A4216

$0.38

Sterile water/saline, 10 ml

A4217

$2.66

Sterile water/saline, 500 ml

A4217

AU

$2.66

Sterile water/saline, 500 ml

A4221

$22.26

Maint drug infus cath per wk

A4222

$44.17

Infusion supplies with pump

A4233

NU

$0.80

Alkalin batt for glucose mon

A4234

NU

$3.63

J-cell batt for glucose mon

A4235

NU

$2.34

Lithium batt for glucose mon

A4236

NU

$1.68

Silvr oxide batt glucose mon

A4253

NU

$34.70

Blood glucose/reagent strips

A4255

$4.11

Glucose monitor platforms

A4256

$11.44

Calibrator solution/chips

A4257

$12.75

Replace Lensshield Cartridge

A4258

$17.75

Lancet device each

A4259

$10.88

Lancets per box

A4265

$3.39

Paraffin

A4280

$5.05

Brst prsths adhsv attchmnt

A4310

$6.56

Insert tray w/o bag/cath

A4311

$12.61

Catheter w/o bag 2-way latex

A4312

$15.33

Cath w/o bag 2-way silicone

A4313

$15.74

Catheter w/bag 3-way

A4314

$21.50

Cath w/drainage 2-way latex

A4315

$22.43

Cath w/drainage 2-way silcne

A4316

$24.14

Cath w/drainage 3-way

A4320

$5.33

Irrigation tray

A4321

$0.00

Cath therapeutic irrig agent

A4322

$2.65

Irrigation syringe

A4326

$10.79

Male external catheter

A4327

$44.62

Fem urinary collect dev cup

A4328

$9.88

Fem urinary collect pouch

A4330

$6.93

Stool collection pouch

A4331

$3.18

Extension drainage tubing

A4332

$0.12

Lube sterile packet

A4333

$2.20

Urinary cath anchor device

A4334

$4.93

Urinary cath leg strap

A4338

$12.26

Indwelling catheter latex

A4340

$31.75

Indwelling catheter special

A4344

$13.62

Cath indw foley 2 way silicn

A4346

$16.65

Cath indw foley 3 way

A4349

$2.02

Disposable male external cat

A4351

$1.54

Straight tip urine catheter

A4352

$6.42

Coude tip urinary catheter

A4353

$7.00

Intermittent urinary cath

A4354

$11.09

Cath insertion tray w/bag

A4355

$7.57

Bladder irrigation tubing

A4356

$38.79

Ext ureth clmp or compr dvc

A4357

$8.25

Bedside drainage bag

A4358

$5.64

Urinary leg or abdomen bag

A4361

$18.37

Ostomy face plate

A4362

$3.46

Solid skin barrier

A4363

$2.36

Ostomy clamp, replacement

A4364

$2.93

Adhesive, liquid or equal

A4365

$11.32

Adhesive remover wipes

A4366

$1.30

Ostomy vent

A4367

$6.90

Ostomy belt

A4368

$0.26

Ostomy filter

A4369

$2.06

Skin barrier liquid per oz

A4371

$3.60

Skin barrier powder per oz

A4372

$4.18

Skin barrier solid 4x4 equiv

A4373

$6.28

Skin barrier with flange

A4375

$17.18

Drainable plastic pch w fcpl

A4376

$47.58

Drainable rubber pch w fcplt

A4377

$4.29

Drainable plstic pch w/o fp

A4378

$30.75

Drainable rubber pch w/o fp

A4379

$15.02

Urinary plastic pouch w fcpl

A4380

$37.33

Urinary rubber pouch w fcplt

A4381

$4.61

Urinary plastic pouch w/o fp

A4382

$24.62

Urinary hvy plstc pch w/o fp

A4383

$28.19

Urinary rubber pouch w/o fp

A4384

$9.62

Ostomy faceplt/silicone ring

A4385

$5.10

Ost skn barrier sld ext wear

A4387

$0.00

