET | 250 | $3.00 |
Charge Master | 8282 | 733 | METFORMIN HCL ER 500 MG TABLET | 250 | $3.00 |
Charge Master | 8283 | 733 | METHOCARBAMOL 500 MG TABLET | 250 | $5.00 |
Charge Master | 8284 | 733 | METHOCARBAMOL 750 MG TABLET | 250 | $3.00 |
Charge Master | 8285 | 733 | METHOTREXATE 2.5 MG TABLET | 250 | $3.00 |
Charge Master | 8286 | 733 | METHYLPREDNISOLONE 4 MG DOSEPK | 250 | $4.00 |
Charge Master | 8287 | 733 | METOLAZONE 2.5 MG TABLET | 250 | $6.00 |
Charge Master | 8288 | 733 | METOLAZONE 5 MG TABLET | 250 | $11.00 |
Charge Master | 8289 | 733 | METOPROLOL SUCC ER 100 MG TAB | 250 | $6.00 |
Charge Master | 8290 | 733 | METOPROLOL SUCC ER 25 MG TAB | 250 | $7.00 |
Charge Master | 8291 | 733 | METOPROLOL SUCC ER 50 MG TAB | 250 | $4.00 |
Charge Master | 8292 | 733 | METOPROLOL TARTRATE 25 MG TAB | 250 | $2.00 |
Charge Master | 8293 | 733 | METOPROLOL TARTRATE 50 MG TAB | 250 | $3.00 |
Charge Master | 8294 | 733 | METRONIDAZOLE 500 MG TABLET | 250 | $3.00 |
Charge Master | 8295 | 733 | MI ACID SUSPENSION | 250 | $- |
Charge Master | 8296 | 733 | MIDODRINE HCL 5 MG TABLET | 250 | $12.00 |
Charge Master | 8297 | 733 | MILK OF MAGNESIA SUSPENSION | 250 | $1.00 |
Charge Master | 8298 | 733 | MIRTAZAPINE 15 MG TABLET | 250 | $4.00 |
Charge Master | 8299 | 733 | MIRTAZAPINE 30 MG TABLET | 250 | $5.00 |
Charge Master | 8300 | 733 | MISOPROSTOL 200 MCG TABLET | 250 | $5.00 |
Charge Master | 8301 | 733 | MONTELUKAST SOD 10 MG TABLET | 250 | $16.00 |
Charge Master | 8302 | 733 | MUPIROCIN 2% OINTMENT | 250 | $5.00 |
Charge Master | 8303 | 733 | NAPROXEN 500 MG TABLET | 250 | $5.00 |
Charge Master | 8304 | 733 | NATURAL FIBER LAXATIVE CAPSULE | 250 | $3.00 |
Charge Master | 8305 | 733 | NICOTINE 21 MG/24HR PATCH | 250 | $13.00 |
Charge Master | 8306 | 733 | NICOTINE 7 MG/24HR PATCH | 250 | $9.00 |
Charge Master | 8307 | 733 | NIFEDIPINE ER 30 MG TABLET | 250 | $5.00 |
Charge Master | 8308 | 733 | NIFEDIPINE ER 60 MG TABLET | 250 | $16.00 |
Charge Master | 8309 | 733 | NITROFURANTOIN MONO-MCR 100 MG | 250 | $10.00 |
Charge Master | 8310 | 733 | NITROGLYCERIN 0.4 MG/HR PATCH | 250 | $9.00 |
Charge Master | 8311 | 733 | NORTRIPTYLINE HCL 25 MG CAP | 250 | $6.00 |
Charge Master | 8312 | 733 | NOVOLOG FLEXPEN SYRINGE | 250 | $19.80 |
Charge Master | 8313 | 733 | NUEDEXTA 20-10 MG CAPSULE | 250 | $64.00 |
Charge Master | 8314 | 733 | NYSTATIN 100,000 UNIT/GM CREAM | 250 | $4.00 |
Charge Master | 8315 | 733 | OCUVITE PRESERVISION TAB 240 | 250 | $3.00 |
Charge Master | 8316 | 733 | OLANZAPINE 5 MG TABLET | 250 | $34.00 |
Charge Master | 8317 | 733 | OLOPATADINE HCL 0.1% EYE DROPS | 250 | $124.00 |
