APC Status Codes and Titles Effective 04-01-2001 Source: HCFA OCE/APC V 2.1.0 Module, March, 2001 Updated with March 22, 2001 HCFA PM A-00-41 00001 S PHOTOCHEMOTHERAPY 00002 T FINE NEEDLE BIOPSY/ASPIRATION 00003 T BONE MARROW BIOPSY/ASPIRATION 00004 T LEVEL I NEEDLE BIOPSY/ ASPIRATION EXCEPT BONE MARROW 00005 T LEVEL II NEEDLE BIOPSY /ASPIRATION EXCEPT BONE MARROW 00006 T LEVEL I INCISION & DRAINAGE 00007 T LEVEL II INCISION & DRAINAGE 00008 T LEVEL III INCISION & DRAINAGE 00009 T NAIL PROCEDURES 00010 T LEVEL I DESTRUCTION OF LESION 00011 T LEVEL II DESTRUCTION OF LESION 00012 T LEVEL I DEBRIDEMENT & DESTRUCTION 00013 T LEVEL II DEBRIDEMENT & DESTRUCTION 00014 T LEVEL III DEBRIDEMENT & DESTRUCTION 00015 T LEVEL IV DEBRIDEMENT & DESTRUCTION 00016 T LEVEL V DEBRIDEMENT & DESTRUCTION 00017 T LEVEL VI DEBRIDEMENT & DESTRUCTION 00018 T BIOPSY SKIN, SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE 00019 T LEVEL I EXCISION/ BIOPSY 00020 T LEVEL II EXCISION/ BIOPSY 00021 T LEVEL III EXCISION/ BIOPSY 00022 T LEVEL IV EXCISION/ BIOPSY 00023 T EXPLORATION PENETRATING WOUND 00024 T LEVEL I SKIN REPAIR 00025 T LEVEL II SKIN REPAIR 00026 T LEVEL III SKIN REPAIR 00027 T LEVEL IV SKIN REPAIR 00028 T LEVEL I INCISION/EXCISION BREAST 00029 T LEVEL II INCISION/EXCISION BREAST 00030 T BREAST RECONSTRUCTION 00032 T PLACEMENT TRANSVENOUS CATHETERS/ARTERIAL CUTDOWN 00033 P PARTIAL HOSPITALIZATION 00034 P DAILY MENTAL HEALTH SERVICES 00040 T ARTHROCENTESIS & LIGAMENT/TENDON INJECTION 00041 T ARTHROSCOPY 00042 T ARTHROSCOPICALLY-AIDED PROCEDURES 00043 T CLOSED TREATMENT FRACTURE FINGER/TOE/TRUNK 00044 T CLOSED TREATMENT FRACTURE/DISLOCATION EXCEPT FINGER/TOE/TRUNK 00045 T BONE/JOINT MANIPULATION UNDER ANESTHESIA 00046 T OPEN/PERCUTANEOUS TREATMENT FRACTURE OR DISLOCATION 00047 T ARTHROPLASTY WITHOUT PROSTHESIS 00048 T ARTHROPLASTY WITH PROSTHESIS 00049 T LEVEL I MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT 00050 T LEVEL II MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT 00051 T LEVEL III MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT 00052 T LEVEL IV MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT 00053 T LEVEL I HAND MUSCULOSKELETAL PROCEDURES 00054 T LEVEL II HAND MUSCULOSKELETAL PROCEDURES 00055 T LEVEL I FOOT MUSCULOSKELETAL PROCEDURES 00056 T LEVEL II FOOT MUSCULOSKELETAL PROCEDURES 00057 T BUNION PROCEDURES 00058 S LEVEL I STRAPPING AND CAST APPLICATION 00059 S LEVEL II STRAPPING AND CAST APPLICATION 00060 S MANIPULATION THERAPY 00070 T THORACENTESIS/LAVAGE PROCEDURES 00071 T LEVEL I ENDOSCOPY UPPER AIRWAY 00072 T LEVEL II ENDOSCOPY UPPER AIRWAY 00073 T LEVEL III ENDOSCOPY UPPER AIRWAY 00074 T LEVEL IV ENDOSCOPY UPPER AIRWAY 00075 T LEVEL V ENDOSCOPY UPPER AIRWAY 00076 T ENDOSCOPY LOWER AIRWAY 00077 S LEVEL I PULMONARY TREATMENT 00078 S LEVEL II PULMONARY TREATMENT 00079 S VENTILATION INITIATION AND MANAGEMENT 00080 T DIAGNOSTIC CARDIAC CATHETERIZATION 00081 T NON-CORONARY ANGIOPLASTY OR ATHERECTOMY 00082 T CORONARY ATHERECTOMY 00083 T CORONARY ANGIOSPLASTY 00084 S LEVEL I ELECTROPHYSIOLOGIC EVALUATION 00085 S LEVEL II ELECTROPHYSIOLOGIC EVALUATION 00086 S ABLATE HEART DYSRHYTHM FOCUS 00087 S CARDIAC ELECTROPHYSIOLOGIC RECORDING/MAPPING 00088 T THROMBECTOMY 00089 T INSERTION/REPLACEMENT OF PERMANENT PACEMAKER AND ELECTRODES 00090 T INSERTION/REPLACEMENT OF PACEMAKER PULSE GENERATOR 00091 T LEVEL I VASCULAR LIGATION 00092 T LEVEL II VASCULAR LIGATION 00093 T VASCULAR REPAIR/FISTULA CONSTRUCTION 00094 S RESUSCITATION AND CARDIOVERSION 00095 S CARDIAC REHABILITATION 00096 S NON-INVASIVE VASCULAR STUDIES 00097 X CARDIAC MONITORING FOR 30 DAYS 00098 T INJECTION OF SCLEROSING SOLUTION 00099 X ELECTROCARDIOGRAMS 00100 X STRESS TESTS AND CONTINUOUS ECG 00101 S TILT TABLE EVALUATION 00102 S ELECTRONIC ANALYSIS OF PACEMAKERS/OTHER DEVICES 00103 T MISCELLANEOUS VASCULAR PROCEDURES 00104 T TRANSCATHETER PLACEMENT OF INTRACORONARY STENTS 00105 T REVISION/REMOVAL OF PACEMAKERS, AICD, OR VASCULAR DEVICE 00106 T INSERTION/REPLACEMENT/REPAIR OF PACEMAKER ELECTRODES 00107 T INSERTION OF CARDIOVERTER-DEFIBRILLATOR 00108 T INSERTION/REPLACEMENT/REPAIR OF CARDIOVERTER-DEFIBRILLATOR LEADS 00109 T REMOVAL OF IMPLANTED DEVICES 00110 S TRANSFUSION 00111 S BLOOD PRODUCT EXCHANGE 00112 S EXTRACORPOREAL PHOTOPHERESIS 00113 T EXCISION LYMPHATIC SYSTEM 00114 T THYROID/LYMPHADENECTOMY PROCEDURES 00115 T CANNULA/ACCESS DEVICE PROCEDURES 00116 S CHEMOTHERAPY ADMINISTRATION BY OTHER TECHNIQUE EXCEPT INFUSION 00117 S CHEMOTHERAPY ADMINISTRATION BY INFUSION ONLY 00118 S CHEMOTHERAPY ADMINISTRATION BY BOTH INFUSION AND OTHER TECHNIQUE 00119 T IMPLANTATION OF DEVICES 00120 T INFUSION THERAPY EXCEPT CHEMOTHERAPY 00121 T LEVEL I TUBE CHANGES AND REPOSITIONING 00122 T LEVEL II TUBE CHANGES AND REPOSITIONING 00123 S BONE MARROW HARVESTING AND BONE MARROW/STEM CELL TRANSPLANT 00124 T REVISION OF IMPLANTED INFUSION PUMP 00130 T LEVEL I LAPAROSCOPY 00131 T LEVEL II LAPAROSCOPY 00132 T LEVEL III LAPAROSCOPY 00140 T ESOPHAGEAL DILATION WITHOUT ENDOSCOPY 00141 T UPPER GI PROCEDURES 00142 T SMALL INTESTINE ENDOSCOPY 00143 T LOWER GI ENDOSCOPY 00144 T DIAGNOSTIC ANOSCOPY 00145 T THERAPEUTIC ANOSCOPY 00146 T LEVEL I SIGMOIDOSCOPY 00147 T LEVEL II SIGMOIDOSCOPY 00148 T LEVEL I ANAL/RECTAL PROCEDURE 00149 T LEVEL II ANAL/RECTAL PROCEDURE 00150 T LEVEL III ANAL/RECTAL PROCEDURE 00151 T ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY (ERCP) 00152 T PERCUTANEOUS BILIARY ENDOSCOPIC PROCEDURES 00153 T PERITONEAL AND ABDOMINAL PROCEDURES 00154 T HERNIA/HYDROCELE PROCEDURES 00157 S COLORECTAL CANCER SCREENING: BARIUM ENEMA 00158 S COLORECTAL CANCER SCREENING: COLONOSCOPY 00159 S COLORECTAL CANCER SCREENING: FLEXIBLE SIGMOIDOSCOPY 00160 T LEVEL I CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES 00161 T LEVEL II CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES 00162 T LEVEL III CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES 00163 T LEVEL IV CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES 00164 T LEVEL I URINARY AND ANAL PROCEDURES 00165 T LEVEL II URINARY AND ANAL PROCEDURES 00166 T LEVEL I URETHRAL PROCEDURES 00167 T LEVEL II URETHRAL PROCEDURES 00168 T LEVEL III URETHRAL PROCEDURES 00169 T LITHOTRIPSY 00170 S DIALYSIS FOR OTHER