Ost clsd pouch w att st barr

A4388

$4.36

Drainable pch w ex wear barr

A4389

$6.22

Drainable pch w st wear barr

A4390

$9.61

Drainable pch ex wear convex

A4391

$7.07

Urinary pouch w ex wear barr

A4392

$8.18

Urinary pouch w st wear barr

A4393

$9.04

Urine pch w ex wear bar conv

A4394

$2.58

Ostomy pouch liq deodorant

A4395

$0.05

Ostomy pouch solid deodorant

A4396

$40.48

Peristomal hernia supprt blt

A4397

$4.79

Irrigation supply sleeve

A4398

$13.81

Ostomy irrigation bag

A4399

$10.42

Ostomy irrig cone/cath w brs

A4400

$48.87

Ostomy irrigation set

A4402

$1.39

Lubricant per ounce

A4404

$1.69

Ostomy ring each

A4405

$3.40

Nonpectin based ostomy paste

A4406

$5.74

Pectin based ostomy paste

A4407

$8.76

Ext wear ost skn barr <=4sqö

A4408

$9.87

Ext wear ost skn barr >4sqö

A4409

$6.22

Ost skn barr convex <=4 sq i

A4410

$9.04

Ost skn barr extnd >4 sq

A4411

$5.10

Ost skn barr extnd =4sq

A4412

$2.70

Ost pouch drain high output

A4413

$5.50

2 pc drainable ost pouch

A4414

$4.93

Ost sknbar w/o conv<=4 sq in

A4415

$6.00

Ost skn barr w/o conv >4 sqi

A4416

$2.75

Ost pch clsd w barrier/filtr

A4417

$3.72

Ost pch w bar/bltinconv/fltr

A4418

$1.81

Ost pch clsd w/o bar w filtr

A4419

$1.74

Ost pch for bar w flange/flt

A4420

$0.00

Ost pch clsd for bar w lk fl

A4422

$0.12

Ost pouch absorbent material

A4423

$1.86

Ost pch for bar w lk fl/fltr

A4424

$4.75

Ost pch drain w bar & filter

A4425

$3.58

Ost pch drain for barrier fl

A4426

$2.73

Ost pch drain 2 piece system

A4427

$2.78

Ost pch drain/barr lk flng/f

A4428

$6.51

Urine ost pouch w faucet/tap

A4429

$8.25

Urine ost pouch w bltinconv

A4430

$8.52

Ost urine pch w b/bltin conv

A4431

$6.22

Ost pch urine w barrier/tapv

A4432

$3.59

Os pch urine w bar/fange/tap

A4433

$3.34

Urine ost pch bar w lock fln

A4434

$3.76

Ost pch urine w lock flng/ft

A4450

AU

$0.09

Non-waterproof tape

A4450

AV

$0.09

Non-waterproof tape

A4450

AW

$0.11

Non-waterproof tape

A4452

AU

$0.36

Waterproof tape

A4452

AV

$0.36

Waterproof tape

A4452

AW

$0.40

Waterproof tape

A4455

$1.43

Adhesive remover per ounce

A4461

$3.29

Surgicl dress hold non-reuse

A4463

$0.00

Surgical dress holder reuse

A4481

$0.38

Tracheostoma filter

A4483

$0.00

Moisture exchanger

A4556

$10.32

Electrodes, pair

A4557

$21.10

Lead wires, pair

A4558

$5.45

Conductive gel or paste

A4559

$0.00

Coupling gel or paste

A4561

$19.43

Pessary rubber, any type

A4562

$48.37

Pessary, non rubber,any type

A4595

$28.35

TENS suppl 2 lead per month

A4604

NU

$66.81

Tubing with heating element

A4605

NU

$16.40

Trach suction cath close sys

A4608

$58.15

Transtracheal oxygen cath

A4611

NU

$166.98

Heavy duty battery

A4611

RR

$17.31

Heavy duty battery

A4611

UE

$125.24

Heavy duty battery

A4612

NU

$79.93

Battery cables

A4612

RR

$8.14

Battery cables

A4612

UE

