DESCRIPTION Price - Fairview

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DESCRIPTION Price 038 FIXED CORE GUIDE WIRE $84.00 1 LEVEL PLATE 16MM $2,375.00 1.3MM CORTEX SCR SLF-TPNG WITH T4 STARDRIVE 18MM $120.00 1.3MM TI CORTEX SCR SLF-TPNG WITH T4 STARDRIVE 10MM $120.00 1.3MM TI CORTEX SCR SLF-TPNG WITH T4 STARDRIVE 8MM $120.00 1.3MM TI CORTEX SCR SLF-TPNG WITH T4 STARDRIVE 9MM $120.00 1.3MM TI LCKNG PHALANGE HEAD PLATE-LEFT $1,336.00 1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 11MM $317.00 1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 12MM $317.00 1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 14MM $317.00 1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 4MM $317.00 1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 8MM $317.00 1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 9MM $317.00 1.5MM TI VAL CONDYLAR PLATE 2 HOLES HD-6 HOLES SHAFT $1,370.00 1.5MM TI VAL METACARPAL NECK PLATE $1,826.00 1.5MM TI VAL WEB PLATE 14 HOLES $1,305.00 1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 10MM $353.00 1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 15MM $353.00 1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 16MM $353.00 1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 5MM $353.00 1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 6MM $353.00 1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 7MM $353.00 1.5MM VAL STRAIGHT PLATE 12 HOLES $1,305.00 1.5MM VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 16MM $353.00 1:1 CARE $714.00 10MM / TI CANN FRN / GT 380MM / RIGHT - STERILE $7,014.00 111-INDIUM WBC $2,298.00 11MM / TI CANN FRN / GT 320MM / LEFT - STERILE $7,014.00 11MM/125 DEG TI CAN TFNA 320MM/LEFT - STERILE $6,482.00 11MM/125 DEG TI CAN TFNA 420MM/RIGHT - STERILE $6,482.00 11MM/125 DEG TI CAN TFNA 440MM/LEFT - STERILE $6,482.00 11MM/130 DEG TI CAN TFNA 420MM/LEFT - STERILE $6,482.00 11MM/130 DEG TI CANN TFNA 200MM - STERILE $4,625.00 14MM/130 DEG TI CAN TFNA 380MM/LEFT-STERILE $6,482.00 14MM/130 DEG TI CAN TFNA 420MM/LEFT-STERILE $6,482.00 153 SAMARIUM $20,035.00 17-HYDROXYPROGESTERONE $273.00 18-F FDG $288.00 2.0MM TI LCKNG SCR SLF-TPNG W/PLUSDRIVE(TM) RECESS 6MM $320.00 2.0MM TI MLP CURVED STRUT PLATE-MINI 8 HOLES/MALLEABLE $1,322.00 2.0MM TI VAL T-PLATE 3 HOLES HEAD-7 HOLES SHAFT $1,504.00 2.0MM TI VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 10MM $365.00 2.0MM TI VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 13MM $365.00 2.0MM TI VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 15MM $365.00 2.0MM TI VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 20MM $365.00 2.0MM TI VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 9MM $365.00

Transcript of DESCRIPTION Price - Fairview

Page 1: DESCRIPTION Price - Fairview

DESCRIPTION Price

038 FIXED CORE GUIDE WIRE $84.00

1 LEVEL PLATE 16MM $2,375.00

1.3MM CORTEX SCR SLF-TPNG WITH T4 STARDRIVE 18MM $120.00

1.3MM TI CORTEX SCR SLF-TPNG WITH T4 STARDRIVE 10MM $120.00

1.3MM TI CORTEX SCR SLF-TPNG WITH T4 STARDRIVE 8MM $120.00

1.3MM TI CORTEX SCR SLF-TPNG WITH T4 STARDRIVE 9MM $120.00

1.3MM TI LCKNG PHALANGE HEAD PLATE-LEFT $1,336.00

1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 11MM $317.00

1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 12MM $317.00

1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 14MM $317.00

1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 4MM $317.00

1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 8MM $317.00

1.3MM TI LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 9MM $317.00

1.5MM TI VAL CONDYLAR PLATE 2 HOLES HD-6 HOLES SHAFT $1,370.00

1.5MM TI VAL METACARPAL NECK PLATE $1,826.00

1.5MM TI VAL WEB PLATE 14 HOLES $1,305.00

1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 10MM $353.00

1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 15MM $353.00

1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 16MM $353.00

1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 5MM $353.00

1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 6MM $353.00

1.5MM TI VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 7MM $353.00

1.5MM VAL STRAIGHT PLATE 12 HOLES $1,305.00

1.5MM VA-LCKNG SCR SLF-TPNG WITH T4 STARDRIVE 16MM $353.00

1:1 CARE $714.00

10MM / TI CANN FRN / GT 380MM / RIGHT - STERILE $7,014.00

111-INDIUM WBC $2,298.00

11MM / TI CANN FRN / GT 320MM / LEFT - STERILE $7,014.00

11MM/125 DEG TI CAN TFNA 320MM/LEFT - STERILE $6,482.00

11MM/125 DEG TI CAN TFNA 420MM/RIGHT - STERILE $6,482.00

11MM/125 DEG TI CAN TFNA 440MM/LEFT - STERILE $6,482.00

11MM/130 DEG TI CAN TFNA 420MM/LEFT - STERILE $6,482.00

11MM/130 DEG TI CANN TFNA 200MM - STERILE $4,625.00

14MM/130 DEG TI CAN TFNA 380MM/LEFT-STERILE $6,482.00

14MM/130 DEG TI CAN TFNA 420MM/LEFT-STERILE $6,482.00

153 SAMARIUM $20,035.00

17-HYDROXYPROGESTERONE $273.00

18-F FDG $288.00

2.0MM TI LCKNG SCR SLF-TPNG W/PLUSDRIVE(TM) RECESS 6MM $320.00

2.0MM TI MLP CURVED STRUT PLATE-MINI 8 HOLES/MALLEABLE $1,322.00

2.0MM TI VAL T-PLATE 3 HOLES HEAD-7 HOLES SHAFT $1,504.00

2.0MM TI VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 10MM $365.00

2.0MM TI VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 13MM $365.00

2.0MM TI VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 15MM $365.00

2.0MM TI VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 20MM $365.00

2.0MM TI VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 9MM $365.00

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2.0MM VAL STRAIGHT PLATE 12 HOLES $1,504.00