THAN ESRD PATIENTS 00180 T CIRCUMCISION 00181 T PENILE PROCEDURES 00182 T INSERTION OF PENILE PROSTHESIS 00183 T TESTES/EPIDIDYMIS PROCEDURES 00184 T PROSTATE BIOPSY 00185 T REMOVAL OR REPAIR OF PENILE PROSTHESIS 00190 T SURGICAL HYSTEROSCOPY 00191 T LEVEL I FEMALE REPRODUCTIVE PROCEDURES 00192 T LEVEL II FEMALE REPRODUCTIVE PROCEDURES 00193 T LEVEL III FEMALE REPRODUCTIVE PROCEDURES 00194 T LEVEL IV FEMALE REPRODUCTIVE PROCEDURES 00195 T LEVEL V FEMALE REPRODUCTIVE PROCEDURES 00196 T DILATATION & CURETTAGE 00197 T INFERTILITY PROCEDURES 00198 T PREGNANCY AND NEONATAL CARE PROCEDURES 00199 T VAGINAL DELIVERY 00200 T THERAPEUTIC ABORTION 00201 T SPONTANEOUS ABORTION 00210 T SPINAL TAP 00211 T LEVEL I NERVOUS SYSTEM INJECTIONS 00212 T LEVEL II NERVOUS SYSTEM INJECTIONS 00213 S EXTENDED EEG STUDIES AND SLEEP STUDIES 00214 S ELECTROENCEPHALOGRAM 00215 S LEVEL I NERVE AND MUSCLE TESTS 00216 S LEVEL II NERVE AND MUSCLE TESTS 00217 S LEVEL III NERVE AND MUSCLE TESTS 00220 T LEVEL I NERVE PROCEDURES 00221 T LEVEL II NERVE PROCEDURES 00222 T IMPLANTATION OF NEUROLOGICAL DEVICE 00223 T IMPLANTATION OF PAIN MANAGEMENT DEVICE 00224 T IMPLANTATION OF RESERVOIR/PUMP/SHUNT 00225 T IMPLANTATION OF NEUROSTIMULATOR ELECTRODES 00226 T IMPLANTATION OF DRUG INFUSION RESERVOIR 00227 T IMPLANTATION OF DRUG INFUSION DEVICE 00228 T CREATION OF LUMBAR SUBARACHNOID SHUNT 00229 T TRANSCATHETER PLACEMENT OF INTRAVASCULAR SHUNTS 00230 S LEVEL I EYE TESTS 00231 S LEVEL II EYE TESTS 00232 T LEVEL I ANTERIOR SEGMENT EYE 00233 T LEVEL II ANTERIOR SEGMENT EYE 00234 T LEVEL III ANTERIOR SEGMENT EYE PROCEDURES 00235 T LEVEL I POSTERIOR SEGMENT EYE PROCEDURES 00236 T LEVEL II POSTERIOR SEGMENT EYE PROCEDURES 00237 T LEVEL III POSTERIOR SEGMENT EYE PROCEDURES 00238 T LEVEL I REPAIR AND PLASTIC EYE PROCEDURES 00239 T LEVEL II REPAIR AND PLASTIC EYE PROCEDURES 00240 T LEVEL III REPAIR AND PLASTIC EYE PROCEDURES 00241 T LEVEL IV REPAIR AND PLASTIC EYE PROCEDURES 00242 T LEVEL V REPAIR AND PLASTIC EYE PROCEDURES 00243 T STRABISMUS/MUSCLE PROCEDURES 00244 T CORNEAL TRANSPLANT 00245 T CATARACT PROCEDURES WITHOUT IOL INSERT 00246 T CATARACT PROCEDURES WITH IOL INSERT 00247 T LASER EYE PROCEDURES EXCEPT RETINAL 00248 T LASER RETINAL PROCEDURES 00250 T NASAL CAUTERIZATION/PACKING 00251 T LEVEL I ENT PROCEDURES 00252 T LEVEL II ENT PROCEDURES 00253 T LEVEL III ENT PROCEDURES 00254 T LEVEL IV ENT PROCEDURES 00256 T LEVEL V ENT PROCEDURES 00258 T TONSIL AND ADENOID PROCEDURES 00260 X LEVEL I PLAIN FILM EXCEPT TEETH 00261 X LEVEL II PLAIN FILM EXCEPT TEETH INCLUDING BONE DENSITY MEASUREMENT 00262 X PLAIN FILM OF TEETH 00263 X LEVEL I MISCELLANEOUS RADIOLOGY PROCEDURES 00264 X LEVEL II MISCELLANEOUS RADIOLOGY PROCEDURES 00265 S LEVEL I DIAGNOSTIC ULTRASOUND EXCEPT VASCULAR 00266 S LEVEL II DIAGNOSTIC ULTRASOUND EXCEPT VASCULAR 00267 S VASCULAR ULTRASOUND 00268 X GUIDANCE UNDER ULTRASOUND 00269 S ECHOCARDIOGRAM EXCEPT TRANSESOPHAGEAL 00270 S TRANSESOPHAGEAL ECHOCARDIOGRAM 00271 S MAMMOGRAPHY 00272 X LEVEL I FLUOROSCOPY 00273 X LEVEL II FLUOROSCOPY 00274 S MYELOGRAPHY 00275 S ARTHROGRAPHY 00276 S LEVEL I DIGESTIVE RADIOLOGY 00277 S LEVEL II DIGESTIVE RADIOLOGY 00278 S DIAGNOSTIC UROGRAPHY 00279 S LEVEL I ANGIOGRAPHY AND VENOGRAPHY EXCEPT EXTREMITY 00280 S LEVEL II ANGIOGRAPHY AND VENOGRAPHY EXCEPT EXTREMITY 00281 S VENOGRAPHY OF EXTREMITY 00282 S LEVEL I COMPUTERIZED AXIAL TOMOGRAPHY 00283 S LEVEL II COMPUTERIZED AXIAL TOMOGRAPHY 00284 S MAGNETIC RESONANCE IMAGING 00285 S POSITRON EMISSION TOMOGRAPHY (PET) 00286 S MYOCARDIAL SCANS 00290 S STANDARD NON-IMAGING NUCLEAR MEDICINE 00291 S LEVEL I DIAGNOSTIC NUCLEAR MEDICINE EXCLUDING MYOCARDIAL SCANS 00292 S LEVEL II DIAGNOSTIC NUCLEAR MEDICINE EXCLUDING MYOCARDIAL SCANS 00294 S LEVEL I THERAPEUTIC NUCLEAR MEDICINE 00295 S LEVEL II THERAPEUTIC NUCLEAR MEDICINE 00296 S LEVEL I THERAPEUTIC RADIOLOGIC PROCEDURES 00297 S LEVEL II THERAPEUTIC RADIOLOGIC PROCEDURES 00300 S LEVEL I RADIATION THERAPY 00301 S LEVEL II RADIATION THERAPY 00302 S LEVEL III RADIATION THERAPY 00303 X TREATMENT DEVICE CONSTRUCTION 00304 X LEVEL I THERAPEUTIC RADIATION TREATMENT PREPARATION 00305 X LEVEL II THERAPEUTIC RADIATION TREATMENT PREPARATION 00310 X LEVEL III THERAPEUTIC RADIATION TREATMENT PREPARATION 00311 X RADIATION PHYSICS SERVICES 00312 S RADIOELEMENT APPLICATIONS 00313 S BRACHYTHERAPY 00314 S HYPERTHERMIC THERAPIES 00320 S ELECTROCONVULSIVE THERAPY 00321 S BIOFEEDBACK AND OTHER TRAINING 00322 S BRIEF INDIVIDUAL PSYCHOTHERAPY 00323 S EXTENDED INDIVIDUAL PSYCHOTHERAPY 00324 S FAMILY PSYCHOTHERAPY 00325 S GROUP PSYCHOTHERAPY 00330 S DENTAL PROCEDURES 00340 X MINOR ANCILLARY PROCEDURES 00341 X IMMUNOLOGY TESTS 00342 X LEVEL I PATHOLOGY 00343 X LEVEL II PATHOLOGY 00344 X LEVEL III PATHOLOGY 00345 X TRANSFUSION LABORATORY PROCEDURES LEVEL I 00346 X TRANSFUSION LABORATORY PROCEDURES LEVEL II 00347 X TRANSFUSION LABORATORY PROCEDURES LEVEL III 00348 X FERTILITY LABORATORY PROCEDURES 00349 X MISCELLANEOUS LABORATORY PROCEDURES 00354 K ADMINISTRATION OF INFLUENZA/PNEUMONIA VACCINE 00355 K LEVEL I IMMUNIZATIONS 00356 K LEVEL II IMMUNIZATIONS 00359 X INJECTIONS 00360 X LEVEL I ALIMENTARY TESTS 00361 X LEVEL II ALIMENTARY TESTS 00362 X FITTING OF VISION AIDS 00363 X OTORHINOLARYNGOLOGIC FUNCTION TESTS 00364 X LEVEL I AUDIOMETRY 00365 X LEVEL II AUDIOMETRY 00367 X LEVEL I PULMONARY TEST 00368 X LEVEL II PULMONARY TESTS 00369 X LEVEL III PULMONARY TESTS 00370 X ALLERGY TESTS 00371 X ALLERGY INJECTIONS 00372 X THERAPEUTIC PHLEBOTOMY 00373 X NEUROPSYCHOLOGICAL TESTING 00374 X MONITORING PSYCHIATRIC DRUGS 00600 V LOW LEVEL CLINIC VISITS 00601 V MID LEVEL CLINIC VISITS 00602 V HIGH LEVEL CLINIC VISITS 00610 V LOW LEVEL EMERGENCY VISITS 00611 V MID LEVEL EMERGENCY VISITS 00612 V HIGH LEVEL EMERGENCY VISITS 00620 S CRITICAL CARE 00701 G SR 89 CHLORIDE, PER MCI 00702 G SM 153 LEXIDRONAM, 50 MCI 00704 G IN 111 SATUMOMAB PENDETIDE PER DOSE 00705 G TC 99M TETROFOSMIN, PER DOSE 00725 G LEUCOVORIN CALCIUM INJ, 50 MG 00726 G DEXRAZOXANE HCL INJECTION, 250 MG 00727 G ETIDRONATE DISODIUM INJ 300 MG 00728 G FILGRASTIM 300 MCG INJECTION 00730 G PAMIDRONATE DISODIUM , 30 MG 00731 G SARGRAMOSTIM INJECTION 50 MCG 00732 G MESNA INJECTION 200 MG 00733 G NON ESRD EPOETIN ALPHA INJ, 1000 U 00750 G