$60.95

Battery cables

A4613

NU

$144.21

Battery charger

A4613

RR

$14.43

Battery charger

A4613

UE

$104.29

Battery charger

A4614

$23.78

Hand-held PEFR meter

A4618

NU

$7.56

Breathing circuits

A4618

RR

$0.87

Breathing circuits

A4618

UE

$5.67

Breathing circuits

A4619

$1.21

Face tent

A4623

$5.57

Tracheostomy inner cannula

A4624

NU

$2.63

Tracheal suction tube

A4625

$5.89

Trach care kit for new trach

A4626

$2.71

Tracheostomy cleaning brush

A4628

NU

$3.65

Oropharyngeal suction cath

A4629

$4.61

Tracheostomy care kit

A4630

NU

$6.25

Repl bat t.e.n.s. own by pt

A4633

NU

$41.04

Uvl replacement bulb

A4635

NU

$4.35

Underarm crutch pad

A4635

RR

$0.69

Underarm crutch pad

A4635

UE

$2.90

Underarm crutch pad

A4636

NU

$4.21

Handgrip for cane etc

A4636

RR

$0.43

Handgrip for cane etc

A4636

UE

$3.07

Handgrip for cane etc

A4637

NU

$1.81

Repl tip cane/crutch/walker

A4637

RR

$0.26

Repl tip cane/crutch/walker

A4637

UE

$1.37

Repl tip cane/crutch/walker

A4638

NU

$0.00

Repl batt pulse gen sys

A4638

RR

$0.00

Repl batt pulse gen sys

A4638

UE

$0.00

Repl batt pulse gen sys

A4639

NU

$287.21

Infrared ht sys replcmnt pad

A4640

NU

$53.82

Alternating pressure pad

A4640

RR

$5.84

Alternating pressure pad

A4640

UE

$40.33

Alternating pressure pad

A5051

$2.07

Pouch clsd w barr attached

A5052

$1.49

Clsd ostomy pouch w/o barr

A5053

$1.74

Clsd ostomy pouch faceplate

A5054

$1.79

Clsd ostomy pouch w/flange

A5055

$1.39

Stoma cap

A5061

$3.52

Pouch drainable w barrier at

A5062

$2.09

Drnble ostomy pouch w/o barr

A5063

$2.70

Drain ostomy pouch w/flange

A5071

$6.01

Urinary pouch w/barrier

A5072

$2.99

Urinary pouch w/o barrier

A5073

$2.90

Urinary pouch on barr w/flng

A5081

$2.81

Continent stoma plug

A5082

$10.15

Continent stoma catheter

A5093

$1.68

Ostomy accessory convex inse

A5102

$22.42

Bedside drain btl w/wo tube

A5105

$40.76

Urinary suspensory

A5112

$34.62

Urinary leg bag

A5113

$4.00

Latex leg strap

A5114

$7.60

Foam/fabric leg strap

A5120

AU

$0.25

Skin barrier, wipe or swab

A5120

AV

$0.21

Skin barrier, wipe or swab

A5121

$6.34

Solid skin barrier 6x6

A5122

$10.92

Solid skin barrier 8x8

A5126

$1.12

Disk/foam pad +or- adhesive

A5131

$13.48

Appliance cleaner

A5200

$11.29

Percutaneous catheter anchor

A5500

$61.91

Diab shoe for density insert

A5501

$185.70

Diabetic custom molded shoe

A5503

$27.54

Diabetic shoe w/roller/rockr

A5504

$27.54

Diabetic shoe with wedge

A5505

$27.54

Diab shoe w/metatarsal bar

A5506

$27.54

Diabetic shoe w/off set heel

A5507

$27.54

Modification diabetic shoe

A5512

$25.26

Multi den insert direct form

A5513

$37.69

Multi den insert custom mold

A6010

$30.96

Collagen based wound filler

A6011

$2.28

Collagen gel/paste wound fil

A6021

$21.02

Collagen dressing <=16 sq in

A6022

$21.02