Charge Master | 8318 | 733 | OMEGA-3-ACID CAP 1GM | 250 | $6.00 |
Charge Master | 8319 | 733 | OMEPRAZOLE DR 20 MG CAPSULE | 250 | $12.00 |
Charge Master | 8320 | 733 | OMEPRAZOLE DR 40 MG CAPSULE | 250 | $20.00 |
Charge Master | 8321 | 733 | ONDANSETRON HCL 4 MG TABLET | 250 | $18.00 |
Charge Master | 8322 | 733 | ONDANSETRON HCL 4 MG/2 ML VIAL | 250 | $9.00 |
Charge Master | 8323 | 733 | ONDANSETRON ODT 4 MG TABLET | 250 | $3.00 |
Charge Master | 8324 | 733 | ONE DAILY ESSENTIAL TABLET | 250 | $3.00 |
Charge Master | 8325 | 733 | ONE DAILY WOMEN’S 50+ TABLET | 250 | $3.00 |
Charge Master | 8326 | 733 | OXCARBAZEPINE 150 MG TABLET | 250 | $5.00 |
Charge Master | 8327 | 733 | OXCARBAZEPINE 600 MG TABLET | 250 | $12.00 |
Charge Master | 8328 | 733 | OXYBUTYNIN 5 MG TABLET | 250 | $3.00 |
Charge Master | 8329 | 733 | OXYBUTYNIN CHLORIDE 5 MG TAB 1 | 250 | $4.00 |
Charge Master | 8330 | 733 | OXYBUTYNIN CL ER 10 MG TABLET | 250 | $10.00 |
Charge Master | 8331 | 733 | OXYBUTYNIN CL ER 5 MG TABLET | 250 | $10.00 |
Charge Master | 8332 | 733 | OXYCODON-ACETAMINOPHEN 7.5-325 | 250 | $7.00 |
Charge Master | 8333 | 733 | OXYCODONE-ACETAMINOPHEN 5-325 | 250 | $4.00 |
Charge Master | 8334 | 733 | OXYCODONE-APAP 10-325 MG TAB | 250 | $9.00 |
Charge Master | 8335 | 733 | OXYCODONE-APAP 5-325 | 250 | $4.00 |
Charge Master | 8336 | 733 | OYSTER SHELL CALCIUM 500 MG TB | 250 | $2.00 |
Charge Master | 8337 | 733 | OYSTER SHELL CALCIUM-VIT D TAB | 250 | $3.00 |
Charge Master | 8338 | 733 | PAIN RELIEVER 500 MG CAPLET | 250 | $2.00 |
Charge Master | 8339 | 733 | PANTOPRAZOLE SOD DR 20 MG TAB | 250 | $14.00 |
Charge Master | 8340 | 733 | PANTOPRAZOLE SOD DR 40 MG TAB | 250 | $14.00 |
Charge Master | 8341 | 733 | PAROXETINE HCL 10 MG TABLET | 250 | $10.00 |
Charge Master | 8342 | 733 | PAROXETINE HCL 20 MG TABLET | 250 | $8.00 |
Charge Master | 8343 | 733 | PAROXETINE HCL 40 MG TABLET | 250 | $9.00 |
Charge Master | 8344 | 733 | PENTOXIFYLLINE ER 400 MG TAB | 250 | $4.00 |
Charge Master | 8345 | 733 | PERINDOPRIL ERBUMINE 4 MG TAB | 250 | $8.00 |
Charge Master | 8346 | 733 | PERMETHRIN 5% CREAM | 250 | $5.00 |
Charge Master | 8347 | 733 | PHENYTOIN SOD EXT 100 MG CAP | 250 | $2.00 |
Charge Master | 8348 | 733 | PHILLIPS 500 MG CAPLET | 250 | $2.00 |
Charge Master | 8349 | 733 | PIOGLITAZONE HCL 15 MG TABLET | 250 | $19.00 |
Charge Master | 8350 | 733 | POLYETHYLENE GLYCOL 3350 POWD | 250 | $- |
Charge Master | 8351 | 733 | POTASSIUM CL 10% (20 MEQ/15 ML | 250 | $2.00 |
Charge Master | 8352 | 733 | POTASSIUM CL ER 10 MEQ TABLET | 250 | $3.00 |