DOLASETRON MESYLATE, 10 MG 00754 G METOCLOPRAMIDE HCL INJECTION UP TO 10 MG 00755 G THIETHYLPERAZINE MALEATE INJ UP TO 10 MG 00761 G UNSPECIFIED ORAL ANTI-EMETIC 00762 G DRONABINOL 2.5MG ORAL 00763 G DOLASETRON MESYLATE ORAL, 100 MG 00764 G GRANISETRON HCL INJECTION 10 MCG 00765 G GRANISETRON HCL 1 MG ORAL 00768 G ONDANSETRON HCL INJECTION 1 MG 00769 G ONDANSETRON HCL 8MG ORAL 00800 G LEUPROLIDE ACETATE, 3.75 MG 00801 G CYCLOPHOSPHAMIDE ORAL 25 MG 00802 G ETOPOSIDE ORAL 50 MG 00803 G MELPHALAN ORAL 2 MG 00807 G ALDESLEUKIN/SINGLE USE VIAL 00809 G BCG LIVE INTRAVESICAL VAC 00810 G GOSERELIN ACETATE IMPLANT 3.6 MG 00811 G CARBOPLATIN INJECTION 50 MG 00812 G CARMUS BISCHL NITRO INJ 100 MG 00813 G CISPLATIN 10 MG INJECTION 00814 G ASPARAGINASE INJECTION 10,000 U 00815 G CYCLOPHOSPHAMIDE 100 MG INJ 00816 G CYCLOPHOSPHAMIDE LYOPHILIZED 100 MG 00817 G CYTARABINE HCL 100 MG INJ 00818 G DACTINOMYCIN 0.5 MG 00819 G DACARBAZINE 10 MG INJ 00820 G DAUNORUBICIN 10 MG 00821 G DAUNORUBICIN CITRATE LIPOSOM 10 MG 00822 G DIETHYLSTILBESTROL INJECTION 250 MG 00823 G DOCETAXEL, 20 MG 00824 G ETOPOSIDE 10 MG INJ 00826 G METHOTREXATE ORAL 2.5 MG 00827 G FLOXURIDINE INJECTION 500 MG 00828 G GEMCITABINE HCL 200 MG 00830 G IRINOTECAN INJECTION 20 MG 00831 G IFOSFOMIDE INJECTION 1 GM 00832 G IDARUBICIN HCL INJECTION 5 MG 00833 G INTERFERON ALFACON-1, 1 MCG 00834 G INTERFERON ALFA-2A INJ RECOMBINANT 3 MILLION U 00836 G INTERFERON ALFA-2B INJ RECOMBINANT, 1 MILLION 00838 G INTERFERON GAMMA 1-B INJ, 3 MILLION U 00839 G MECHLORETHAMINE HCL INJ 10 MG 00840 G MELPHALAN HYDROCHL 50 MG 00841 G METHOTREXATE SODIUM INJ 5 MG 00842 G FLUDARABINE PHOSPHATE INJ 50 MG 00843 G PEGASPARGASE, SINGL DOSE VIAL 00844 G PENTOSTATIN INJECTION, 10 MG 00847 G DOXORUBICIN HCL 10 MG VL CHEMO 00849 G RITUXIMAB, 100 MG 00850 G STREPTOZOCIN INJECTION, 1 GM 00851 G THIOTEPA INJECTION, 15 MG 00852 G TOPOTECAN, 4 MG 00853 G VINBLASTINE SULFATE INJ, 1 MG 00854 G VINCRISTINE SULFATE 1 MG INJ 00855 G VINORELBINE TARTRATE, 10 MG 00856 G PORFIMER SODIUM, 75 MG 00857 G BLEOMYCIN SULFATE INJECTION 15 U 00858 G CLADRIBINE, 1MG 00859 G FLUOROURACIL INJECTION 500 MG 00860 G PLICAMYCIN (MITHRAMYCIN) INJ 2.5 MG 00861 G LEUPROLIDE ACETATE INJECTION 1 MG 00862 G MITOMYCIN 5 MG INJ 00863 G PACLITAXEL INJECTION, 30 MG 00864 G MITOXANTRONE HCL, 5 MG 00865 G INTERFERON ALFA-N3 INJ, HUMAN LEUKOCYTE DERIVED, 250,000 IU 00884 G RHO D IMMUNE GLOBULIN INJ, 1 DOSE PKG 00886 G AZATHIOPRINE ORAL 50MG 00887 G AZATHIOPRINE PARENTERAL 100 MG 00888 G CYCLOSPORINE ORAL 100 MG 00889 G CYCLOSPORIN PARENTERAL 250MG 00890 G LYMPHOCYTE IMMUNE GLOBULIN 250 MG 00891 G TACROLIMUS ORAL PER 1 MG 00900 G ALGLUCERASE INJECTION, PER 10 U 00901 G ALPHA 1 PROTEINASE INHIBITOR, 10 MG 00902 G BOTULINUM TOXIN A, PER UNIT 00903 G CYTOMEGALOVIRUS IMM IV, 50 MG 00905 G IMMUNE GLOBULIN 500 MG 00906 G RSV-IVIG, 50 MG 00907 K GANCICLOVIR SODIUM 500 MG INJECTION 00908 G TETANUS IMMUNE GLOBULIN INJ UP TO 250 U 00909 G INTERFERON BETA-1A, 33 MCG 00910 G INTERFERON BETA-1B , .25 MG 00911 K STREPTOKINASE PER 250,000 IU 00913 G GANCICLOVIR LONG ACT IMPLANT 4.5 MG 00916 G IMIGLUCERASE, UNIT 00917 K PHARMACOLOGIC STRESSORS 00918 H BRACHYTHERAPY SEEDS, ANY TYPE, EACH 00925 G FACTOR VIII PER IU 00926 G FACTOR VIII (PORCINE) PER IU 00927 G FACTOR VIII RECOMBINANT PER IU 00928 G FACTOR IX COMPLEX PER IU 00929 G ANTI-INHIBITOR PER IU 00930 G ANTITHROMBIN III INJECTION PER IU 00931 G FACTOR IX NON-RECOMBINANT, PER IU 00932 G FACTOR IX RECOMBINANT, PER IU 00949 K PLASMA, POOLED MULTIPLE DONOR, SOLVENT/DETERGENT TREATED, FROZEN 00950 K BLOOD (WHOLE) FOR TRANSFUSION 00952 K CRYOPRECIPITATE 00954 K RBC LEUKOCYTES REDUCED 00955 K PLASMA, FRESH FROZEN 00956 K PLASMA PROTEIN FRACTION 00957 K PLATELET CONCENTRATE 00958 K PLATELET RICH PLASMA 00959 K RED BLOOD CELLS 00960 K WASHED RED BLOOD CELLS 00961 K INFUSION, ALBUMIN (HUMAN) 5%, 500 ML 00962 K INFUSION, ALBUMIN (HUMAN) 25%, 50 ML 00970 T NEW TECHNOLOGY (T) - LEVEL I ($0 - $50) 00971 S NEW TECHNOLOGY - LEVEL II ($50 - $100) 00972 T NEW TECHNOLOGY - LEVEL III ($100 - $200) 00973 T NEW TECHNOLOGY - LEVEL IV ($200 - $300) 00974 S NEW TECHNOLOGY - LEVEL V ($300 - $500) 00975 T NEW TECHNOLOGY - LEVEL VI ($500 - $750) 00976 S NEW TECHNOLOGY - LEVEL VII ($750 - $1000) 00977 T NEW TECHNOLOGY - LEVEL VIII ($1000 - $1250) 00978 T NEW TECHNOLOGY - LEVEL IX ($1250 - $1500) 00979 T NEW TECHNOLOGY - LEVEL X ($1500 - $1750) 00980 T NEW TECHNOLOGY - LEVEL XI ($1750 - $2000) 00981 S NEW TECHNOLOGY - LEVEL XII ($2000 - $2500) 00982 T NEW TECHNOLOGY - LEVEL XIII ($2500 - $3500) 00983 T NEW TECHNOLOGY - LEVEL XIV ($3500 - $5000) 00984 T NEW TECHNOLOGY - LEVEL XV ($5000 - $6000) 00987 X NEW DEVICE TECHNOLOGY - LEVEL I ($0-$250) 00988 X NEW DEVICE TECHNOLOGY - LEVEL II ($250-$500) 00989 X NEW DEVICE TECHNOLOGY - LEVEL III ($500-$750) 00990 X NEW DEVICE TECHNOLOGY - LEVEL IV ($750-$1000) 00991 X NEW DEVICE TECHNOLOGY - LEVEL V ($1000-$1500) 00992 X NEW DEVICE TECHNOLOGY - LEVEL VI ($1500-$2000) 00993 X NEW DEVICE TECHNOLOGY - LEVEL VII ($2000-$3000) 00994 X NEW DEVICE TECHNOLOGY - LEVEL VIII ($3000-$4000) 00995 X NEW DEVICE TECHNOLOGY - LEVEL IX ($4000-$5000) 00996 X NEW DEVICE TECHNOLOGY - LEVEL X ($5000-$7000) 00997 X NEW DEVICE TECHNOLOGY - LEVEL XI ($7000-$9000) 01000 H PERCLOSE CLOSER PROSTAR ARTERIAL VASCULAR CLOSURE 01001 H ACUNAV-DIAGNSTIC ULTRSND CA 01002 H COCHLEAR IMPLANT SYSTEM 01003 H CATH, ABLATION, LIVEWIRE TC 01004 H FAST-CATH,SWARTZ,SAFL,CSTA 01006 H ARRAY POST CHAMB IOL 01007 H AMS 700 PENILE PROSTHESIS 01008 H UROLUME-IMPLT URETHRAL STENT 01009 K PLASMA, CRYOPRECIPITATE-REDUCED, UNIT 01010 K BLOOD, L/R, CMV-NEG 01011 K PLATELETS, L/R, CMV-NEG, UNIT 01012 K PLATELET CONCENTRATE, L/R, IRRADIATED, UNIT 01013 K PLATELET CONCENTRATE, L/R, UNIT 01014 K PLATELETS, APH/PHER, L/R, UNIT 01016 K BLOOD, L/R, FROZ/DEGLYCEROL/WASHED 01017 K PLATELETS, APH/PHER, L/R, CMV-NEG, UNIT 01018 K BLOOD, L/R, IRRADIATED 01019 K PLATELETS, APH/PHER, L/R, IRRADIATED, UNIT 01024 J QUINUPRISTIN 150 MG/DALFOPRISTON 350 MG 01025 H MARINR CS CATHETER 01026 H RF PERFRMR CATH 5F RF MARINR 01027 H MAGIC X/SHORT, RADIUS14MM 01028 H PRCIS TWST TRNSVG ANCH SYS 01029 H CRE GUIDED BALLOON DIL CATH 01030 H CTHTR:MRSHAL,BLU MAX UTR DMND 01033 H SONICATH MDL 