Collagen drsg>6<=48 sq in

A6023

$190.30

Collagen dressing >48 sq in

A6024

$6.19

Collagen dsg wound filler

A6154

$14.36

Wound pouch each

A6196

$7.35

Alginate dressing <=16 sq in

A6197

$16.44

Alginate drsg >16 <=48 sq in

A6199

$5.29

Alginate drsg wound filler

A6200

$9.50

Compos drsg <=16 no border

A6201

$20.80

Compos drsg >16<=48 no bdr

A6202

$34.88

Compos drsg >48 no border

A6203

$3.35

Composite drsg <= 16 sq in

A6204

$6.23

Composite drsg >16<=48 sq in

A6207

$7.34

Contact layer >16<= 48 sq in

A6209

$7.48

Foam drsg <=16 sq in w/o bdr

A6210

$19.92

Foam drg >16<=48 sq in w/o b

A6211

$29.37

Foam drg > 48 sq in w/o brdr

A6212

$9.70

Foam drg <=16 sq in w/border

A6214

$10.29

Foam drg > 48 sq in w/border

A6216

$0.05

Non-sterile gauze<=16 sq in

A6217

$0.00

Non-sterile gauze>16<=48 sq

A6219

$0.95

Gauze <= 16 sq in w/border

A6220

$2.58

Gauze >16 <=48 sq in w/bordr

A6222

$2.13

Gauze <=16 in no w/sal w/o b

A6223

$2.42

Gauze >16<=48 no w/sal w/o b

A6224

$3.61

Gauze > 48 in no w/sal w/o b

A6229

$3.61

Gauze >16<=48 sq in watr/sal

A6231

$4.68

Hydrogel dsg<=16 sq in

A6232

$6.88

Hydrogel dsg>16<=48 sq in

A6233

$19.19

Hydrogel dressing >48 sq in

A6234

$6.54

Hydrocolld drg <=16 w/o bdr

A6235

$16.82

Hydrocolld drg >16<=48 w/o b

A6236

$27.25

Hydrocolld drg > 48 in w/o b

A6237

$7.91

Hydrocolld drg <=16 in w/bdr

A6238

$22.79

Hydrocolld drg >16<=48 w/bdr

A6240

$12.24

Hydrocolld drg filler paste

A6241

$2.57

Hydrocolloid drg filler dry

A6242

$6.07

Hydrogel drg <=16 in w/o bdr

A6243

$12.31

Hydrogel drg >16<=48 w/o bdr

A6244

$39.28

Hydrogel drg >48 in w/o bdr

A6245

$7.27

Hydrogel drg <= 16 in w/bdr

A6246

$9.92

Hydrogel drg >16<=48 in w/b

A6247

$23.78

Hydrogel drg > 48 sq in w/b

A6248

$16.24

Hydrogel drsg gel filler

A6251

$1.99

Absorpt drg <=16 sq in w/o b

A6252

$3.25

Absorpt drg >16 <=48 w/o bdr

A6253

$6.34

Absorpt drg > 48 sq in w/o b

A6254

$1.21

Absorpt drg <=16 sq in w/bdr

A6255

$3.03

Absorpt drg >16<=48 in w/bdr

A6257

$1.53

Transparent film <= 16 sq in

A6258

$4.30

Transparent film >16<=48 in

A6259

$10.94

Transparent film > 48 sq in

A6266

$1.92

Impreg gauze no h20/sal/yard

A6402

$0.12

Sterile gauze <= 16 sq in

A6403

$0.43

Sterile gauze>16 <= 48 sq in

A6407

$1.88

Packing strips, non-impreg

A6410

$0.39

Sterile eye pad

A6411

$0.00

Non-sterile eye pad

A6441

$0.67

Pad band w>=3ö <5ö/yd

A6442

$0.17

Conform band n/s w<3ö/yd

A6443

$0.29

Conform band n/s w>=3ö<5ö/yd

A6444

$0.56

Conform band n/s w>=5ö/yd

A6445

$0.32

Conform band s w <3ö/yd

A6446

$0.41

Conform band s w>=3ö <5ö/yd

A6447

$0.67

Conform band s w >=5ö/yd

A6448

$1.16

Lt compres band <3ö/yd

A6449

$1.75

Lt compres band >=3ö <5ö/yd

A6450

$0.00

Lt compres band >=5ö/yd

A6451

$0.00

Mod compres band w>=3ö<5ö/yd

A6452

$5.91

High compres band w>=3ö<5öyd

A6453

$0.61