2.0MM VAL STRUT PLATE 12 HOLES $1,650.00

2.0MM VA-LCKNG SCR SLF-TPNG WITH T6 STARDRIVE 15MM $365.00

2.4MM TI CORTEX SCR SELF-TAPPING 10MM $169.00

2.4MM TI CORTEX SCR SELF-TAPPING 8MM $236.00

2.4MM TI LOCKING SCR 12MM F/LOCKING RECONSTRUCTION PLATE $429.00

2.4MM TI LOCKING SCR 8MM F/LOCKING RECONSTRUCTION PLATE $429.00

2.5MM HEADLESS SCR LENGTH 18MM $940.00

2.5MM HEADLESS SCR LENGTH 22MM $940.00

2.5MM REAMING ROD W/BALL TIP AND EXT/1150MM-STER 351.704S $290.00

2.7/3.5MM VA-LCP MEL DISTAL TIBIA PLATE/12 HOLES/RT-STER $4,594.00

2.7MM STRAIGHT PLATE SS 5H $738.00

2.9MM TI MATRIXRIB LCKNG SCR SELF-TAPPING/10MM $461.00

2.9MM TI MATRIXRIB LCKNG SCR SELF-TAPPING/8MM $461.00

2.9MM TI MATRIXRIB NON-LOCKING SCR/SELF-TAPPING/10MM $291.00

24 HOUR HOLTER REPLACEMENT $1,581.00

25-306-24-09 $800.00

27MM 1 LEVEL SACRAL PLATE $7,500.00

2C19S - CYTOCHROME P450 2C19 GENOTYPE $1,115.00

3' HOLTER WIRES REPLACEMENT $65.00

3.0MM BC SUTURETAK W/ SUTURETAPE $850.00

3.0MM HEADLESS SCR 20MM $884.00

3.0MM HEADLESS SCR 24MM $884.00

3.0MM TI STERNAL LOCKING SCR SELF-DRILLING/12MM - STERILE $613.00

3.0MM TI STERNAL LOCKING SCR SELF-DRILLING/14MM - STERILE $613.00

3.5MM LCP PERIARTIC PROX HUM PLATE 8H/199MM RT-STERILE $4,231.00

3.5MM LCP PERIARTICULAR PROXIMAL HUMERUS PLATE SS $3,714.00

3.5MM LCP POSTEROMEL PROX TIBIA PL 4 H/105MM -STER $2,322.00

3.5MM TI CURVED ROD 45MM $604.00

3.5MM TI CURVED ROD 50MM $663.00

3.5MM TI CURVED ROD 80MM $663.00

3.5MM TI TRANSVERSE BAR $1,875.00

3.5MM VA-LCP PROX TIBIA PLATE LARGE BEND/4H/87MM/RT-STER $4,085.00

3.7MM TI CERVICAL SPINE SCR SLF-DRLG/VARIABLE ANGLE 14MM $738.00

3D RENDER W/INTRP POSTPROCES $354.00

3D RENDERING IMAGE POST PROCESSING ON INDEPT WKSTATION $313.00

4.0MM TI CANCELLOUS POLYAXIAL SCR 22MM $2,250.00

4.5MM CURVED NARROW LCP PLATE 18 HOLES $2,440.00

4.5MM CURVED NARROW LCP PLATE 20 HOLES $2,884.00

4.5MM TI CANCELLOUS POLYAXIAL SCR 18MM $2,250.00

4.5MM TI CANCELLOUS POLYAXIAL SCR 34MM $2,250.00

4.5MM TI CORTEX SCR SELF-TAPPING 32MM $45.00

4.5MM TI CORTEX SCR SELF-TAPPING 40MM $52.00

4.5MM TI NARROW LC-DCP PLATE 2 HOLES/34MM $347.00

48 HOUR HOLTER REPLACEMENT $1,772.00

4MM CANC TI SCR 4.0MM / L28MM / FT $97.00

4MM CANC TI SCR 4.0MM / L28MM / TL14MM $97.00

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4MM CANC TI SCR 4.0MM / L48MM / FT $97.00

4MM CANC TI SCR 4.0MM / L50MM / FT $97.00

5 HIAA 24 HR UR $117.00

5.0 X 25MM STANDARD SCR $875.00

5.0MM FULLY THREADED LOCKING SCR 60MM LENGTH $453.00

5.0MM TI LOCKING HEAD SCR SELF-TAPPING 30MM $513.00

5.0MM TI LOCKING HEAD SCR SELF-TAPPING 70MM $513.00

5.2MM TI SCHANZ SCR WITH DUAL CORE 45MM THREAD/190MM $1,580.00

5.5 X 22MM REVISION SCR $938.00

5.5MM BC CORKSCR FT W/ SUTURETAPE $888.00

5.5MM TI CURVED ROD 55MM $563.00

5.5MM TI CURVED ROD 75MM $563.00

5.5MM TI CURVED ROD 85MM $663.00

5CC BONESYNC $4,125.00

5MM X 12MM X 14MM X 6┬░ ANTERIOR CERVICAL CAGE $9,625.00

6 MONACETYLMORPHINE CONFIRMATION, SO $446.00

6.0MM TI CANCELLOUS LOCKING SCR W/STARDRIVE RECESS 20MM $1,765.00

6.0MM TI MATRIX POLYAXIAL SCR 50MM THREAD LENGTH $2,250.00

6.0MM TI MATRIX SCR 25MM THREAD LENGTH $938.00

6.0MM TI MATRIX SCR 30MM THREAD LENGTH $938.00

6.2MM TI SCHANZ SCR WITH DUAL CORE 35MM THREAD/180MM $1,580.00

6.2MM TI SCHANZ SCR WITH DUAL CORE 45MM THREAD/190MM $1,580.00

6MM CANC TI SCR 6.0MM $114.00

6MM X 12MM X 14MM X 6┬░ ANTERIOR CERVICAL CAGE $9,625.00

7.0MM TI CLICK'X® PEDICLE SCR PREASSEMBLED 40MM THRD LENGTH $4,208.00

7MM X 12MM X 14MM X 6┬░ ANTERIOR CERVICAL CAGE $5,475.00

7MM X 14MM X 15MM X 6 AERO-C CERVICAL CAGE $9,625.00

89 STONTIUM $12,176.00

8MM X 12MM X 14MM X 6┬░ ANTERIOR CERVICAL CAGE $5,475.00

9 HOLE SUPERIOR LATERAL CLAVIC $3,803.00

99MTC DTPA AEROSOL (PER STUDY DOSE) $340.00

9MM X 12MM X 14MM X 6┬░ ANTERIOR CERVICAL CAGE $5,475.00

A~10X 20MM BC IF SCR VENTED $738.00

A-1 ANTITRYPSIN $89.00

A-1 ANTITRYPSIN $142.00

A-1-ANTITRYPSIN,PHENO $109.00

A1AT PROTEOTYPE $124.00

ABACAVIR 20 MG/ML ORAL SOLUTION $726.00

ABACAVIR 300 MG TABLET $40.00

ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET $419.00

ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET $162.00

ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION $4,238.00

ABD AORTA /1ST ORDER $1,186.00

ABD AORTA /2ND ORDER $1,179.00

ABD AORTA /3RD ORDER $1,360.00

ABD AORTA/ADD'L 2ND OR 3RD ORD $865.00

ABD PARACENTESIS $1,699.00

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ABD PARACENTESIS W IMAGING $1,699.00

ABD PARACENTESIS W/IMAGING $1,699.00

ABDOMEN-CHILD (FOREIGN BODY) $333.00

ABG DRAW $276.00

ABL L/R ATR AFTER AFIB PVI ADL $20,908.00

ABLATE ARRHYTHMIA ADD ON $20,908.00

ABLATOR ARTHREX APOLLO RF ASPIRATING 50DEG AR-9815 $413.00

ABLATOR ARTHREX APOLLO RF MP90 ASPIRATING 90DEG AR-9811 $413.00

ABLATOR ARTHREX OPES 3MM 90DEG COOLCUT AR-9803-90 $438.00

ABO BLOOD TYPE-REF LAB $99.00

ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION $929.00

ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION $1,548.00

ABSCESS/SINUS TRACT INJECTION $586.00

ABSORPTION SERUM-REF LAB $206.00

ABY ELUTION/EACH-REF LAB $390.00

ABY ID/EACH-REF LAB $354.00

ACAMPROSATE 333 MG TABLET,DELAYED RELEASE $5.00

ACARBOSE 25 MG TABLET $5.00

ACARBOSE 50 MG TABLET $5.00

ACCESSORY KIT CABLE MEDT MULTI-LEAD 355531 $500.00

ACCUDRAIN W/O ANTI-REFLUX VALVE $509.00

ACE, SO $101.00

ACE,CSF, SO $97.00

ACEBUTOLOL 200 MG CAPSULE $5.00

ACET LINER R3 0DEG +4 XLPE 44 X 60 OD $1,625.00

ACETAMINOPHEN $139.00

ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION $215.00

ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY $1.00

ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML (5 ML) ORAL SOLUTION $12.00

ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML ORAL SOLUTION $12.00

ACETAMINOPHEN 160 MG CHEWABLE TABLET $5.00

ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION $1.00

ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION $1.00

ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID $1.00

ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID SOLUTION $5.00

ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION $26.00

ACETAMINOPHEN 300 MG-CODEINE 15 MG TABLET $12.00

ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET $12.00

ACETAMINOPHEN 300 MG-CODEINE 30 MG/12.5 ML (12.5 ML) ORAL SOLUTION $12.00

ACETAMINOPHEN 300 MG-CODEINE 60 MG TABLET $12.00

ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY $1.00

ACETAMINOPHEN 325 MG TABLET $1.00

ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLUTION $1.00

ACETAMINOPHEN 40 MG/1.25 ML ORAL LIQUID SOLUTION $5.00

ACETAMINOPHEN 40 MG/1.25 ML ORAL SUSPENSION $26.00

ACETAMINOPHEN 500 MG TABLET $1.00

ACETAMINOPHEN 500 MG/15.62 ML ORAL LIQUID SOLUTION $5.00

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ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY $1.00

ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION $1.00

ACETAMINOPHEN 80 MG CHEWABLE TABLET $1.00

ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY $7.00

ACETAMINOPHEN 80 MG/2.5 ML ORAL LIQUID SOLUTION $5.00

ACETAMINOPHEN ER 650 MG TABLET,EXTENDED RELEASE $1.00

ACETAZOLAMIDE 125 MG TABLET $9.00

ACETAZOLAMIDE 250 MG TABLET $11.00

ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION $137.00

ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE $15.00

ACETIC ACID (BULK) 3 % LIQUID $3.00

ACETIC ACID 0.25 % IRRIGATION SOLUTION $50.00

ACETIC ACID 2 % EAR SOLUTION $138.00

ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT $107.00

ACETYLCHOLINE RECEPT ABY, SO $185.00

ACETYLCHOLINESTERASE, REFLEX $88.00

ACETYLCYSTEINE 200 MG/1 ML (20 %) ORAL SOLUTION $5.00

ACETYLCYSTEINE 400 MG/2 ML (20 %) ORAL SOLUTION $14.00

ACETYLCYSTEINE 600 MG/3 ML (20 %) ORAL SOLUTION $10.00

ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION $5.00

ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION $93.00

ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION $5.00

ACETYLCYSTEINE 600 MG CAPSULE $5.00

ACH RECEPTOR (MUSCLE) BINDING AB $185.00

ACH RECEPTOR (MUSCLE) BINDING AB $191.00

ACH RECEPTOR MODULATING $187.00

ACH RECEPTOR MODULATING $191.00

ACHR BINDING $185.00

ACHR MODULATING $187.00

ACIS PROTI360 LORDOTIC/LG 7MM HEIGHT $2,748.00

ACITRETIN 25 MG CAPSULE $94.00

ACL DISPOSABLE PACK $104.00

ACL DISPOSABLE PACK $104.00

ACLIDINIUM BROMIDE 400 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER $1,130.00

ACNE SURGERY $362.00

ACROMIOCLAVICULAR JTS BIL $477.00

ACTH $233.00

ACTIGRAPHY REPLACEMENT $750.00

ACTIS COLLARED HIGH SZ 1 $4,250.00

ACTIS COLLARED HIGH SZ 2 $4,250.00

ACTIS COLLARED HIGH SZ 3 $4,250.00

ACTIS COLLARED HIGH SZ 5 $4,250.00

ACTIS COLLARED HIGH SZ 8 $4,250.00

ACTIS COLLARED HIGH SZ 9 $4,250.00

ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION $109.00

ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION $74.00

ACUPUNCT W/O STIMUL 15 MIN $131.00

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ACUPUNCT W/O STIMUL ADDL 15M $30.00