37-410 01034 H SURPASS, LONG30 SURPASS-CATH 01035 H CATH, ULTRA ICE 01036 H R PORT/RESERVOIR IMPL DEV 01037 H VAXCELCHRONIC DIALYSIS CATH 01038 H ULTRACROSS IMAGING CATH 01039 H WALLSTENT/RP: TRACH 01040 H WALLSTENT/RP TIPS --20/40/60 01042 H WALLSTENT, ULTRAFLEX: BIL 01043 H ATHERECTOMY SYS, CORONARY 01045 G I-131 MIBG (IOBEN-SULFATE) O.5MCI 01047 H NAVI-STAR, NOGA-STAR CATH 01048 H NEUROCYBERNETICPROS: GEN 01051 H OASIS THROMBECTOMY CATH 01053 H ENSITE 3000 CATHETER 01054 H HYDROLYSER THROMB CATH 6/7F 01055 H TRANSESOPH 210, 210-S CATH 01056 H THERMACHOICE II CATH 01057 H MICROMARK TISSUE MARKER 01059 G CARTICEL,AUTO CULT-CHNDR CYTE 01060 H ACS MULTI-LINK TRISTOR STENT 01061 H ACS VIKING GUIDING CATH 01063 H ENDOTAK ENDURANCE EZ, RX LEADS 01067 H MEGALINK BILIARY STENT 01068 H PULSAR DDD PMKR 01069 H DISCOVERY DR, PMAKER 01071 H PULSAR MAX, PULSAR SR PMKR 01072 H GUIDANT: BLLN DIL CATH 01073 H GYNECARE MORCELLATOR 01074 H RX/OTW VIATRAC-PERI DIL CATH 01075 H GUIDANT: LEAD 01076 H VENTAK MINI SC DEFIB 01077 H VENTAK VR PRIZM VR, SC DEFIB 01078 H VENTAK: PRIZM, AVIIIDR DEFIB 01079 G CO 57/58 0.5 MCI 01084 G DENILEUKIN DIFTITOX, 300 MCG 01086 G TEMOZOLOMIDE, 5 MG 01087 G I-123 PER UCI CAPSULE 01089 G CO 57, 0.5 MCI 01090 G IN 111 CHLORIDE, PER MCI 01091 G IN 111 OXYQUINOLINE, PER 5 MCI 01092 G IN 111 PENTETATE, PER 1.5 MCI 01094 J TC 99M ALBUMIN AGGR, PER VIAL 01095 G TC 99M DEPREOTIDE, PER VIAL 01096 G TC 99M EXAMETAZIME, PER DOSE 01097 G TC 99M MEBROFENIN, PER VIAL 01098 G TC 99M PENTETATE, PER VIAL 01099 J TC 99M PYROPHOSPHATE, PER VIAL 01100 H MEDTRONIC AVE GT1 GUIDEWIRE 01101 H MEDTRONIC AVE, AVE Z2 CATH 01102 H SYNERGY NEUROSTIM GENRTR 01103 H MICRO JEWEL DEFIBRILLATOR 01104 H RF CONDUCTOR ABLATIVE CATH 01105 H SIGMA 300VDD PACMKER 01106 H SYNERGYEZ PT PROGRMR 01107 H TORQR, SOLIST CATH 01108 H REVEAL CARDIAC RECORDER 01109 H IMPLANTABLE ANCHOR: ETHICON 01110 H STABLE MAPPER, CATH ELECTRD 01111 H ANEURXAORT-UNI-ILICSTNT&CATH 01112 H ANEURX STENT GRAFT/DEL.CATH 01113 H TLNT ENDO SPRNG STNT GRFT SYS 01114 H TALNTSPRGSTNT+GRAF ENDO PROS 01115 H 5038S,5038,5038L PACE LEAD 01116 H CAPSURESP PACING LEAD 01117 H ANCURE ENDOGRAFT DEL SYS 01118 H SIGMA300DR LEGIIDR,PACEMKR 01119 H SPRINT6932,6943 DEFIB LEAD 01120 H SPRINT6942,6945 DEFIB LEAD 01121 H GEM DEFIBRILLATOR 01122 G TC 99M ARCITUMOMAB PER DOSE 01123 H GEM II VR DEFIBRILLATOR 01124 H INTERSTIM TEST STIM KIT 01125 H KAPPA 400SR,TTOPAZ II SR PMKR 01126 H KAPPA 700 DR PACEMAKR 01127 H KAPPA 700SR,PMKR SGL CHAMBER 01128 H KAPPA 700D,RUBY IID PMKR 01129 H KAPPA 700VDD,PACMKR 01130 H SIGMA 200D,LGCY IID SC PMKR 01131 H SIGMA 200DR, PMKER 01132 H SIGMA 200SR LEG II:SC PAC 01133 H SIGMA SR, VITA SR, PMAKER 01134 H SIGMA 300D PMKER 01135 H ENTITY DR 5326L/R, DC, PMKR 01136 H AFFINITY DR 5330L/R, DC, PMKR 01137 H CARDIOSEAL IMPLANT SYST 01143 H ADDVENT MOD 2060BL,VDD 01144 H AFNTY SP 5130,INTEGRITY SR,PMKR 01145 H ANGIO-SEAL 6FR, 8FR 01147 H AV PLUS DX 1368: LEAD 01148 H CONTOUR MD SC DEFIB 01149 H ENTITY DC 5226R-PMKER 01151 H PASSIVEPLUS DX LEAD, 10MDLS 01152 H LIFESITE ACCESS SYSTEM 01153 H REGENCY SC+ 2402L PMKER 01154 H SPL:SPOI,02,04- DEFIB LEAD 01155 H REPLIFORM 8 SQ CM 01156 H TR 1102TRSR+ 2260L,2264L,5131 01157 H TRILOGY DCT 23/8L PMKR 01158 H TVL LEAD SV01,SV02,SV04 01159 H TVL RV02,RV06,RV07: LEAD 01160 H TVL-ADX 1559: LEAD 01161 H TENDRIL DX, 1388 PACING LEAD 01162 H TEMPODR, TRILOGYDR+DC PMKR 01163 H TENDRIL SDX, 1488T PACING LEAD 01164 H IODINE-125 BRACHYTX SEED 01166 G CYTARABINE LIPOSOMAL, 10 MG 01167 J EPIRUBICIN HCL, 2 MG 01171 H AUTOSUTURE SITE MARKER STPLE 01172 H SPACEMAKER DISSECT BALLON 01173 H COR STNTS540,S670,O-WIRE STN 01174 H BARD BRACHYTX NEEDLE 01178 G BUSULFAN IV, 6 MG 01180 H VIGOR SR, SC, PMKR 01181 H MERIDIAN SSI, SC, PMKR 01182 H PULSAR SSI, SC, PMKR 01183 H JADE IIS, SIGMA 300S,SC, PMKR 01184 H SIGMA 200S, SC, PMKR 01188 G I 131, PER UCI 01200 G TC 99M SODIUM GLUCOHEPTONATE, PER VIAL 01201 G TC 99M SUCCIMER, PER VIAL 01202 G TC 99M SULFUR COLLOID, PER DOSE 01203 G VERTEPORFIN FOR INJECTION 01205 G TC 99M DISOFENIN, PER VIAL 01207 G OCTREOTIDE ACETATE DEPOT 1MG 01302 H SQ01: LEAD 01303 H CAPSURE FIX 6940/4068-110, LEAD 01304 H SONICATH MDL 37-416,-418 01305 G APLIGRAF 01306 H NEUROCYBERNETICPROS: LEAD 01311 H TRILOGY DR+/DAO PMKR 01312 H MAGIC WALLSTENT STENT-MINI 01313 H MAGIC MEDIUM, RADIUS 31MM 01314 H MAGIC WALLSTENT STENT-LONG 01315 H VIGOR DR, MERIDIAN DR PMKR 01316 H MERIDIAN DDD PMKR 01317 H DISCOVERY SR, PMKR 01318 H MERIDIAN SR PMAKR 01319 H WALLSTENT/RP ENTERAL--60MM 01320 H WALLSTENT/RP ILIAC DEL SYS 01325 H PALLIDIUM -103 SEED 01326 H ANGIO-JET RHEOLYTIC THROMB CATH 01328 H ANS RENEW NS TRNSMTR 01333 H PALMZA CORINTHIAN BILL STENT 01334 H CROWN,MINI-CROWN,CROSSLC 01335 H MESH, PROLENE 01336 H CONSTANT FLOW IMP PUMP 01337 H ISOMED 8472-20/35/60 01348 G I 131 PER MCI SOLUTION 01350 H PROSTA/ONCOSEED, RAPID STRAND, I-125 01351 H CAPSURE(FIX)PACING LEAD 01352 H GEM II DEFIB 01353 H ITREL INTERSTM NEUROSTIM+EXT 01354 H KAPPA 400DR,DIAMOND II 820DR 01355 H KAPPA 600DR, VITA DR 01356 H PROFILE MD V-186HV3 SC DEFIB 01357 H ANGSTROM MD V-190HV3 SC DEFIB 01358 H AFFINITY DC 5230R-PACEMAKER 01359 H PULSAR,PULSAR MAX DR,PMKR 01363 H GEM DR, DC, DEFIB 01364 H PHOTON DR V-230HV3 DC DEFIB 01365 H GUIDEWIRE, HI-TORQUE14/18/35 01366 H GUIDEWIRE,PTCA, HI-TORQUE 01367 H GUIDEWIRE, HI-TORQUE CROSSIT 01369 H ANS RENEW STIM SYS RECVR 01370 H TENSION-FREE VAGINAL TAPE 01371 H SYMP NITINOL TRANSHEP BIL SYS 01372 H CORDIS NITINOL BIL STENT 01375 H STENT, CORONARY, NIR 01376 H ANS RENEW STIM SYS LEAD 01377 H SPECIFY 3988 NEURO LEAD 01378 H INTERSTIM TX 3080/3886 LEAD 01379 H PISCES-QUAD 3887 LEAD 01400 G DIPHENHYDRAMINE HCL 50MG 01401 G PROCHLORPERAZINE MALEATE 5MG 01402 G PROMETHAZINE HCL 12.5MG ORAL 01403 G CHLORPROMAZINE HCL 10MG ORAL 01404 G TRIMETHOBENZAMIDE HCL 250MG 01405 G THIETHYLPERAZINE MALEATE10MG 01406 G PERPHENAZINE 4MG ORAL 01407 G HYDROXYZINE PAMOATE 25MG 01409 G FACTOR VIIA RECOMBINANT, PER 1.2 MG 01410 H PROSORBA COLUMN 01411 H HERCULINK,OTW SDS BIL STENT 01420 H STAPLETAC2 BONEW/DERMIS 01421 H STAPLETAC2 BONE WO DERMIS 01450 H ORTHOSPHERE ARTHROPLASTY 01451 H ORTHOSPHERE ARTHROPLASTY KIT 01500 H ATHERECTOMY SYS, PERIPHERAL 01600 G TC 99M SESTAMIBI, PER