Charge Master | 8353 | 733 | POTASSIUM CL ER 20 MEQ TABLET | 250 | $4.00 |
Charge Master | 8354 | 733 | POTASSIUM CL ER 8 MEQ TABLET | 250 | $3.00 |
Charge Master | 8355 | 733 | PRAMIPEXOLE 0.25 MG TABLET | 250 | $8.00 |
Charge Master | 8356 | 733 | PRAVASTATIN SODIUM 20 MG TAB | 250 | $10.00 |
Charge Master | 8357 | 733 | PRAVASTATIN SODIUM 40 MG TAB | 250 | $15.00 |
Charge Master | 8358 | 733 | PRAVASTATIN SODIUM 80 MG TAB | 250 | $15.00 |
Charge Master | 8359 | 733 | PRAZOSIN 1 MG CAPSULE | 250 | $3.00 |
Charge Master | 8360 | 733 | PREDNISONE 10 MG TABLET | 250 | $5.00 |
Charge Master | 8361 | 733 | PREDNISONE 20 MG TABLET | 250 | $5.00 |
Charge Master | 8362 | 733 | PRESERVISION | 250 | $4.00 |
Charge Master | 8363 | 733 | PRESERVISION AREDS TABLET | 250 | $2.00 |
Charge Master | 8364 | 733 | PRIMIDONE 50 MG TABLET | 250 | $5.00 |
Charge Master | 8365 | 733 | PROCHLORPERAZINE 10 MG TAB | 250 | $3.00 |
Charge Master | 8366 | 733 | PROMETHAZINE 12.5 MG TABLET | 250 | $2.00 |
Charge Master | 8367 | 733 | PROMETHAZINE 25 MG TABLET | 250 | $1.00 |
Charge Master | 8368 | 733 | PROMETHAZINE 6.25 MG/5 ML SYRP | 250 | $- |
Charge Master | 8369 | 733 | PROMETHAZINE-CODEINE SYRUP | 250 | $2.00 |
Charge Master | 8370 | 733 | PROPRANOLOL 10 MG TABLET | 250 | $2.00 |
Charge Master | 8371 | 733 | PROTEINEX LIQUID | 250 | $- |
Charge Master | 8372 | 733 | QUETIAPINE ER 200 MG TABLET | 250 | $45.00 |
Charge Master | 8373 | 733 | QUETIAPINE FUMARATE 100 MG TAB | 250 | $18.00 |
Charge Master | 8374 | 733 | QUETIAPINE FUMARATE 25 MG TAB | 250 | $10.00 |
Charge Master | 8375 | 733 | QUETIAPINE FUMARATE 300 MG TAB | 250 | $42.00 |
Charge Master | 8376 | 733 | QUETIAPINE FUMARATE 50 MG TAB | 250 | $18.00 |
Charge Master | 8377 | 733 | RAMIPRIL 2.5 MG CAPSULE | 250 | $6.00 |
Charge Master | 8378 | 733 | RANEXA ER 500 MG TABLET | 250 | $21.00 |
Charge Master | 8379 | 733 | RANITIDINE 150 MG TABLET | 250 | $7.00 |
Charge Master | 8380 | 733 | RISPERIDONE 0.5 MG TABLET | 250 | $11.00 |
Charge Master | 8381 | 733 | RISPERIDONE 2 MG TABLET | 250 | $20.00 |
Charge Master | 8382 | 733 | RIVASTIGIMINE 9.5 MG TRANSDERM | 250 | $42.00 |
Charge Master | 8383 | 733 | RIVASTIGMINE 3 MG CAPSULE | 250 | $11.00 |
Charge Master | 8384 | 733 | ROPINIROLE HCL 0.25 MG TABLET | 250 | $9.00 |
Charge Master | 8385 | 733 | ROPINIROLE HCL 0.5 MG TABLET | 250 | $9.00 |
Charge Master | 8386 | 733 | ROSUVASTATIN 10 MG TAB | 250 | $29.00 |
Charge Master | 8387 | 733 | ROSUVASTATIN 5 MG TAB | 250 | $24.00 |
Charge Master | 8388 | 733 | ROSUVASTATIN CALCIUM 10 MG TAB | 250 | $23.00 |