ACUPUNCT W/STIMUL 15 MIN $30.00

ACUPUNCT W/STIMUL ADDL 15M $30.00

ACUTE HEMODIALYSIS $2,041.00

ACYCLOVIR 200 MG CAPSULE $5.00

ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION $1,761.00

ACYCLOVIR 400 MG TABLET $5.00

ACYCLOVIR 5 % TOPICAL CREAM $3,670.00

ACYCLOVIR 5 % TOPICAL OINTMENT $1,387.00

ACYCLOVIR 800 MG TABLET $5.00

ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION $56.00

ACYCLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION $50.00

ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT $9,886.00

ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE KIT $9,886.00

ADAPALENE 0.1 % TOPICAL CREAM $1,117.00

ADAPALENE 0.1 % TOPICAL GEL $777.00

ADAPALENE 0.3 % TOPICAL GEL $1,224.00

ADAPTER CATH CHECK-FLO 9FR FLL 050885 G15476 $39.00

ADAPTER DRAPE ALLY AU-AD $6,738.00

ADAPTER EXTERNAL FIXATION LONG WIRE BOLT OFFSET F/LIMB RECON $672.00

ADAPTER FEMORAL SIGMA +2/-2 OFFSET BOLT $525.00

ADAPTER FEMORAL SIGMA 5DEG $3,691.00

ADAPTER FEMORAL SIGMA 7DEG $3,691.00

ADAPTER FEMORAL SIGMA NEUTRAL BOLT $525.00

ADAPTER LPS FEMORAL TO SLEEVE $1,510.00

ADAPTER OFFSET 360 5MM $1,955.00

ADAPTER OFFSET 360 7.5MM $1,955.00

ADAPTER XS MAC FEMALE $1,735.00

ADAPTER XS RAIL $820.00

ADAPTER XS RING -MALE $1,735.00

ADAPTOR CHECK FLO 050805-TWSL $40.00

ADAPTOR OFFSET 8MM $2,826.00

ADAPTOR TOHY-BORST URETEROSCOPE TBA-6 G18814 $49.00

ADAPTOR TRIATHLON TS OFFSET 6MM $2,826.00

ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION $631.00

ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION $50.00

ADENOVIRUS ANTIBODY $261.00

ADH FLOSEAL W/HUMAN THROMBIN 5ML W/APPLICATOR TIP 1505288 $3,175.00

ADH SKIN CLOSURE PREMIERPRO EXOFIN 1.0ML 3470 $319.00

ADH SKIN CLOSURE PREMIERPRO EXOFIN MICOR HV 0.5ML 3471 $252.00

ADH TISSEEL DUPLOCATH 35 MIS ADAPTOR 921020 $148.00

ADHESIVE SEAMGUARD BIO STAPLE LINE EC60A $4,990.00

ADMIN FLU VIRUS VACCINE $25.00

ADMIN HEPATITIS B VACCINE $25.00

ADMIN PNEUMONIA VACCINE $25.00

ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION $11,703.00

ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION $18,725.00

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ADRENAL VENOGRAM $7,650.00

ADULTERANTS, URINE $16.00

ADVANCED CARE PLANNING; ADD'L 30 MIN $220.00

ADVANCED CARE PLANNING; FIRST 30 MIN $221.00

AEGIS ANTERIOR LUMBAR PLATE 21MM $6,000.00

AEGIS ANTERIOR LUMBAR PLATE BONE SCR 5.2 X 24MM $750.00

AEGIS ANTERIOR LUMBAR PLATE BONE SCR 5.2 X 28MM $750.00

AEGIS ANTERIOR LUMBAR PLATE BONE SCR 5.2 X 36MM $750.00

AFB STAIN $120.00

AFIB ABL VIA PVI W/ EP STUDY $46,301.00

AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION $23,195.00

AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION $3,769.00

ALBENDAZOLE 200 MG TABLET $1,055.00

ALBUMIN $34.00

ALBUMIN BODY FLUID $46.00

ALBUMIN, CSF, SO $36.00

ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION $286.00

ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION $227.00

ALBUMIN, SO $46.00

ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION $7.00

ALBUTEROL SULFATE 2 MG TABLET $23.00

ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP $241.00

ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION $5.00

ALBUTEROL SULFATE 4 MG TABLET $12.00

ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION $5.00

ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION $5.00

ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER $274.00

ALCOHOL $97.00

ALCOHOL ASSESSMENT UPDATE 15-30 MIN $326.00

ALCOHOL SUD CD ASSESSMENT MORE THAN 30 MIN $374.00

ALCOHOL, URINE, SO $90.00

ALDOLASE $68.00

ALDOSTERONE $212.00

ALDOSTERONE SERUM $212.00

ALENDRONATE 10 MG TABLET $5.00

ALENDRONATE 70 MG TABLET $5.00

ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR $5.00

ALGINATE DRESSING 4" X 4" $73.00

ALISKIREN 150 MG TABLET $27.00

ALK PHOS BONE ISOFORM, SO $259.00

ALK PHOS ISO $130.00

ALK PHOS TOTAL $38.00

ALK PHOS TOTAL $38.00

ALLERGEN ARUP S/O $94.00

ALLERGEN MAYO S/O $136.00

ALLERGEN SPECIFIC IGE $26.00

ALLODERM COLLAGEN 1 X 4 992007 $288.00

Page 8: DESCRIPTION Price - Fairview

ALLODERM COLLAGEN 16 X 20 PERF SINGLE $23,975.00

ALLODERM COLLAGEN 2CM X 12CM 982024 $1,718.00

ALLODERM COLLAGEN LG CONT PERF 1.6MM $12,280.00

ALLODERM COLLAGEN MED CONT PERF 1.6MM $9,885.00

ALLODERM COLLAGEN SM CONT PERF 1.2-2MM $5,768.00

ALLODERM CONTOUR SMALL CS5120 $5,600.00

ALLODERM SELECT DUO 16X20CM MEDIUM 1.6MM $49,388.00

ALLODERM SELECT DUO CONTOUR LARGE 1.6MM $25,300.00

ALLODERM SELECT DUO CONTOUR MEDIUM 1.6MM $20,365.00

ALLODERM SELECT DUO CONTOUR SMALL 1.6MM $11,883.00

ALLOGRAFT BIOCARTILAGE 1ML $1,875.00

ALLOGRAFT DURAGEN PLUS 1 X 1 DP-1011 $654.00

ALLOGRAFT DURAGEN PLUS 2 X 2 DP5022 $4,866.00

ALLOGRAFT DURAGEN PLUS 3X3 (5EA DP1033) $8,856.00

ALLOGRAFT DURAGEN PLUS 4 X 5 IN DP1045 $3,311.00

ALLOGRAFT TRINITY EVOLUTION 1CC 410101 $1,428.00

ALLOPURINOL 100 MG TABLET $5.00

ALLOPURINOL 300 MG TABLET $5.00

ALLOPURINOL 500 MG INTRAVENOUS SOLUTION $15,236.00

ALLOSYNC CB DBM PASTE 3CC $1,250.00

ALLOSYNC PURE 10.0CC $4,250.00

ALLOWRAP DS 2X2CM WET $3,040.00

ALLOWRAP DS 2X4CM WET $5,320.00

ALLOWRAP DS 4X4CM WET $9,394.00

ALPHA FETOPROTEIN, AMNIOTIC FLUID $109.00

ALPHA FETOPROTEIN, SERUM $60.00

ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION $50.00

ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION $50.00

ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION,ALPHA-1-PROTEINASE INHIBITOR $50.00