SYRINGE 01601 G TC 99M MEDRONATE, PER DOSE 01602 G TC 99M APCITIDE, PER VIAL 01603 G TL 201, MCI 01604 G IN 111 CAPROMAB PENDETIDE, PER DOSE 01605 G ABCIXIMAB INJECTION, 10 MG 01606 G ANISTREPLASE, 30 U 01607 G EPTIFIBATIDE INJECTION, 5 MG 01608 G ETANERCEPT INJECTION, 25 MG 01609 G RHO(D) IMMUNE GLOBULIN H, SD, 100 IU 01611 G HYLAN G-F 20 INJECTION, 16 MG 01612 G DACLIZUMAB, PARENTERAL, 25 MG 01613 G TRASTUZUMAB, 10 MG 01614 G VALRUBICIN, 200 MG 01615 G BASILIXIMAB, 20 MG 01616 G HISTRELIN ACETATE, 0.5 MG 01617 G LEPIRDIN, 50 MG 01618 G VON WILLEBRAND FACTOR, PER IU 01619 G GA 67, PER MCI 01620 G TC 99M BICISATE, PER VIAL 01621 G XE 133, PER MCI 01622 G TC 99M MERTIATIDE, PER VIAL 01623 G TC 99M GLUCEPTATE 01624 G P32 SODIUM, PER MCI 01625 G IN 111 PENTETREOTIDE, PER MCI 01626 G TC 99M OXIDRONATE, PER VIAL 01627 G TC-99 LABELED RED BLOOD CELL, PER TEST 01628 G P32 PHOSPHATE CHROMIC, PER MCI 01700 H AUTHEN MICK TP BRACHY NEEDLE 01701 H MEDTEC MT-BT-5201-25 NDL 01702 H WWMT BRACHYTX NEEDLE 01703 H MENTOR PROSTATE BRACHY 01704 H MT-BT-5001-25/5051-25 01705 H BEST FLEXI BRACHY NEEDLE 01706 H INDIGO PROSTATE SEEDING NDL 01707 H VARISOURCE IMPLT NDL 01708 H UROMED PROSTATE SEED NDL 01709 H REMINGTON BRACHYTX NEEDLE 01710 H US BIOPSY PROSTATE NEEDLE 01711 H MD TECH BRACHYTX NEEDLE 01712 H IMAGYN BRACHYTX NEEDLE 01713 H ANCHOR/SCREW BN/BN,TIS/BN 01714 H ATHERECTOMY SYSTEM 01715 H BRACHYTHERAPY NEEDLES 01716 H BRACHYTX SEED, GOLD 198 01717 H BRACHYTX SEED, HDR IR-192 01718 H BRACHYTX SEED, IODINE 125 01719 H BRACHYTXSEED, NON-HDR IR-192 01720 H BRACHYTX SEED, PALLADIUM 103 01721 H AICD, DUAL CHAMBER 01722 H AICD, SINGLE CHAMBER 01723 H CATH, ABLATION, NON-CORONARY 01724 H CATH, ATHERECTOMY 01725 H CATH, BAL DIL, VASCULAR, COR 01726 H CATH, BAL DIL, VASC, NON-COR 01727 H CATH, TIS DIS, NON-VASC, HERNIA 01728 H CATH, BRACHYTX SEED ADM 01729 H CATH, DRAINAGE, BILIARY 01730 H CATH, EP/MAPPING ONLY 01731 H CATH, EP/MAP/ABL, COR, LSR 01732 H CATH, EP/MAP/ABL,COR,NLSR,HT 01733 H CATH, EP/MAP/ABL,COR,NLSR,CD 01750 H CATH, HEMODIALYSIS 01751 H CATH, INDW, CENTRAL ACCESS 01752 H CATH, INDW,CTRL ACC INT, GW 01753 H CATH, INDW, PERIPH ACCESS 01754 H CATH, INDW,PER ACC INT, GW 01755 H CATH, INTRASPINAL/INTRADISCAL 01756 H CATH, PACING, TRANSESOPH 01757 H CATH, THROMBECTOMY 01758 H CATH, URETERAL 01759 H CATH, VASCULAR IMAGING 01760 H CLOSURE DEV, VASC, IMP/INSERT 01762 H CONN TISS, HUMAN (INC FASCIA) 01763 H CONN TISS, NON-HUMAN 01764 H EVENT RECORDER, CARDIAC 01765 H EXT TRANSMITTER, NEUROSTIM 01766 H EXTRACORPOREAL IMMUNO COLUMN 01767 H GENERATOR, NEUROSTIM, IMP 01768 H GRAFT, VASCULAR 01769 H GUIDE WIRE 01770 H IMAGING COIL, MR, INSERTABLE 01771 H INCONTINENCE, URINARY, RPSYS 01772 H INFUSION PUMP 01773 H RETRIEVAL DEV, INSERT 01774 H INTERNAL RECEIVER, NEUROSTIM 01775 H INTRODUCER/SHEATH 01776 H JOINT DEVICE, HAND, IMP 01777 H LEAD, AICD 01778 H LEAD, NEUROSTIMULATOR 01779 H LEAD, PACEMAKER 01780 H LENS, INTRAOCULAR 01781 H MESH GRAFT, IMP 01782 H MORCELLATOR 01783 H NEUROSTIMULATOR SYSTEM 01784 H OCULAR DEV, INTRAOP, DET RET 01785 H PACEMAKER, DUAL CHAMBER 01786 H PACEMAKER, SINGLE CHAMBER 01787 H PATIENT PROGR, NEUROSTIM 01788 H PORT, INDWELLING, IMP 01789 H PROSTHESIS, BREAST, IMP 01790 H IRIDIUM 192 HDR 01791 H ONCOSEED, RAPID STRAND I-125 01792 H UROMED I-125 BRACHY SEED 01793 H BARD INTERSOURCE P-103 SEED 01794 H BARD ISOSEED P-103 SEED 01795 H BARD BRACHYSOURCE I-125 01796 H SOURCETECH MED I-125 01797 H DRAXIMAGE I-125 SEED 01798 H SYNCOR I-125 PHARMASEED 01799 H I-PLANT I-125 BRACHYTX SEED 01800 H PD-103 BRACHYTX SEED 01801 H IOGOLD I-125 BRACHYTX SEED 01802 H IRIDIUM 192 BRACHYTX SEEDS 01803 H BEST IODINE 125 BRACHYTX SDS 01804 H BEST PALLADIUM 103 SEEDS 01805 H ISOSTAR IODINE-125 SEEDS 01806 H GOLD 198 01810 H D114S DILATATION CATH 01811 H SURGICAL DYNAMICS ANCHORS 01812 H OBL ANCHORS 01813 H PROSTHESIS, PENILE, HYDR 01814 H PROSTHESIS, PENILE, NON-HYDR 01815 H PROS, URINARY SPH, IMP 01816 H RECEIVER/TRANSMITTER, NEURO 01817 H REPAIR SYS, CARDIAC SEP DEF 01818 H STENT GRAFT SYS, BIFURCATED 01819 H STENT GRAFT SYS, UNI-ILIAC 01820 H STENT GRAFT SYS, ENDOTUBE 01850 H REPLIFORM 14/21 SQ CM 01851 H REPLIFORM 24/28 SQ CM 01852 H TRANSCYTE, PER 247 SQ CM 01853 H SUSPEND, PER 8/14 SQ CM 01854 H SUSPEND, PER 24/28 SQ CM 01855 H SUSPEND, PER 36 SQ CM 01856 H SUSPEND, PER 48 SQ CM 01857 H SUSPEND, PER 84 SQ CM 01858 H DURADERM, PER 8/14 SQ CM 01859 H DURADERM, PER 21/24/28 SQ CM 01860 H DURADERM, PER 48 SQ CM 01861 H DURADERM, PER 36 SQ CM 01862 H DURADERM, PER 72 SQ CM 01863 H DURADERM, PER 84 SQ CM 01864 H SPERMATEX,PER 13.44 SQ CM 01865 H FASLATA, PER 8/14 SQ CM 01866 H FASLATA, PER 24/28 SQ CM 01867 H FASLATA, PER 36/48 SQ CM 01868 H FASLATA, PER 96 SQ CM 01869 H GORE THYROPLASTY DEV 01870 H DERMMATRIX, PER 16 SQ CM 01871 H DERMMATRIX, 32 OR 64 SQ CM 01872 H DERMAGRAFT, PER 37.5 SQ CM 01873 H BARD 3DMAX MESH 01874 H STENT W/DEL SYS, COR 01875 H STENT W/O DEL SYS, COR 01876 H STENT W/DEL SYS, NON-COR 01877 H STENT W/O DEL SYS, NON-COR 01878 H SYNTH MAT, VOCAL CORD, IMP 01879 H TISSUE MARKER, IMP 01880 H VENA CAVA FILTER 01881 H DIALYSIS ACC SYS (IMPLANT) 01882 H CARDIO-DEFIB OTH SNGLE/DUAL 01883 H ADAPT/EXT, LEAD OR NEUROSTIM 01884 H UNASSIGNED #4 01885 H CATH, TRANSL ANGIO, LASER 01886 H UNASSIGNED #6 01887 H CATH, GUID (INC INF/PERF) 01888 H UNASSIGNED #8 01889 H UNASSIGNED #9 01890 H UNASSIGNED #10 01891 H INFUS PUMP, NON-PROG, PERM 01892 H INT/SH, GD, COR, EP, FC, PA 01893 H INT/SH, GD, COR, EP, FC, NPA 01894 H INT/SH, NGD, COR, EP, NLS 01895 H LEAD, CARD-DEFIB, ENDO DUAL 01896 H LEAD, CARD-DEFIB, NON S/D 01897 H LEAD, NEURO TEST KIT (IMPL) 01898 H LEAD, PCMKR, OTH TRAN VDD SNGL 01899 H LEAD, PCMKR/CARDIO-DEFIB (IMP) 01900 H UNASSIGNED #348 01929 H MAVERICK PTCA CATH 01930 H COYOTE DIL CATH,20/30/40MM 01931 H TALON DIL CATH 01932 H SCIMED REMEDY DIL CATH 01933 H OPTI-PLAST XL/CENTURION CATH 01934 H ULTRAVERSE 3.5F BAL DIL CATH 01935 H WORKHORSE PTA BAL CATH 01936 H UROMAX ULTRA BAL DIL CATH 01937 H SYNERGY BALLOON DIL CATH 01938 H UROFORCE BAL DIL CATH 01939 H RAPTUR, NINJA PTCA DIL CATH 01940 H POWERFLEX,OPTA 5/LP BAL CATH 01941 H JUPITER PTA DIL CATH 01942 H CORDIS MAXI LD PTA BAL CATH 01943 H RXCROSSSAIL OTW OPENSAIL 01944 H RAPID EXCHANGE BIL