Charge Master | 8389 | 733 | ROSUVASTATIN CALCIUM 40 MG TAB | 250 | $24.00 |
Charge Master | 8390 | 733 | SALINE 0.65% NOSE SPRAY | 250 | $- |
Charge Master | 8391 | 733 | SENNA 8.6 MG TABLET | 250 | $1.00 |
Charge Master | 8392 | 733 | SENNA PLUS TABLET | 250 | $2.00 |
Charge Master | 8393 | 733 | SENNA-LAX 8.6 MG TABLET | 250 | $2.00 |
Charge Master | 8394 | 733 | SERTRALINE HCL 100 MG TABLET | 250 | $9.00 |
Charge Master | 8395 | 733 | SERTRALINE HCL 50 MG TABLET | 250 | $9.00 |
Charge Master | 8396 | 733 | SIMVASTATIN 20 MG TABLET | 250 | $15.00 |
Charge Master | 8397 | 733 | SIMVASTATIN 40 MG TABLET | 250 | $14.00 |
Charge Master | 8398 | 733 | SIMVASTATIN 80 MG TABLET | 250 | $18.00 |
Charge Master | 8399 | 733 | SLEEP AID 25 MG TABLET | 250 | $2.00 |
Charge Master | 8400 | 733 | SORBITOL 70% SOLUTION | 250 | $- |
Charge Master | 8401 | 733 | SOTALOL 80 MG TABLET | 250 | $7.00 |
Charge Master | 8402 | 733 | SPIRONOLACTONE 25 MG TABLET | 250 | $6.00 |
Charge Master | 8403 | 733 | SULFAMETHOXAZOLE-TMP DS TABLET | 250 | $4.00 |
Charge Master | 8404 | 733 | SYMBICORT 160-4.5 MCG INHALER | 250 | $128.00 |
Charge Master | 8405 | 733 | SYMBICORT 80-4.5 MCG INHALER | 250 | $97.00 |
Charge Master | 8406 | 733 | TAMSULOSIN HCL 0.4 MG CAPSULE | 250 | $12.00 |
Charge Master | 8407 | 733 | TEMAZEPAM 15 MG CAPSULE | 250 | $4.00 |
Charge Master | 8408 | 733 | TEMAZEPAM 30 MG CAPSULE | 250 | $5.00 |
Charge Master | 8409 | 733 | TERAZOSIN 10 MG CAPSULE | 250 | $6.00 |
Charge Master | 8410 | 733 | THERA TEARS 0.25% EYE DROPS | 250 | $2.00 |
Charge Master | 8411 | 733 | TIZANIDINE HCL 2 MG CAPSULE | 250 | $7.00 |
Charge Master | 8412 | 733 | TIZANIDINE HCL 4 MG TABLET | 250 | $4.00 |
Charge Master | 8413 | 733 | TOPIRAMATE 100 MG TABLET | 250 | $16.00 |
Charge Master | 8414 | 733 | TOPIRAMATE 200 MG TABLET | 250 | $19.00 |
Charge Master | 8415 | 733 | TOPIRAMATE 50 MG TABLET | 250 | $14.00 |
Charge Master | 8416 | 733 | TRADJENTA 5 MG TABLET | 250 | $49.00 |
Charge Master | 8417 | 733 | TRAMADOL HCL 50 MG TABLET | 250 | $8.00 |
Charge Master | 8418 | 733 | TRAMADOL-ACETAMINOPHEN 37.5-32 | 250 | $3.00 |
Charge Master | 8419 | 733 | TRANSDERM-SCOP 1.5 MG/3 DAY | 250 | $69.00 |
Charge Master | 8420 | 733 | TRAZODONE 100 MG TABLET | 250 | $5.00 |
Charge Master | 8421 | 733 | TRAZODONE 150 MG TABLET | 250 | $10.00 |
Charge Master | 8422 | 733 | TRAZODONE 50 MG TABLET | 250 | $4.00 |
Charge Master | 8423 | 733 | TRIAMCINOLONE 0.1% CREAM | 250 | $- |
Charge Master | 8424 | 733 | TRIAMTERENE-HYDROCHLOROTHIAZID | 250 | $3.00 |
Charge Master | 8425 | 733 | TRIAMTERENE-HYDROCHLOROTHIAZID | 250 | $4.00 |