Self-adher band w <3ö/yd

A6454

$0.77

Self-adher band w>=3ö <5ö/yd

A6455

$1.39

Self-adher band >=5ö/yd

A6456

$1.28

Zinc paste band w >=3ö<5ö/yd

A6457

$1.14

Tubular dressing

A6501

$0.00

Compres burngarment bodysuit

A6502

$0.00

Compres burngarment chinstrp

A6503

$0.00

Compres burngarment facehood

A6504

$0.00

Cmprsburngarment glove-wrist

A6505

$0.00

Cmprsburngarment glove-elbow

A6506

$0.00

Cmprsburngrmnt glove-axilla

A6507

$0.00

Cmprs burngarment foot-knee

A6508

$0.00

Cmprs burngarment foot-thigh

A6509

$0.00

Compres burn garment jacket

A6510

$0.00

Compres burn garment leotard

A6511

$0.00

Compres burn garment panty

A6513

$0.00

Compress burn mask face/neck

A6531

AW

$43.27

Compression stocking BK30-40

A6532

AW

$60.96

Compression stocking BK40-50

A6550

$27.42

Neg pres wound ther drsg set

A7000

NU

$9.54

Disposable canister for pump

A7001

NU

$33.08

Nondisposable pump canister

A7002

NU

$3.83

Tubing used w suction pump

A7003

NU

$2.74

Nebulizer administration set

A7004

NU

$1.80

Disposable nebulizer sml vol

A7005

NU

$30.83

Nondisposable nebulizer set

A7006

NU

$9.54

Filtered nebulizer admin set

A7007

NU

$4.61

Lg vol nebulizer disposable

A7008

NU

$11.00

Disposable nebulizer prefill

A7009

NU

$42.04

Nebulizer reservoir bottle

A7010

NU

$23.59

Disposable corrugated tubing

A7012

NU

$3.78

Nebulizer water collec devic

A7013

NU

$0.83

Disposable compressor filter

A7014

NU

$4.49

Compressor nondispos filter

A7015

NU

$1.88

Aerosol mask used w nebulize

A7016

NU

$7.25

Nebulizer dome & mouthpiece

A7017

NU

$134.04

Nebulizer not used w oxygen

A7017

RR

$13.40

Nebulizer not used w oxygen

A7017

UE

$100.52

Nebulizer not used w oxygen

A7018

$0.38

Water distilled w/nebulizer

A7025

NU

$434.94

Replace chest compress vest

A7026

NU

$28.75

Replace chst cmprss sys hose

A7030

NU

$188.64

CPAP full face mask

A7031

NU

$69.77

Replacement facemask interfa

A7032

NU

$40.53

Replacement nasal cushion

A7033

NU

$28.41

Replacement nasal pillows

A7034

NU

$117.64

Nasal application device

A7035

NU

$39.75

Pos airway press headgear

A7036

NU

$18.20

Pos airway press chinstrap

A7037

NU

$41.02

Pos airway pressure tubing

A7038

NU

$5.39

Pos airway pressure filter

A7039

NU

$15.33

Filter, non disposable w pap

A7040

$38.44

One way chest drain valve

A7041

$72.24

Water seal drain container

A7042

$174.56

Implanted pleural catheter

A7043

$27.37

Vacuum drainagebottle/tubing

A7044

NU

$120.91

PAP oral interface

A7045

NU

$19.47

Repl exhalation port for PAP

A7045

RR

$1.95

Repl exhalation port for PAP

A7045

UE

$14.60

Repl exhalation port for PAP

A7046

NU

$19.51

Repl water chamber, PAP dev

A7501

$105.03

Tracheostoma valve w diaphra

A7502

$49.91

Replacement diaphragm/fplate

A7503

$11.33

HMES filter holder or cap

A7504

$0.67

Tracheostoma HMES filter