DIL CATH 01945 H SAVVY PTA DIL CATH 01946 H R1S RAPID DIL CATH 01947 H GAZELLE BAL DIL CATH 01948 H ORACLE MEGASONICS CATH 01949 H ORACLE MEGASONICS CATH 01979 H VISIONS PV/AVANAR US CATH 01980 H ATLANTIS SR CORONARY CATH 01981 H PTCA CATHETERS 02000 H ORBITER ST STEERABLE CATH 02001 H CONSTELLATION DIAG CATH 02002 H IRVINE 5F INQUIRY DIAG EP CATH 02003 H IRVINE 6F INQUIRY DIAG EP CATH 02004 H BIOSENSE EP CATH--OCTAPOLAR 02005 H BIOSENSE EP CATH--HEXAPOLAR 02006 H BIOSENSE EP CATH--DECAPOLAR 02007 H IRVINE 6F LUMA-CATH EP CATH 02008 H 7F LUMA-CATH EP CATH 81910-15 02009 H IRVINE 7F LUMA-CATH EP CATH 02010 H FIXED CURVE EP CATH 02011 H DEFLECTABLE TIP CATH--QUAD 02012 H CELSIUS ABLN CATH 02013 H CELSIUS LARGE ABLN CATH 02014 H CELSIUS II ASYM ABLN CATH 02015 H CELSIUS II SYM ABLN CATH 02016 H NAVI-STAR DS, NAVI-STAR THER 02017 H NAVI-STAR ABLN CATH 02018 H POLARIS T ABLATION CATH 02019 H EP DEFLECTABLE CATH 02020 H BLAZER II XP ABLN CATH 02021 H SILVERFLEX EP CATH 02022 H CP CHILLI COOLED ABLN CATH 02023 H CHILLI CLD ABLNCATH-STD,LG 02100 H CP CS REFERENCE CATH 02101 H CP RV REFERENCE CATH 02102 H CP RADII 7F EP CATH 02103 H CP RADII 7F EP CATH W/TRACK 02104 H LASSO DEFLECTABLE CATH 02151 H VERIPATH GUIDING CATH 02152 H CORDIS VISTA BRITE TIP CATH 02153 H BARD VIKING CATH 02200 H ARROW-TREROTOLA PTD CATH 02300 H VARISOURCE STND CATH 02597 H CLINICATH/KIT 16/18 SGL/DBL 02598 H CLINICATH 18/20/24G-SINGLE 02599 H CLINICATH 16/18G-DOUBLE 02601 H BARD DL URETERAL CATH 02602 H VITESSE LASER CATH 1.4/1.7MM 02603 H VITESSE LASER CATH 2.0MM 02604 H VITESSE E LASER CATH 2.0MM 02605 H EXTREME LASER CATHETER 02606 H SPINECATH XL CATHETER 02607 H SPINECATH INTRADISCAL CATH 02608 H SCIMED 6F WISEGUIDE CATH 02609 H FLEXIMA BIL DRAINAGE CATH 02610 H FLEXTIPPLUS INTRASPINAL CATH 02611 H ALGOLINE INTRASPINAL CATH 02612 H INDURA CATHETER 02615 H SEAL, PULM, LIQUID (IMPL) 02616 H BRACHYTX SEED, YTTRIUM-90 02617 H STENT, NON-COR, TEMP W/O DS 02618 H PROBE, CRYOABLATION 02619 H PCMKR, DUAL, NON-RATE (IMPL) 02620 H PCMKR, SING, NON-RATE (IMPL) 02621 H PCMKR, OTH SING/DUAL (IMP) 02622 H PROS, PENILE, NON-INFLATABLE 02623 H UNASSIGNED #28 02624 H UNASSIGNED #29 02625 H STENT, NON-COR, TEMP W/DS 02626 H INFUS PUMP, NON-PROG, TEMP 02627 H CATH, SUPRAPUBIC/CYSTOSCOPIC 02628 H CATHETER, OCCLUSION 02629 H INT/SH, NGD, COR, EP, LAS 02630 H CATH, EP/MAP/ABL,COR,LSR,CD 02631 H INCONT, URIN, RPSYS W/O GRAFT 02632 H UNASSIGNED #37 02633 H UNASSIGNED #38 02634 H UNASSIGNED #39 02635 H UNASSIGNED #40 02636 H UNASSIGNED #41 02637 H UNASSIGNED #42 02638 H UNASSIGNED #43 02639 H UNASSIGNED #44 02640 H UNASSIGNED #45 02641 H UNASSIGNED #46 02642 H UNASSIGNED #47 02643 H UNASSIGNED #48 02644 H UNASSIGNED #49 02645 H UNASSIGNED #50 02646 H UNASSIGNED #51 02647 H UNASSIGNED #52 02648 H UNASSIGNED #53 02649 H UNASSIGNED #54 02650 H UNASSIGNED #55 02651 H UNASSIGNED #56 02652 H UNASSIGNED #57 02653 H UNASSIGNED #58 02654 H UNASSIGNED #59 02655 H UNASSIGNED #60 02656 H UNASSIGNED #61 02657 H UNASSIGNED #62 02658 H UNASSIGNED #63 02659 H UNASSIGNED #64 02660 H UNASSIGNED #65 02661 H UNASSIGNED #66 02662 H UNASSIGNED #67 02663 H UNASSIGNED #68 02664 H UNASSIGNED #69 02665 H UNASSIGNED #70 02666 H UNASSIGNED #71 02667 H UNASSIGNED #72 02668 H UNASSIGNED #73 02669 H UNASSIGNED #74 02670 H UNASSIGNED #75 02671 H UNASSIGNED #76 02672 H UNASSIGNED #77 02673 H UNASSIGNED #78 02674 H UNASSIGNED #79 02675 H UNASSIGNED #80 02700 H MYCROPHYLAX PLUS SC DEFIB 02701 H PHYLAX XM SC DEFIB 02702 H VENTAK PRIZM 2 VR DEFIB 02703 H VENTAK PRIZM VR HE DEFIB 02704 H VENTAK MINI IV+ DEFIB 02705 H UNASSIGNED #81 02706 H UNASSIGNED #82 02707 H UNASSIGNED #83 02708 H UNASSIGNED #84 02709 H UNASSIGNED #85 02710 H UNASSIGNED #86 02711 H UNASSIGNED #87 02712 H UNASSIGNED #88 02713 H UNASSIGNED #89 02714 H UNASSIGNED #90 02715 H UNASSIGNED #91 02716 H UNASSIGNED #92 02717 H UNASSIGNED #93 02718 H UNASSIGNED #94 02719 H UNASSIGNED #95 02720 H UNASSIGNED #96 02721 H UNASSIGNED #97 02722 H UNASSIGNED #98 02723 H UNASSIGNED #99 02724 H UNASSIGNED #100 02725 H UNASSIGNED #101 02801 H DEFENDER IV DR 612 DC DEFIB 02802 H PHYLAX AV DC DEFIB 02803 H VENTAK PRIZM DR HE DEFIB 02804 H VENTAK PRIZM 2 DR DEFIB 02805 H JEWEL AF 7250 DEFIB 02806 H GEM VR 7227 DEFIB 02807 H CONTAK CD 1823 02808 H CONTAK TR 1241 02809 H UNASSIGNED #102 02810 H UNASSIGNED #103 02811 H UNASSIGNED #104 02812 H UNASSIGNED #105 02813 H UNASSIGNED #106 02814 H UNASSIGNED #107 02815 H UNASSIGNED #108 02816 H UNASSIGNED #109 02817 H UNASSIGNED #110 02818 H UNASSIGNED #111 02819 H UNASSIGNED #112 02820 H UNASSIGNED #113 02821 H UNASSIGNED #114 02822 H UNASSIGNED #115 02823 H UNASSIGNED #116 02824 H UNASSIGNED #117 02825 H UNASSIGNED #118 02826 H UNASSIGNED #119 02827 H UNASSIGNED #120 02828 H UNASSIGNED #121 02829 H UNASSIGNED #122 03001 H KAINOX SL/RV DEFIB LEAD 03002 H EASYTRAK DEFIB LEAD 03003 H ENDOTAK SQ ARAY XP LEAD 03004 H INTERVENE DEFIB LEAD 03005 H UNASSIGNED #123 03006 H UNASSIGNED #124 03007 H UNASSIGNED #125 03008 H UNASSIGNED #126 03009 H UNASSIGNED #127 03010 H UNASSIGNED #128 03011 H UNASSIGNED #129 03012 H UNASSIGNED #130 03013 H UNASSIGNED #131 03014 H UNASSIGNED #132 03015 H UNASSIGNED #133 03016 H UNASSIGNED #134 03017 H UNASSIGNED #135 03018 H UNASSIGNED #136 03019 H UNASSIGNED #137 03020 H UNASSIGNED #138 03021 H UNASSIGNED #139 03022 H UNASSIGNED #140 03023 H UNASSIGNED #141 03024 H UNASSIGNED #142 03025 H UNASSIGNED #143 03400 H SILTEX SPECTRUM,CONTOUR PROF 03401 H SALINE-FILLED SPECTRUM 03500 H MENTOR ALPHA I INF PENILE PROS 03510 H AMS 800 URINARY PROS 03551 H CHOICE/PT GRAPHIX/LUGE/TROOPER 03552 H HI-TORQUE WHISPER 03553 H CORDIS GUIDEWIRES 03554 H JINDO GUIDEWIRE 03555 H WHOLEY HI-TORQUE PLUS GW 03556 H WAVE/FLOWWIRE GUIDEWIRE 03557 H HYTEK GUIDEWIRE 03558 H UNASSIGNED #144 03559 H UNASSIGNED #145 03560 H UNASSIGNED #146 03561 H UNASSIGNED #147 03562 H UNASSIGNED #148 03563 H UNASSIGNED #149 03564 H UNASSIGNED #150 03565 H UNASSIGNED #151 03566 H UNASSIGNED #152 03567 H UNASSIGNED #153 03568 H UNASSIGNED #154 03569 H UNASSIGNED #155 03570 H UNASSIGNED #156 03571 H UNASSIGNED #157 03572 H UNASSIGNED #158 03573 H UNASSIGNED #159 03574 H UNASSIGNED #160 03575 H UNASSIGNED #161 03576 H UNASSIGNED #162 03577 H UNASSIGNED #163 03578 