Charge Master | 8426 | 733 | TROSPIUM CHLORIDE 20 MG TABLET | 250 | $8.00 |
Charge Master | 8427 | 733 | TYLENOL 325 MG TABLET | 250 | $2.00 |
Charge Master | 8428 | 733 | VALSARTAN 40 MG TABLET | 250 | $11.00 |
Charge Master | 8429 | 733 | VENLAFAXINE HCL 50 MG TABLET | 250 | $6.00 |
Charge Master | 8430 | 733 | VENLAFAXINE HCL 75 MG TABLET | 250 | $8.00 |
Charge Master | 8431 | 733 | VENTOLIN HFA – 18GM/200 DOSE | 250 | $9.00 |
Charge Master | 8432 | 733 | VERAPAMIL 120 MG TABLET | 250 | $2.00 |
Charge Master | 8433 | 733 | VESICARE 5 MG TABLET | 250 | $41.00 |
Charge Master | 8434 | 733 | VICTOZA 2-PAK 18 MG/3 ML PEN | 250 | $5.40 |
Charge Master | 8435 | 733 | VISINE TEARS | 250 | $3.00 |
Charge Master | 8436 | 733 | VITAMIN D 400 UNIT TABLET | 250 | $3.00 |
Charge Master | 8437 | 733 | VITAMIN D2 50,000 UNIT CAPSULE | 250 | $17.00 |
Charge Master | 8438 | 733 | WARFARIN SODIUM 3 MG TABLET | 250 | $4.00 |
Charge Master | 8439 | 733 | WARFARIN SODIUM 4 MG TABLET | 250 | $8.00 |
Charge Master | 8440 | 733 | WARFARIN SODIUM 5 MG TABLET | 250 | $14.00 |
Charge Master | 8441 | 733 | XARELTO 20 MG TABLET | 250 | $57.00 |
Charge Master | 8442 | 733 | ZIPRASIDONE HCL 40 MG CAPSULE | 250 | $23.00 |
Charge Master | 8443 | 733 | ZIPRASIDONE HCL 80 MG CAPSULE | 250 | $40.00 |
Charge Master | 8444 | 733 | ZOLPIDEM TARTRATE 10 MG TABLET | 250 | $13.00 |
Charge Master | 8445 | 733 | ZOLPIDEM TARTRATE 5 MG TABLET | 250 | $14.00 |
Charge Master | 8446 | 676 | EQUIPMENT RENTAL | 270 | $- |
Charge Master | 8447 | 676 | MISC SUPPLY | 279 | $- |
Charge Master | 8448 | 733 | ADVAIR | 250 | $38.00 |
Charge Master | 8449 | 733 | SPIRIVA | 250 | $47.00 |
Charge Master | 8450 | 733 | XIFAXAN | 250 | $60.00 |
Charge Master | 8451 | 603 | TB Test | 270 | $65.00 |
Charge Master | 8452 | 733 | FIORICET (butalb-Acetaminophen-Caff 50-325-40 tab | 250 | $5.00 |
Charge Master | 8453 | 733 | PROBIOTIC COMPLEX | 250 | $2.00 |
Charge Master | 8454 | 733 | NUPLAZID (pimavanserin) capsule | 250 | $367.00 |
Charge Master | 8455 | 733 | NABUMETONE | 250 | $8.00 |
Charge Master | 8456 | 733 | SELEGILINE HCI | 250 | $7.00 |
Charge Master | 8457 | 733 | EXELON | 250 | $42.00 |
Charge Master | 8458 | 733 | FLORASTOR | 250 | $4.00 |
Charge Master | 8459 | 733 | NASONEX (momelasone) nasl spray | 250 | $11.00 |
Charge Master | 8460 | 733 | PROCTOZONE-HC 2.5 | 250 | $4.00 |
Charge Master | 8461 | 733 | BONIVA (ibandronale) oral tablet | 250 | $20.00 |
Charge Master | 8462 | 733 | MUCINEX | 250 | $2.00 |
Charge Master | 8463 | 733 | JARDIANCE 10MG | 250 | $58.00 |
Charge Master | 8464 | 733 | CLONIDINE PATCH 0.2MG | 250 | $144.00 |