H UNASSIGNED #164 03800 H SYNCHROMED EL INFUSION PUMP 03801 H ARROW/MICROJECT PCA SYS 03851 H ELASTIC UV IOL AA-4203T/TF/TL 04000 H OPUS G 4621, 4624 SC PMKR 04001 H OPUS S 4121/4124 SC PMKR 04002 H TALENT 113 SC PMKR 04003 H KAIROS SR SC PMKR 04004 H ACTROS SR, ACTROS SLR SC PMKR 04005 H PHILOS SR/SR-B SC PMKR 04006 H PULSAR MAX II SR PMKR 04007 H MARATHON SR PMKR 04008 H DISCOVERY II SSI PMKR 04009 H DISCOVERY II SR PMKR 04010 H UNASSIGNED #165 04011 H UNASSIGNED #166 04012 H UNASSIGNED #167 04013 H UNASSIGNED #168 04014 H UNASSIGNED #169 04015 H UNASSIGNED #170 04016 H UNASSIGNED #171 04017 H UNASSIGNED #172 04018 H UNASSIGNED #173 04019 H UNASSIGNED #174 04020 H UNASSIGNED #175 04021 H UNASSIGNED #176 04022 H UNASSIGNED #177 04023 H UNASSIGNED #178 04024 H UNASSIGNED #179 04025 H UNASSIGNED #180 04026 H UNASSIGNED #181 04027 H UNASSIGNED #182 04028 H UNASSIGNED #183 04029 H UNASSIGNED #184 04030 H UNASSIGNED #185 04031 H UNASSIGNED #186 04032 H UNASSIGNED #187 04033 H UNASSIGNED #188 04034 H UNASSIGNED #189 04035 H UNASSIGNED #190 04300 H INTEGRITY AFX DR 5342 PMKR 04301 H INTEGRITY AFX DR 5346 PMKR 04302 H AFFINITY VDR 5430 PMKR 04303 H BRIO 112 DC PMKR 04304 H BRIO 212, TALENT 213/223 DC PMKR 04305 H BRIO 222 DC PMKR 04306 H BRIO 220 DC PMKR 04307 H KAIROS DR DC PMKR 04308 H INOS2, INOS2+ DC PMKR 04309 H ACTROS DR,D,DR-A,SLR DC PMKR 04310 H ACTROS DR-B DC PMKR 04311 H PHILOS DR/DR-B/SLR DC PMKR 04312 H PULSAR MAX II DR PMKR 04313 H MARATHON DR PMKR 04314 H MOMENTUM DR PMKR 04315 H SELECTION AFM PMKR 04316 H DISCOVERY II DR 04317 H DISCOVERY II DDD 04318 H UNASSIGNED #191 04319 H UNASSIGNED #192 04320 H UNASSIGNED #193 04321 H UNASSIGNED #194 04322 H UNASSIGNED #195 04323 H UNASSIGNED #196 04324 H UNASSIGNED #197 04325 H UNASSIGNED #198 04326 H UNASSIGNED #199 04327 H UNASSIGNED #200 04328 H UNASSIGNED #201 04329 H UNASSIGNED #202 04330 H UNASSIGNED #203 04331 H UNASSIGNED #204 04332 H UNASSIGNED #205 04333 H UNASSIGNED #206 04334 H UNASSIGNED #207 04335 H UNASSIGNED #208 04600 H SNYNOX,POLYROX,ELOX,RETROX 04602 H TENDRIL SDX, 1488K PMKR LEAD 04603 H OSCOR/FLEXION PMKR LEAD 04604 H CRYSTALLINEACTFIX,CAPSUREFIX 04605 H CAPSURE EPI PMKR LEAD 04606 H FLEXTEND PMKR LEAD 04607 H FINELINEII/EZ, THINLINEII/EZ 04608 H UNASSIGNED #209 04609 H UNASSIGNED #210 04610 H UNASSIGNED #211 04611 H UNASSIGNED #212 04612 H UNASSIGNED #213 04613 H UNASSIGNED #214 04614 H UNASSIGNED #215 04615 H UNASSIGNED #216 04616 H UNASSIGNED #217 04617 H UNASSIGNED #218 04618 H UNASSIGNED #219 04619 H UNASSIGNED #220 04620 H UNASSIGNED #221 04621 H UNASSIGNED #222 04622 H UNASSIGNED #223 04623 H UNASSIGNED #224 04624 H UNASSIGNED #225 04625 H UNASSIGNED #226 04626 H UNASSIGNED #227 04627 H UNASSIGNED #228 04628 H UNASSIGNED #229 04629 H UNASSIGNED #230 04630 H UNASSIGNED #231 04631 H UNASSIGNED #232 04632 H UNASSIGNED #233 04633 H UNASSIGNED #234 04634 H UNASSIGNED #235 04635 H UNASSIGNED #236 05000 H BX VELOCITY W/HEPACOAT 05001 H MEMOTHERM BIL STENT, SM, MED 05002 H MEMOTHERM BIL STENT, LARGE 05003 H MEMOTHERM BIL STENT, X-LARGE 05004 H PALMAZCORINTHIAN IQ BIL STENT 05005 H PALMAZCORINTHIAN IQ TRANS/BIL 05006 H PALMAZTRANS BIL STENT SYS-MED 05007 H PALMAZTRANS XL BIL STENT--40MM 05008 H PALMAZTRANS XL BIL STENT--50MM 05009 H VISTAFLEX BILIARY STENT 05010 H RAPID EXCHANGE BIL STENT SYS 05011 H INTRASTENT, INTRASTENT LP 05012 H INTRASTENT DOUBLESTRUT LD 05013 H INTRASTENT DOUBLESTRUT, XS 05014 H AVE BRIDGE STENT SYS-10/17/28 05015 H AVE/X3 BRIDGE SYS, 40-100 05016 H BILIARY STENT SINGLE USE COV 05017 H WALLSTENTRP BIL--20/40/60/68MM 05018 H WALLSTENTRP BIL--80/94MM 05019 H FLEXIMA BIL STENT SYS 05020 H SMART NITINOL STENT--20MM 05021 H SMART NITINOL STENT--40/60MM 05022 H SMART NITINOL STENT--80MM 05023 H BX VELOCITY STENT--8/13MM 05024 H BX VELOCITY STENT 05025 H BX VELOCITY STENT--23MM 05026 H BX VELOCITY STENT--28/33MM 05027 H BX VELOCITY W/HEP--8/13MM 05028 H BX VELOCITY W/HEP--18MM 05029 H BX VELOCITY W/HEP--23MM 05030 H STENT, CORONARY, S660 9/12MM 05031 H STENT,CORONARY, S660 15/18MM 05032 H STENT,CORONARY, S660 24/30MM 05033 H NIROYAL STENT SYS, 9MM 05034 H NIROYAL STENT SYS, 12/15MM 05035 H NIROYAL STENT SYS, 18MM 05036 H NIROYAL STENT SYS, 25MM 05037 H NIROYAL STENT SYS, 31MM 05038 H BX VELOCITY STENT W/RAPTOR 05039 H INTRACOIL PERIPH STENT--40MM 05040 H INTRACOIL PERIPH STENT--60MM 05041 H BESTENT OVER-THE-WIRE 24/30MM 05042 H BESTENT OVER-THE-WIRE 18MM 05043 H BESTENT OVER-THE-WIRE 15MM 05044 H BESTENT OVER-THE-WIRE 9/12MM 05045 H MULTILINK TETRA COR STENT SYS 05046 H RADIUS 20MM COR STENT 05047 H NIROYAL ELITE COR STENT SYS 05048 H GR II CORONARY STENT 05052 H UNASSIGNED #237 05053 H UNASSIGNED #238 05054 H UNASSIGNED #239 05055 H UNASSIGNED #240 05056 H UNASSIGNED #241 05057 H UNASSIGNED #242 05058 H UNASSIGNED #243 05059 H UNASSIGNED #244 05060 H UNASSIGNED #245 05061 H UNASSIGNED #246 05062 H UNASSIGNED #247 05063 H UNASSIGNED #248 05064 H UNASSIGNED #249 05065 H UNASSIGNED #250 05066 H UNASSIGNED #251 05067 H UNASSIGNED #252 05068 H UNASSIGNED #253 05069 H UNASSIGNED #254 05070 H UNASSIGNED #255 05071 H UNASSIGNED #256 05072 H UNASSIGNED #257 05130 H WILSON-COOK COLONIC Z-STENT 05131 H BARD COLORECTAL STENT-60MM 05132 H BARD COLORECTAL STENT-80MM 05133 H BARD COLORECTAL STENT-100MM 05134 H ENTERAL WALLSTENT--90MM 05279 H CONTOUR/PERCUFLEX STENT 05280 H INLAY DBL URETERAL STENT 05281 H WALLGRAFT TRACH SYS 70MM 05282 H WALLGRAFT TRACH SYS 20/30/50 05283 H WALLSTENT/RP TIPS --80MM 05284 H WALLSTENT TRACHULTRAFLEX 05600 H CLOSURE DEV, VASOSEAL ES 05601 H VASOSEAL 1000 05602 H UNASSIGNED #258 05603 H UNASSIGNED #259 05604 H UNASSIGNED #260 05605 H UNASSIGNED #261 06001 H COMPOSIX MESH 8/21 IN 06002 H COMPOSIX MESH 32 IN 06003 H COMPOSIX MESH 48 IN 06004 H COMPOSIX MESH 80 IN 06005 H COMPOSIX MESH 140 IN 06006 H COMPOSIX MESH 144 IN 06012 H PELVICOL COLLAGEN 8/14 SQ CM 06013 H PELVICOL COLLAGEN 21/24/28 SQ CM 06014 H PELVICOL COLLAGEN 36 SQ CM 06015 H PELVICOL COLLAGEN 48 SQ CM 06016 H PELVICOL COLLAGEN 96 SQ CM 06017 H GORE-TEX DUALMESH 75/96 SQ CM 06018 H GORE-TEX DUALMESH 150 SQ CM 06019 H GORE-TEX DUALMESH 285 SQ CM 06020 H GORE-TEX DUALMESH 432 SQ CM 06021 H GORE-TEX DUALMESH 600 SQ CM 06022 H GORE-TEX DUALMESH 884 SQ CM 06023 H GORE-TEXPLUS 1MM, 