Charge Master | 8465 | 733 | HEPARIN 5,000 UNIT/ML CARPUJCT | 250 | $15.00 |
Charge Master | 8466 | 733 | MYRBETRIQ oral | 250 | $48.00 |
Charge Master | 8467 | 733 | FELODIPINE ER TAB | 250 | $6.00 |
Charge Master | 8469 | 733 | CO Q 10 oral tablet | 250 | $1.00 |
Charge Master | 8471 | 676 | SODIUM CHLORIDE 0.9% SYRINGE | 270 | $15.00 |
Charge Master | 8472 | 733 | HEPARIN 500 UNIT/5ML (100ML) | 250 | $15.00 |
Charge Master | 8473 | 733 | DUEXIS 800-26.6 MG TAB | 250 | $84.00 |
Charge Master | 8474 | 733 | VANCUMYCIN 1.25 GRAM/250ML – DSW | 250 | $240.00 |
Charge Master | 8475 | 733 | AMITIZA CAPSULE | 250 | $21.00 |
Charge Master | 8477 | 733 | XANAX 0.5 TAB | 250 | $3.00 |
Charge Master | 8478 | 733 | PULMICORT | 250 | $20.00 |
Charge Master | 8480 | 733 | TUMS | 250 | $1.00 |
Charge Master | 8481 | 733 | TEGRETOL (CARBAMAZEPINE) | 250 | $4.00 |
Charge Master | 8482 | 733 | MAGACE | 250 | $6.00 |
Charge Master | 8484 | 733 | AMANTADINE 100MG TABLET | 250 | $6.00 |
Charge Master | 8486 | 733 | BASAGLAR KWIKPEN U-100 INSULIN | 250 | $100.00 |
Charge Master | 8487 | 733 | LUMIGAN (bimatoproal) drops | 250 | $75.00 |
Charge Master | 8488 | 733 | EFFIENT (prasugrel) tablet | 250 | $51.00 |
Charge Master | 8489 | 733 | CEFTIN (CEFUROXIME) | 250 | $- |
Charge Master | 8491 | 733 | DETROL | 250 | $20.00 |
Charge Master | 8494 | 733 | JANUMET XR (METFORMIN) | 250 | $24.00 |
Charge Master | 8495 | 733 | ZOLOFT (sertraline) oral tablet | 250 | $5.00 |
Charge Master | 8496 | 733 | ALLEGRA (fexofenadine) | 250 | $2.50 |
Charge Master | 8497 | 733 | VITAMIN D3 | 250 | $2.50 |
Charge Master | 8498 | 733 | TRAVAPROST (travatan) eye drops | 250 | $32.00 |
Charge Master | 8499 | 733 | BIOFREEZE (topical gel) | 250 | $1.00 |
Charge Master | 8500 | 733 | BENICAR (olmesartan HCT) | 250 | $25.00 |
Charge Master | 8502 | 733 | VITAMIN D3 5000 UNITS (CHOLECALCIFEROL) | 250 | $4.00 |
Charge Master | 8503 | 733 | ANORO ELLIPTA 62.5-25 MCG INH | 250 | $26.00 |
Charge Master | 8504 | 733 | MEDAFINIL 100MG oral tab | 250 | $67.00 |
Charge Master | 8505 | 733 | METHYLPHENIDATE HC1 oral tab | 250 | $8.00 |
Charge Master | 8506 | 733 | METOCLOPRAMIDE HC1 oral tab | 250 | $2.00 |
Charge Master | 8507 | 733 | SUCRALFATE oral | 250 | $3.00 |
Charge Master | 8508 | 733 | VIAYLAR 6MG oral cap | 250 | $150.00 |
Charge Master | 8510 | 733 | SULFASALAZINE oral tab DR | 250 | $2.00 |
Charge Master | 8511 | 733 | GNP URIN HEALTH (Cranberry Urinary) | 250 | $3.00 |
Charge Master | 8512 | 733 | PERIDEX (chlorhexidine) | 250 | $1.00 |
Charge Master | 8513 | 733 | GEMFIBROZIL tablet |