75/96SQ CM 06024 H GORE-TEXPLUS 1MM, 150SQ CM 06025 H GORE-TEXPLUS 1MM, 285SQ CM 06026 H GORE-TEXPLUS 1MM, 432SQ CM 06027 H GORE-TEXPLUS 1MM, 600SQ CM 06028 H GORE-TEXPLUS 1MM, 884 SQ CM 06029 H GORE-TEXPLUS 2MM, 150 SQ CM 06030 H GORE-TEXPLUS 2MM, 285 SQ CM 06031 H GORE-TEXPLUS 2MM, 432 SQ CM 06032 H GORE-TEXPLUS 2MM, 600 SQ CM 06033 H GORE-TEXPLUS 2MM, 884 SQ CM 06034 H BARD EPTFE: 15 SQ CM--2MM 06035 H BARD EPTFE150SQCM-1MM,75-2MM 06036 H BARD EPTFE: 50/75SQCM-1,2MM 06037 H BARD EPTFE: 300SQ CM-1,2MM 06038 H BARD EPTFE: 600SQ CM-1MM 06039 H BARD EPTFE: 884SQ CM-1MM 06040 H BARD EPTFE: 600SQ CM-2MM 06041 H BARD EPTFE: 884SQ CM-2MM 06050 H FEMALE SLING SYS W/WO MATRL 06051 H STRATASIS SLING, 20/40 CM 06052 H STRATASIS SLING, 60 CM 06053 H SURGISIS SOFT GRAFT 06054 H SURGISIS ENCHANCED GRAFT 06055 H SURGISIS ENHANCED TISSUE 06056 H SURGISIS SOFT TISSUE GRAFT 06057 H SURGISIS HERNIA GRAFT 06058 H SURGIPRO HERNIA PLUG,MED/LG 06080 H MALE SLING SYS W/WO MATRL 06200 H EXXCEL SFT EPTFE VAS GRAFT 06201 H IMPRA VENAFLO-10/20CM 06202 H IMPRA VENAFLO-30/40CM 06203 H IMPRA VENAFLO-50CM/VT45 06204 H IMPRA VENAFLO-STEPPED 06205 H IMPRA CARBOFLO-10CM 06206 H IMPRA CARBOFLO-20CM 06207 H IMPRA CARBOFLO-30/34/40CM 06208 H IMPRA CARBOFLO-40/50CM 06209 H IMPRA CARBOFLO-CTRFLEX 06210 H EXXCEL EPTFE VAS GRAFT 06300 H VANGUARD III ENDOVAS GRAFT 06500 H PREFACE GUIDING SHEATH 06501 H SOFT TIP SHEATHS 06502 H PERRY EXCHANGE DILATOR 06525 H SPECTRANETICS LASER SHEATH 06600 H MICRO LITHO FLEX PROBES 06650 H FAST-CATH GUIDING INTRODUCER 06651 H SEAL-AWAYGUIDING INTRODUCER 06652 H BARD EXCALIBUR INTRODUCER 06653 H UNASSIGNED #262 06654 H UNASSIGNED #263 06655 H UNASSIGNED #264 06656 H UNASSIGNED #265 06657 H UNASSIGNED #266 06658 H UNASSIGNED #267 06659 H UNASSIGNED #268 06660 H UNASSIGNED #269 06700 H FOCAL SEAL-L 06701 H UNASSIGNED #270 06702 H UNASSIGNED #271 06703 H UNASSIGNED #272 06704 H UNASSIGNED #273 06705 H UNASSIGNED #274 06706 H UNASSIGNED #275 06707 H UNASSIGNED #276 06708 H UNASSIGNED #277 06709 H UNASSIGNED #278 06710 H UNASSIGNED #279 06711 H UNASSIGNED #280 06712 H UNASSIGNED #281 06713 H UNASSIGNED #282 06714 H UNASSIGNED #283 06715 H UNASSIGNED #284 06716 H UNASSIGNED #285 06717 H UNASSIGNED #286 06718 H UNASSIGNED #287 06719 H UNASSIGNED #288 06720 H UNASSIGNED #289 06721 H UNASSIGNED #290 06722 H UNASSIGNED #291 06723 H UNASSIGNED #292 06724 H UNASSIGNED #293 06725 H UNASSIGNED #294 06726 H UNASSIGNED #295 06727 H UNASSIGNED #296 06728 H UNASSIGNED #297 06729 H UNASSIGNED #298 06730 H UNASSIGNED #299 06731 H UNASSIGNED #300 06732 H UNASSIGNED #301 06733 H UNASSIGNED #302 06734 H UNASSIGNED #303 06735 H UNASSIGNED #304 06736 H UNASSIGNED #305 06737 H UNASSIGNED #306 06738 H UNASSIGNED #307 06739 H UNASSIGNED #308 06740 H UNASSIGNED #309 06741 H UNASSIGNED #310 06742 H UNASSIGNED #311 06743 H UNASSIGNED #312 06744 H UNASSIGNED #313 06745 H UNASSIGNED #314 06746 H UNASSIGNED #315 06747 H UNASSIGNED #316 06748 H UNASSIGNED #317 06749 H UNASSIGNED #318 06750 H UNASSIGNED #319 06751 H UNASSIGNED #320 06752 H UNASSIGNED #321 06753 H UNASSIGNED #322 06754 H UNASSIGNED #323 06755 H UNASSIGNED #324 06756 H UNASSIGNED #325 06757 H UNASSIGNED #326 06758 H UNASSIGNED #327 06759 H UNASSIGNED #328 06760 H UNASSIGNED #329 06761 H UNASSIGNED #330 06762 H UNASSIGNED #331 06763 H UNASSIGNED #332 06764 H UNASSIGNED #333 06765 H UNASSIGNED #334 06766 H UNASSIGNED #335 06767 H UNASSIGNED #336 06768 H UNASSIGNED #337 06769 H UNASSIGNED #338 06770 H UNASSIGNED #339 06771 H UNASSIGNED #340 06772 H UNASSIGNED #341 06773 H UNASSIGNED #342 06774 H UNASSIGNED #343 06775 H UNASSIGNED #344 07000 G AMIFOSTINE, 500 MG 07001 G AMPHOTERICIN B LIPID COMPLEX, 50 MG 07003 G EPOPROSTENOL INJECTION 0.5 MG 07005 G GONADORELIN HYDROCH, 100 MCG 07007 K MILRINONE LACTATE, PER 5 ML, INJ 07010 G MORPHINE SULFATE (PRESERVATIVE FREE) 10 MG 07011 G OPRELVEKIN INJECTION, 5 MG 07014 G FENTANYL CITRATE INJ UP 2 ML 07015 G BUSULFAN, ORAL, 2 MG 07019 G APROTININ, 10,000 KIU 07022 G ELLIOT'S B SOLUTION, PER ML 07023 G TREATMENT FOR BLADDER CALCULI, PER 500 ML 07024 G CORTICORELIN OVINE TRIFLUTATE, PER 0.1 MG 07025 G DIGOXIN IMMUNE FAB (OVINE), 40 MG VIAL 07026 G ETHANOLAMINE OLEATE, 100 MG 07027 G FOMEPIZOLE, 1.5 MG 07028 G FOSPHENYTOIN, 50 MG 07029 G GLATIRAMER ACETATE, 20 MG 07030 G HEMIN, 1 MG 07031 G OCTREOTIDE ACETATE INJECTION 1MG 07032 G SERMORELIN ACETATE, 0.5 MG 07033 G SOMATREM, 5 MG 07034 G SOMATROPIN, 1 MG (ANY DERIVATION) 07035 G TENIPOSIDE, 50 MG 07036 K UROKINASE, INJ, IV, 250,000 I.U. 07037 G UROFOLLITROPIN, 75 I.U. 07038 G MUROMONAB-CD3, 5 MG 07039 G PEGADEMASE BOVINE INJ 25 I.U 07040 G PENTASTARCH 10% INJ, 100 ML 07041 G TIROFIBAN HYDROCHLORIDE 12.5 MG 07042 G CAPECITABINE, ORAL, 150 MG 07043 G INFLIXIMAB INJECTION 10 MG 07045 G TRIMETREXATE GLUCORONATE 25 MG 07046 G DOXORUBICIN HCL LIPOSOME INJ 10 MG 07047 G DROPERIDOL/FENTANYL INJ 07048 K ALTEPLASE RECOMBINANT 07049 G FILGRASTIM 480 MCG INJECTION 07315 G SODIUM HYALURONATE, 20 MG 08099 H SPECTRANETICS LEAD LOCK DEV 08100 H ADHESION BARRIER, ADCON-L 08102 H SURGIVISION ESOPH COIL 09000 G NA CHROMATE CR51, PER 0.25MCI 09001 J LINEZOLID INJ, 200MG 09002 J TENECTEPLASE, 50MG/VIAL 09003 J PALIVIZUMAB, PER 50MG 09004 J GEMTUZUMAB OZOGAMICIN INJ,5MG 09005 G RETEPLASE INJ, HALF-KIT 18.1 09006 J TACROLIMUS INJ, PER 5MG (1 AMP) 09007 G BACLOFEN INTRATHECAL KIT-1AMP 09008 G BACLOFEN REFILL KIT--500MCG 09009 G BACLOFEN REFILL KIT--2000MCG 09010 G BACLOFEN REFILL KIT--4000MCG 09011 G CAFFEINE CITRATE, INJ, 1ML 09012 G ARSENIC TRIOXIDE, 1MG/KG 09013 G CO 57 COBALTOUS CL, 1 ML 09017 G LOMUSTINE, 10 MG 09018 G UNASSIGNED #345 09019 G UNASSIGNED #346 09020 G UNASSIGNED #347 09100 G IODINATED I-131 ALBUMIN 09102 G 51 NA CHROMATE, 50MCI 09103 G NA IOTHALAMATE I-125, 10UCI 09104 G ANTI-THYMOCYTE GLOBULIN,25MG 09105 G HEP B IMM GLOB, PER 1 ML 09106 J SIROLIMUS 1MG/ML 09107 J TINZAPARIN SODIUM, 2ML VIAL 09108 G THYROTROPIN ALFA, 1.1 MG 09109 G TIROFLIBAN HCL, 6.25 MG 09217 G LEUPROLIDE ACETATE SUSPNSION 09500 K PLATELETS, IRRAD, EA UNIT 09501 K PLATELETS, PHERESIS, EA UNIT 09502 K PLATELETS, PHER/IRRAD, EA UNIT 09503 K FRESH FROZEN PLASMA, EA UNIT 09504 K RBC, DEGLYCEROLIZED, EA UNIT 09505 K RBC, IRRADIATED, EA UNIT 09998 G INJ ENOXAPARIN SODIUM