ALPHA-FETOPROTEIN $126.00

ALPHA-FETOPROTEIN, SO $111.00

ALPRAZOLAM 0.25 MG TABLET $5.00

ALPRAZOLAM 0.5 MG TABLET $12.00

ALPRAZOLAM 1 MG TABLET $5.00

ALPRAZOLAM ER 0.5 MG TABLET,EXTENDED RELEASE 24 HR $12.00

ALPROSTADIL 500 MCG/ML INJECTION SOLUTION $515.00

ALT (SGPT) $45.00

ALTEPLASE 1 MG/1 ML INJECTION $353.00

ALTEPLASE 100 MG INTRAVENOUS SOLUTION $33,629.00

ALTEPLASE 2 MG INTRA-CATHETER SOLUTION $584.00

ALTEPLASE 50 MG INTRAVENOUS SOLUTION $16,814.00

ALTRX +4 NEUTRAL 28X48MM $1,500.00

ALUM, AMMONIUM (BULK) POWDER $84.00

ALUMINUM CHLORIDE 20 % TOPICAL SOLUTION $13.00

ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION $1.00

ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP $1.00

ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP $1.00

Page 9: DESCRIPTION Price - Fairview

ALUMINUM-MAGNESIUM HYDROXIDE 200 MG-200 MG/5 ML ORAL SUSPENSION $14.00

AMANTADINE HCL 100 MG CAPSULE $5.00

AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION $89.00

AMBRISENTAN 10 MG TABLET $703.00

AMBRISENTAN 5 MG TABLET $1,254.00

AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION $2,173.00

AMIKACIN $109.00

AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION $50.00

AMIKACIN 500 MG/2 ML INJECTION SOLUTION $61.00

AMILORIDE 5 MG TABLET $5.00

AMINO ACIDEMIAS NEONATE, SO $84.00

AMINO ACIDS 5 % WITH LYTES AND CALCIUM IN D20W INTRAVENOUS SOLUTION $300.00

AMINO ACIDS 5 %-DEXTROSE 15 %-ELECTROLYTES INTRAVENOUS SOLUTION $300.00

AMINO ACIDS-PROTEIN HYDROLYSATE 15 GRAM-60 KCAL/30 ML ORAL LIQUID PACK $6.00

AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION $50.00

AMINOCAPROIC ACID 500 MG TABLET $187.00

AMINOLEVULINIC ACID UR $113.00

AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION $56.00

AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION $50.00

AMINOSALICYLIC ACID DR 4 GRAM GRANULES DELAY-RELEASE FOR SUSP PKT $33.00

AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV $172.00

AMIODARONE 200 MG TABLET $5.00

AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV $228.00

AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION $50.00

AMIODARONE SO $111.00

AMITRIPTYLINE 10 MG TABLET $5.00

AMITRIPTYLINE 100 MG TABLET $5.00

AMITRIPTYLINE 25 MG TABLET $5.00

AMITRIPTYLINE 50 MG TABLET $5.00

AMITRIPTYLINE 75 MG TABLET $5.00

AMITRIPTYLINE/NORTRIPTYLINE, SO $102.00

AMLODIPINE 5 MG ORAL HALF-TAB $5.00

AMLODIPINE 10 MG TABLET $5.00

AMLODIPINE 2.5 MG TABLET $5.00

AMLODIPINE 5 MG TABLET $5.00

AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION $5.00

AMMONIA LEVEL $95.00

AMMONIUM LACTATE 12 % LOTION $50.00

AMMONIUM LACTATE 12 % TOPICAL CREAM $24.00

AMMONIUM LACTATE 5 % LOTION $20.00

AMMONIUM, 24 HOUR, URINE SO $85.00

AMNIOCENTESIS PROCED. IN OB $1,503.00

AMNIOCENTESIS, THERAPEUTIC AMNIOTIC FLUID REDUCTION $1,523.00

AMNION THICK 3X6 $9,250.00

AMNIOTIC AFP $88.00

AMOXAPINE 25 MG TABLET $5.00

AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION $12.00

Page 10: DESCRIPTION Price - Fairview

AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION $69.00

AMOXICILLIN 250 MG CAPSULE $5.00

AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION $18.00

AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION $502.00

AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION $32.00

AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION $72.00

AMOXICILLIN 500 MG CAPSULE $5.00

AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET $5.00

AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION $9.00

AMOXICILLIN 875 MG TABLET $5.00

AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET $8.00

AMOXICILLIN-POTASSIUM CLAVULANATE 1,000 MG-62.5 MG TABLET,EXT.REL 12HR $30.00

AMPHETAMINE OR METHAMPHETAMINE, CONFIRM, SO $160.00

AMPHETAMINES URINE, QUANT $258.00

AMPHETAMINES, REFLEX $59.00

AMPHIPHYSIS W BLOT, SO $818.00

AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION $17.00

AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION $1,074.00

AMPICILLIN 1 GRAM SOLUTION FOR INJECTION $50.00

AMPICILLIN 10 GRAM SOLUTION FOR INJECTION $283.00

AMPICILLIN 125 MG SOLUTION FOR INJECTION $50.00

AMPICILLIN 2 GRAM SOLUTION FOR INJECTION $66.00

AMPICILLIN 250 MG SOLUTION FOR INJECTION $17.00

AMPICILLIN 500 MG SOLUTION FOR INJECTION $17.00

AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION $50.00

AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION $50.00

AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,AMPICILLIN-SULBACTAM 3 GRAM INTRAVENOUS SOLUTION $50.00

AMPLATZ ULTRA STILL WIRE GUIDE $84.00

AMPUTATE TOE IP JOINT $7,206.00

AMYLASE BLOOD $60.00

ANA $35.00

ANAEROBIC CULTURE $142.00

ANAGRELIDE 0.5 MG CAPSULE $5.00

ANAPLASMA PHAGOCYTOPHILUM ANTIBODIES, IGG AND IGM $352.00

ANASTROZOLE 1 MG TABLET $12.00

ANCA, REFLEX $135.00

ANCA, SO $122.00

ANCHOR A-SURE $438.00

ANCHOR BIO-SUTURE TAK W/TWO #2 TIGERTAIL $850.00

ANCHOR CLIK $988.00

ANCHOR COPE GASTROINTESTINAL GIAS-100 $197.00

ANCHOR CORKSCREW 3.9MM KNOTLESS $963.00

ANCHOR ICONIX 1.4MM WITH 1.2MM BRAID $1,030.00

ANCHOR ICONIX 2.3MM WITH 2.0MM BRAID $1,030.00

ANCHOR ICONIX W/#2 FORCE FIBER 1.4MM $908.00

ANCHOR ICONIX W/#2 FORCE FIBER 2.3MM $908.00

ANCHOR INCONIX 1.4MM TT W/NEEDLES KIT $1,313.00

Page 11: DESCRIPTION Price - Fairview

ANCHOR KIT N300 $563.00

ANCHOR MULTIFIX KNOTLESS 5.5MM $1,996.00

ANCHOR NANOTACK FLEX CAT01858 $1,065.00

ANCHOR PUSHLOCK 2.9X15.5MM $1,000.00

ANCHOR SUT SOFT W/2 1.3MM TAPE F/GLEN LABRUM REPAIR FIBERTAK $925.00

ANCHOR SUTURE #0 2.2MM ID 3MM OD 2.4MM DRILL 14MML $813.00

ANCHOR SUTURE 2.0 TAK 1WIRE $763.00

ANCHOR SUTURE 2.4 TAK 2 WIRE $4,000.00

ANCHOR SUTURE 2.4MM OD MINI 7.5MML TI W/2-0 FIBERWIRE $463.00

ANCHOR SUTURE 4.5MM HEALICOIL 72203982 $925.00

ANCHOR SUTURE 4.5MM REELX STT $1,026.00

ANCHOR SUTURE 5.5MM HEALICOIL 72203983 $925.00

ANCHOR SUTURE 8MM 19.1MML BIOCOMPOSITE PROXIMAL $1,088.00

ANCHOR SUTURE ARTHRO 4.7MMX19.1MML BIO KNEE CLSD EYELET VENT $1,175.00

ANCHOR SUTURE ARTHROSCOPIC 5.5MM 24.5MML BIOCOMPOSITE $1,050.00

ANCHOR SUTURE MICRO BIO 2-0 AR-1320BCNF $4,063.00

ANCHOR SUTURE REPLACEMENT 2.4MM STAINLESS STEEL HIP KNOT $1,198.00

ANCHOR SUTURE SIZE 1 SOFT LIGAMENT W/NEEDLE $1,063.00

ANCHOR SUTURE WHITE/BLUE W/1.3MM TAPE F/SHOULDER $888.00

ANDROSTENEDIONE $177.00

ANES-AICD/INTERNAL CARDIO BASE $223.00

ANES-CARDIOVERSION BASE $1,826.00

ANES-GEN W INVASIVE 15 MINS $782.00

ANES-GEN W INVASIVE BASE $4,567.00

ANES-GENERAL 15 MINS $453.00

ANES-GENERAL BASE $3,099.00

ANES-GENERAL HEART 15 MINS $584.00

ANES-GENERAL HEART BASE $5,803.00

ANES-MAC 15 MINS $254.00

ANES-MAC BASE $1,744.00

ANES-OTHER REGIONAL 15 MINS $205.00

ANES-OTHER REGIONAL BASE $211.00

ANES-SPINAL 15 MINS $199.00

ANES-SPINAL BASE $1,549.00

ANES-SPINAL W INVASIVE 15 MINS $338.00

ANES-SPINAL W INVASIVE BASE $2,264.00

ANES-THERAPEUTIC/OTHER BLOCK $736.00

ANEUSCREEN INTERPHASE $106.00

ANEUSCREEN PROBE $72.00

ANEUSCREEN PROBE ADDL $56.00

ANG. INJECTION KIT $312.00

ANG. MON. KIT W/TRANS 42632-05 $53.00

ANG. PER Q CATH DBL 5F 4235100 $433.00

ANG. TRANSDUCER KIT DT6012 $98.00

ANG. TRANSPAC 42646-05 $284.00

ANGIO AORTOBIFEMORAL W CATH $7,650.00

ANGIO AORTOGRAM ABD SERIAL $7,650.00

Page 12: DESCRIPTION Price - Fairview

ANGIO AORTOGRAM THOR SERIAL $10,108.00

ANGIO EXTREMITY BILAT $7,650.00

ANGIO EXTREMITY UNILAT $7,650.00

ANGIO THRU EXISTING CATHETER $2,451.00

ANGIOGRAPHY, INT MAMMARY-RAD. SUPRVSN / INTERP. $4,546.00

ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION $391.00

ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION $391.00

ANKLE TALUS TOTAL L SZ 3 $11,663.00

ANKLE TIBIA TOTAL SZ 3 $8,970.00

ANKLEIZER II $96.00

ANNULOPLASTY RING COSGROVE FUTURE 24MM 638RL2434 $5,000.00

ANNULOPLASTY RING COSGROVE FUTURE 26MM 638RL2634 $5,000.00

ANNULOPLASTY RING COSGROVE FUTURE 28MM 638RL2834 $5,000.00

ANNULOPLASTY RING COSGROVE FUTURE 30MM 638RL3034 $5,000.00

ANNULOPLASTY RING COSGROVE FUTURE 32MM 638RL3234 $5,000.00

ANNULOPLASTY RING COSGROVE FUTURE 34MM 638RL3434 $5,000.00

ANNULOPLASTY RING COSGROVE FUTURE 36MM 638RL3634 $5,000.00

ANNULOPLASTY RING COSGROVE FUTURE 38MM 638RL3834 $5,000.00

ANOSCOPY DIAGNOSTIC $336.00

ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD $336.00

ANOSCOPY FOR FB REMOVAL $1,983.00

ANTEGRADE PYELOGRAM $1,134.00

ANTEROLAT DIST TIB PLATE SS LEFT 10H $4,700.00

ANTEROLAT DIST TIB PLATE SS RIGHT 14H $4,800.00

ANTI DNA ABY $91.00

ANTI DNASE B $144.00

ANTI HB(E) $111.00

ANTI THROMBIN III ANTIGEN $143.00

ANTIBODY CD45 CLN 2D1 MS IGG1 KAPPA 340665 $847.00

ANTIBODY ELUTION/EACH/REF LAB $390.00

ANTIBODY IDENT $570.00

ANTIBODY SCREEN $122.00

ANTIBODY SCREEN-REF LAB $122.00

ANTIBODY TITER-REF LAB $243.00

ANTI-CARDIOLIPIN IGA $76.00

ANTICOAG CITRATE PHOS DEXTROSE 2.63 GRAM-222 MG/100 ML SOLUTION $104.00

ANTI-HBC IGM $68.00

ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 2,000 (+/-) UNIT IV SOLUTION $50.00

ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 250 (+/-) UNIT IV SOLUTION $50.00

ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 3,000 (+/-) UNIT IV SOLUTION $50.00

ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION $50.00

ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION $50.00

ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION $50.00

ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION $50.00

ANTI-MULLERIAN HORMONE $266.00

ANTISTREPTOLYSIN O TITER $50.00

ANTITHROMBIN III ACTIVITY $195.00

Page 13: DESCRIPTION Price - Fairview

APC RESISTANCE $152.00

APD LOCK $386.00

APHERESIS PLATELETS L/R 1 UNIT $1,682.00

APIXABAN 2.5 MG TABLET $37.00

APIXABAN 5 MG TABLET $18.00

APP OF COMP BANDAGE LOWER LEG $437.00

APP-A $63.00

APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION $593.00

APPLICATION OF SHORT LEG CAST; WALKING OR AMBULATORY TYPE $609.00

APPLICATION OF VENOUS WOUND COMP, LOWER LEG $437.00

APPLICATOR SPRAY TIP PROGEL PGEN005-1 $925.00

APPLIER CLIP ENDOSYSTEM APTUS 12FR 86CM SA-85 $10,688.00

APPLY FINGER SPLINT; STATIC $219.00

APPLY INTERDENTAL FIXATION DEV $2,356.00

APPLY LONG ARM SPLINT $379.00

APPLY LONG LEG SPLINT $333.00

APPLY RIGID TOT CONT LEG CAST $724.00

APPLY SH LEG CASE KNEE-TOE $721.00

APPLY SHORT ARM CAST $892.00

APPLY SHORT ARM SPLINT; STATIC $330.00

APPLY SHORT LEG SPLINT $333.00

APPLY SURFACE NEUROSTIMULATOR $163.00

APRACLONIDINE 0.5 % EYE DROPS $350.00

APREPITANT 125 MG CAPSULE $475.00

APREPITANT 40 MG CAPSULE $513.00

APREPITANT 80 MG CAPSULE $475.00

AQUAPLAST $103.00

AQUAPORIN-4 RECEPTOR ANTIBODY, IGG $437.00

ARC XS SLOTTED $1,520.00

ARCH BAR ERICH 36" 01-0299 $175.00

ARCH BAR ERICH 5" 01-0295 $348.00

ARCH FOOT CARBON FIBER 180MM $4,234.00

ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION $85.00

ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION $979.00

ARGININE 7 GRAM-GLUTAM 7 GRAM-CAHMB 1.5 GRAM-COLLA-MV-MIN ORAL PWD PKT $1.00

ARGININE 7 GRAM-GLUTAMINE 7 GRAM-CALCIUM BMB 1.5 GRAM ORAL POWDER PACK $9.00

ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION $140.00

ARIPIPRAZOLE 10 MG DISINTEGRATING TABLET $146.00

ARIPIPRAZOLE 10 MG TABLET $8.00

ARIPIPRAZOLE 15 MG TABLET $5.00

ARIPIPRAZOLE 2 MG TABLET $129.00

ARIPIPRAZOLE 20 MG TABLET $5.00

ARIPIPRAZOLE 5 MG TABLET $16.00

ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE $6,519.00

ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE $8,692.00

ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE $11,255.00

ARIPIPRAZOLE, SO $121.00

Page 14: DESCRIPTION Price - Fairview

ARMODAFINIL 150 MG TABLET $19.00

ARMODAFINIL 250 MG TABLET $12.00

ARMODAFINIL 50 MG TABLET $14.00

ARSENIC $101.00

ARSENIC 24 HR URINE $140.00

ARSENIC FRACTIONATION, URINE $416.00

ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION $2,950.00

ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION $3,873.00

ARSENIC, URINE S/O $140.00

ARSENIC, WHOLE BLOOD $101.00

ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET $25.00

ARTERIAL CATH/CANNULATION CUTD $1,152.00

ARTERIAL CATH/CANNULATION PERC $516.00

ARTERIAL PUNCTURE DIAGNOSTIC $276.00

ARTERIAL/AORTA $1,100.00

ARTERY X-RAYS LUNG $3,835.00

ARTHROCENTESIS INTM JT/BURSA W/O GUIDANCE $832.00

ARTHROCENTESIS MAJOR JT/BURSA W/O GUIDANCE $973.00

ARTHROCENTESIS APSPIR & INJ ITERM JNT BURSA WITH US $908.00

ARTHROCENTESIS APSPIR & INJ SMALL JNT BURSA WITH US RECORD AND REPORT $795.00

ARTHROCENTESIS APSPIR & INJ SMALL JNT BURSA WITH US, RECORD, AND REPORT $795.00

ARTHROCENTESIS APSPIR AND INJ ITERM JNT BURSA WITH US $908.00

ARTHROCENTESIS ASPIR & INJ MAJOR JNT BURSA WITH US $795.00

ARTHROCENTESIS ASPIR & INJ MAJOR JNT BURSA WITH US $795.00

ARTHROCENTESIS SMALL JT OR BUR W/O GUIDANCE $832.00

ARTHROGRAM OF SHOULDER $1,151.00

ARTHROGRAM OF WRIST $1,145.00

ARTHROGRAM/ANKLE/INJ $542.00

ARTHROGRAM/KNEE $1,213.00

ARTHROSCOPIC CANNULA 5.5X70MM GRAY 9718 $34.00

ARTHROSCOPIC CANNULA 5.75MMX7CM AR-6560 $63.00

ARTHROSCOPIC CANNULA 5MMX7CM LOW PROFILE AR-6548 $63.00

ARTHROSCOPIC CANNULA 7MMX7CM PURPLE AR-6550 $63.00

ARTHROSCOPIC CANNULA 8.25X7CM NOTCHED AR-6530N $63.00

ARTHROSCOPIC CANNULA ARTHREX GEMINI SR8 8.25MMX9CM AR-6572 $80.00

ARTHROSCOPIC CANNULA TWIST-IN PURPLE 7MMX7CM AR-6570 $63.00

ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL $54.00

ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS $1.00

ARTIFICIAL TEARS(DEXTRAN-HYPROMEL-GLYCERN) 0.1 %-0.3 %-0.2 % EYE DROPS $30.00

AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION $8,496.00

AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ $8,496.00

ASCOPE 4 BRONCHO SLIM 065-476001000 $3,463.00

ASCORBIC ACID $97.00

ASCORBIC ACID (VITAMIN C) 250 MG TABLET $5.00

ASCORBIC ACID (VITAMIN C) 500 MG TABLET $5.00

ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION $447.00

ASENAPINE 5 MG SUBLINGUAL TABLET $87.00

Page 15: DESCRIPTION Price - Fairview

ASNIS 3.0 MICRO CANN SCREW 3X30/6MM $540.00

ASPERGILLUS ANTIGEN $365.00

ASPERGILLUS FUMIGAT ABY $21.00

ASPERGILLUS FUMIGAT ABY $106.00

ASPIRATE PLEURA W/O IMAGING $2,120.00

ASPIRATION BLADDER NEEDLE $1,279.00

ASPIRATION THROMBECTOMY / SOLO PCI $6,292.00

ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE $1.00

ASPIRIN 300 MG RECTAL SUPPOSITORY $1.00

ASPIRIN 325 MG TABLET $1.00

ASPIRIN 325 MG TABLET,DELAYED RELEASE $1.00

ASPIRIN 600 MG RECTAL SUPPOSITORY $1.00

ASPIRIN 81 MG CHEWABLE TABLET $1.00

ASPIRIN 81 MG TABLET,DELAYED RELEASE $5.00

ASPIRIN,BUFFERED (CALCIUM CARBONATE-MAGNESIUM) 325 MG TABLET $1.00

ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET $1.00

ASSEMBLY H2 MICRO LENGTHENER $7,912.00

ASSEMBLY TAPER GLOBAL AP 135DEG $375.00

AST (SGOT) $45.00

ATAZANAVIR 150 MG CAPSULE $106.00

ATAZANAVIR 200 MG CAPSULE $80.00

ATENOLOL 100 MG TABLET $5.00

ATENOLOL 25 MG TABLET $5.00

ATENOLOL 50 MG TABLET $5.00

ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION $39,179.00

ATH STENT MAJ COR ART/BRANCH $39,217.00

ATHER FEM-POP $26,283.00

ATHERECT EA ADDL BRANCH $29,238.00

ATOMIZER DEVICE LARYNGO-TRACHEAL MUCOSA MADGIC MAD600 $650.00

ATOMIZER RESP GLS QCK CHG TP 163 $529.00

ATOMOXETINE 10 MG CAPSULE $29.00

ATOMOXETINE 18 MG CAPSULE $16.00

ATOMOXETINE 25 MG CAPSULE $12.00

ATOMOXETINE 40 MG CAPSULE $8.00

ATORVASTATIN 10 MG TABLET $5.00

ATORVASTATIN 20 MG TABLET $5.00

ATORVASTATIN 40 MG TABLET $5.00

ATORVASTATIN 80 MG TABLET $5.00

ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET $31.00

ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION $164.00

ATROPINE (BULK) POWDER $119.00

ATROPINE 0.1 MG/ML INJECTION SYRINGE $50.00

ATROPINE 0.4 MG/ML INJECTION SOLUTION $50.00

ATROPINE 1 % EYE DROPS $184.00

ATROPINE 1 % EYE OINTMENT $87.00

ATROPINE 1 MG/ML INJECTION SOLUTION $50.00

ATTUNE CEMENTED STEM 14X30MM $1,895.00

Page 16: DESCRIPTION Price - Fairview

ATTUNE CEMENTED STEM 14X50MM $1,895.00

ATTUNE CEMENTED STEM 14X80MM $1,895.00

ATTUNE CRS FB INSRT SZ 7 16MM $4,950.00

ATTUNE CRS FEMORAL LT SZ 3 CEM $11,950.00

ATTUNE CRS FEMORAL LT SZ 5 CEM $11,950.00

ATTUNE CRS FEMORAL LT SZ 6 CEM $11,950.00

ATTUNE CRS FEMORAL LT SZ 7 CEM $13,444.00

ATTUNE CRS FEMORAL LT SZ 8 CEM $11,950.00

ATTUNE CRS FEMORAL RT SZ 4 CEM $11,950.00

ATTUNE CRS FEMORAL RT SZ 5 CEM $11,950.00

ATTUNE CRS FEMORAL RT SZ 7 CEM $11,950.00

ATTUNE CRS FEMORAL RT SZ 8 CEM $11,950.00

ATTUNE CRS RP INSRT SZ 3 12MM $5,360.00

ATTUNE CRS RP INSRT SZ 4 12MM $5,360.00

ATTUNE CRS RP INSRT SZ 4 14MM $5,360.00

ATTUNE CRS RP INSRT SZ 4 16MM $5,360.00

ATTUNE CRS RP INSRT SZ 5 10MM $5,360.00

ATTUNE CRS RP INSRT SZ 6 12MM $5,360.00

ATTUNE CRS RP INSRT SZ 7 12MM $5,360.00

ATTUNE CRS RP INSRT SZ 7 14MM $5,360.00

ATTUNE CRS RP INSRT SZ 8 14MM $5,360.00

ATTUNE DIST FEM AUG SZ 5 4MM $2,200.00

ATTUNE DIST FEM AUG SZ 6 8MM $2,200.00

ATTUNE DIST FEM AUG SZ 7 12MM $2,475.00

ATTUNE DIST FEM AUG SZ 7 4MM $2,475.00

ATTUNE FB TIB BASE SZ 10 CEM $2,250.00

ATTUNE FB TIB BASE SZ 2 CEM $2,250.00

ATTUNE FB TIB BASE SZ 2 CEM $2,250.00

ATTUNE FB TIB BASE SZ 3 CEM $2,250.00

ATTUNE FB TIB BASE SZ 4 CEM $2,250.00

ATTUNE FB TIB BASE SZ 5 CEM $2,250.00

ATTUNE FB TIB BASE SZ 5 CEM $2,250.00

ATTUNE FB TIB BASE SZ 6 CEM $2,250.00

ATTUNE FB TIB BASE SZ 6 CEM $2,250.00

ATTUNE FB TIB BASE SZ 7 CEM $2,250.00

ATTUNE FB TIB BASE SZ 7 CEM $2,250.00

ATTUNE FB TIB BASE SZ 8 CEM $2,250.00

ATTUNE FB TIB BASE SZ 8 CEM $2,250.00

ATTUNE FB TIB BASE SZ 9 CEM $2,250.00

ATTUNE FB TIB BASE SZ 9 CEM $2,250.00

ATTUNE POS FEM AUG SZ 4 4MM $2,200.00

ATTUNE POS FEM AUG SZ 5 4MM $2,200.00

ATTUNE POS FEM AUG SZ 6 4MM $2,200.00

ATTUNE POS FEM AUG SZ 6 8MM $2,200.00

ATTUNE POS FEM AUG SZ 7 12MM $2,475.00

ATTUNE POS FEM AUG SZ 7 8MM $2,475.00

ATTUNE POS FEM AUG SZ 8 12MM $2,200.00

Page 17: DESCRIPTION Price - Fairview

ATTUNE RP TIB BASE SZ 4 CEM $2,250.00

ATTUNE RP TIB BASE SZ 5 CEM $2,250.00

ATTUNE RP TIB BASE SZ 6 CEM $2,250.00

ATTUNE RP TIB BASE SZ 7 CEM $2,250.00

ATUN FEM SLV M/L 35MM FULL POR $5,850.00

ATUN FEM SLV M/L 35MM HALF POR $5,852.00

ATUN FEM SLV M/L 40MM FULL POR $5,852.00

ATUN PRESSFIT STR STEM12X110MM $2,995.00

ATUN PRESSFIT STR STEM16X110MM $2,995.00

ATUN PRESSFIT STR STEM18X110MM $3,369.00

ATUN TIB AUG UNIV SZ 3/4 5MM $2,500.00

ATUN TIB SLV M/L 37MM FULL POR $6,606.00

ATUN TIB SLV M/L 37MM HALF POR $6,606.00

ATUNE CRS FB TIB BASE SZ 3 CEM $5,900.00

ATUNE CRS FB TIB BASE SZ 5 CEM $5,900.00

ATUNE PRESSFIT STR STEM12X60MM $2,995.00

ATUNE PRESSFIT STR STEM14X60MM $2,995.00

ATUNE PRESSFIT STR STEM16X60MM $2,995.00

ATUNE PRESSFIT STR STEM18X60MM $2,995.00

ATUNE PRESSFIT STR STEM22X60MM $2,995.00

ATUNE REV RP TIB BASE SZ 5 CEM $8,980.00

ATUNE REV RP TIB BASE SZ 6 CEM $8,980.00

ATUNE REV RP TIB BASE SZ 8 CEM $8,980.00

AUGMENT ACETABULAR WEDGE 58MM OD 15MM THK REVISION RECONSTRU $5,371.00

AUGMENT ACETABULAR WEDGE 62MM OD 20MM THK REVISION RECONSTRU $5,733.00

AUGMENT FEMORAL SPACER SZ 4 8MM THK COBALT CHROMIUM POSTER $1,719.00

AUGMENT FEMORAL SZ 1/2 TRITANIUM LEFT CONE TRIATHLON LATEX $13,976.00

AUGMENT FEMORAL WEDGE BLOCK SZ 3 16MM THK COBALT CHROMIUM $1,719.00

AUGMENT FEMORAL WEDGE BLOCK SZ 4 12MM THK COBALT CHROMIUM $2,837.00

AUGMENT FEMORAL WEDGE/BLOCK SZ 3 4MM THK COBALT CHROMIUM L $1,719.00

AUGMENT FEMORAL WEDGE/BLOCK SZ 3 4MM THK COBALT CHROMIUM P $1,719.00

AUGMENT FEMORAL WEDGE/BLOCK SZ 4 4MM THK COBALT CHROMIUM P $1,719.00

AUGMENT FEMORAL/TIBIAL STEPPED WEDGE SZ 1 10MM THK TITANIU $3,313.00

AUGMENT FEMORAL/TIBIAL WEDGE BLOCK SZ 3 12MM THK COBALT CH $1,719.00

AUGMENT FEMORAL/TIBIAL WEDGE BLOCK SZ 3 16MM THK COBALT CH $1,719.00

AUGMENT TIBIAL CEMENTED STEPPED WEDGE/BLOCK SZ 3 10MM THK $5,467.00

AUGMENT TIBIAL SZ B TRITANIUM RIGHT MEDIAL LEFT LATERAL CO $13,123.00

AUGMENT TIBIAL SZ C TRITANIUM RIGHT MEDIAL LEFT LATERAL CO $12,271.00

AUTOLOGOUS DONATION SERV FEE $550.00

AUTOTOME 44 20MM SHORT WIRE SYSTEM M00545170 $733.00

AV IMP FOOT WRAPS $313.00

AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION $6,938.00

AVULSION NAILPLATE $450.00

AVULSION NAILPLATE EA ADD'L $194.00

AWAKE & DROWSY $793.00

AWL 5.5IN OBWGSR SLT CRV MNDB 01-0072 $265.00

AZACITIDINE 100 MG SOLUTION FOR INJECTION $2,544.00

Page 18: DESCRIPTION Price - Fairview

AZATHIOPRINE 50 MG TABLET $5.00

AZELAIC ACID 15 % TOPICAL GEL $1,616.00

AZELASTINE 0.05 % EYE DROPS $247.00

AZELASTINE 0.15 % (205.5 MCG) NASAL SPRAY $799.00

AZELASTINE 137 MCG (0.1 %) NASAL SPRAY AEROSOL $416.00

AZITHROMYCIN 1 % EYE DROPS $896.00

AZITHROMYCIN 1 GRAM ORAL PACKET $106.00

AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION $129.00

AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION $129.00

AZITHROMYCIN 250 MG TABLET $11.00

AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION $50.00

AZITHROMYCIN 500 MG TABLET $4.00

AZITHROMYCIN 600 MG TABLET $9.00

AZTREONAM 1 GRAM SOLUTION FOR INJECTION $126.00

AZTREONAM 1 GRAM SOLUTION FOR IV PUSH $126.00

AZTREONAM 2 GRAM SOLUTION FOR INJECTION $252.00

AZTREONAM 2 GRAM SOLUTION FOR IV PUSH $252.00

AZTREONAM 500 MG SOLUTION FOR IV PUSH $63.00

B CELLS;CD19 $198.00

B2 GLYCOPROTEIN I ABY/EACH $76.00

BABESIA MICROTI BY PCR, SO $340.00

BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION $55.00

BACITRACIN 500 UNIT/GRAM EYE OINTMENT $429.00

BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT $1.00

BACITRACIN 500 UNIT/GRAM TOPICAL PACKET,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL PACKET $5.00

BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT $23.00

BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT $22.00

BACITRACIN ZINC 500 UNIT/GRAM TOPICAL PACKET $5.00

BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT $108.00

BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM TOPICAL OINTMENT $34.00

BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM TOPICAL PACKET $1.00

BACLOFEN 10 MG TABLET $5.00

BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION $50.00

BACLOFEN 2.5 MG HALF-TABLET $5.00

BACLOFEN 20 MG TABLET $5.00

BACLOFEN 5 MG TABLET $5.00

BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION $50.00

BACTERIAL AGN DETECTION/AGN $141.00

BAG DRAINAGE EDMS 46124 $111.00

BAG PRESSURE 3000CC MTM330E $350.00

BAG PRESSURE INFUSOR 1000CC DISP PIB1000 $315.00

BAKRI KIT $747.00

BALANCED SALT IRRIGATION INTRAOCULAR SOLUTION COMBINATION NO.2 $52.00

BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION $52.00

BALANCED SALT SOLUTION NON-SURGICAL NO.3 EYE WASH $90.00

BALL ROLLER HYSTEROSCOPY WA47052C $3,169.00

BALLOON .014 SMALL VESSEL $1,128.00

Page 19: DESCRIPTION Price - Fairview

BALLOON DILATION OF BILIARY DUCT/AMPULLA, PERCUTANEOUS, EACH DUCT $4,708.00

BALLOON DILATION, URETERAL STRICTURE $3,480.00

BALLOON RETIEVAL 8.5 007123 $205.00

BALLOON RETRIEVAL 11.5 007124 $205.00

BALLOON RETRIEVAL 15MM 007125 $205.00

BALLOON STEERABLE SB 10GA/2ML $2,316.00

BALLOON STEERABLE SB 8GA/4ML $1,563.00

BALLOON TEST OCCLUSION (TEMP) $27,915.00

BALSALAZIDE 750 MG CAPSULE $5.00

BAND ANNULOPLASTY DURAN FLEX BAND 23MM $3,000.00

BAND ANNULOPLASTY DURAN FLEX BAND 25MM $3,000.00

BAND ANNULOPLASTY DURAN FLEX BAND 27MM $3,000.00

BAND ANNULOPLASTY DURAN FLEX BAND 31MM $3,000.00

BAND ANNULOPLASTY DURAN FLEX BAND 33MM $3,000.00

BAND ANNULOPLASTY DURAN FLEX BAND 35MM $3,000.00

BARBITUATE URINE, QUANT $92.00

BARBITUATES CONFIRMATION, SO $114.00

BARBITUATES, REFLEX $98.00

BARRIER INTERCEED 3X4" 4350 $7,221.00

BARRIER SEPRAFILM 5X6" SINGLE SHEET 4301-02 $7,455.00

BARRIER SEPRAMESH 3X6 $1,196.00

BARRIER SEPRAMESH 6X8" 5959-680 $2,521.00

BARTONELLA ABY EACH $107.00

BASEPLATE GLENOID LG AR-9120-03 $4,288.00

BASEPLATE GLENOID MED AR-9120-02 $3,216.00

BASEPLATE LATERAL RVRS 25MM OFFS 6MM $4,750.00

BASEPLATE REVERSE 2 LINE EXT 25X25MM $4,846.00

BASEPLATE REVERSE 2 LINE EXT 25X30MM $3,000.00

BASEPLATE STANDARD AP REVERSED 29MM $3,000.00

BASEPLATE STD 25MM $3,000.00

BASEPLATE TIBIAL 45MM SLEEVE POROCOAT FULLY COATED F/KNEE SY $6,605.00

BASEPLATE TIBIAL CEMENTED SZ 3 POST FEMORAL ROTATING $2,250.00

BASEPLATE TIBIAL CEMENTED SZ 4 POST FEMORAL ROTATING $2,250.00

BASEPLATE TIBIAL CEMENTED SZ 5 POST FEMORAL ROTATING $2,250.00

BASEPLATE TIBIAL CEMENTED SZ 6 POST FEMORAL ROTATING $2,250.00

BASEPLATE TIBIAL CEMENTED SZ 7 POST FEMORAL ROTATING $2,250.00

BASEPLATE TIBIAL CEMENTED SZ 9 ROTATING PLATFORM ATTUNE $2,250.00

BASEPLATE TIBIAL REVISION FIXED BEARING PLATFORM SZ 8 CEME $5,900.00

BASEPLATE TIBIAL SZ-5 CRS ROTATING PLATFORM INSERT AOX 6MM $5,360.00

BASEPLATE TIBIAL SZ-8 ROTATING PLATFORM CEMENTED $2,250.00

BASEPLATE TRIATHLON PKR #1 RM/LL $2,500.00

BASEPLATE TRIATHLON PKR #2 LM/RL $2,500.00

BASEPLATE TRIATHLON PKR #5 RM/LL $2,500.00

BASEPLATE TRIATHLON PKR #6 LM/RL $2,500.00

BASEPLATE TRIATHLON PKR #6 RM/LL $2,500.00

BASEPLATE TRIATHLON TS SZ 1 $2,500.00

BASIC METABOLIC PROFILE $150.00

Page 20: DESCRIPTION Price - Fairview

BASKET N COMPASS 1.7FRX11.5CM G46027 NCT4-017115 $702.00

BASKET NITINOL TIPLESS HALO 1.5FRX120CM 554120 $586.00

BASKET PERC N CIRCLE 12FR STONE EXTRACTOR NTRSE-120038 $439.00

BASKET STONE EXTRACTOR NITINOL NGAGE 1.7FRX115CM G48294 $490.00

BB-TAK LARGE $338.00

BB-TAK LARGE THREADED $375.00

BEARING DUAL MOBILITY 26 X 54MM $5,258.00

BEARING FEMORAL 18MMW X 24MML HMRS $679.00

BEARING HUMERAL E1 44-36MM STD $4,250.00

BEARING KNEE FIXED LATERAL D3 L $4,625.00

BEARING MOBILE PRIMARY 8MM $4,144.00

BEARING TIBIA PSC 20X79/83MM $5,335.00

BEARING TIBIAL 10MML UHMWPE STAINLESS STEEL PRIMARY MOBILE S $4,144.00

BEARING TIBIAL POLYETHYLENE DIST FEMORAL GROWING PROSTHESI $6,324.00

BEARING TIBIAL PS 12X71/75MM $5,335.00

BEARING TIBIAL PS 16X71/75MM $5,335.00

BEARING TIBIAL PS 22X63/67MM $5,335.00

BEARING TIBIAL SZ 1 7MM THK POLYETHYLENE RIGHT MEDIAL LEFT $1,625.00

BEARING TIBIAL SZ 1 8MM THK POLYETHYLENE RIGHT MEDIAL LEFT $1,625.00

BEARING TIBIAL SZ 1.5 17.5MM THK GVF POLYETHYLENE POSTERIO $3,566.00

BEARING TIBIAL SZ 1.5 17.5MM THK XLK POLYETHYLENE CURVED P $1,500.00

BEARING TIBIAL SZ 10 18MM THK POLYETHYLENE POST STABI $2,250.00

BEARING TIBIAL SZ 2 12MM THK X3 LEFT MEDIAL RIGHT LATERAL $2,500.00

BEARING TIBIAL SZ 2 8MM THK XLK POLYETHYLENE CURVED POSTER $1,500.00

BEARING TIBIAL SZ 3 9MM THK POLYETHYLENE LEFT MEDIAL RIGHT $1,625.00

BEARING TIBIAL SZ 4 16MM THK POLYETHYLENE CRUCIATE RETAINI $2,000.00

BEARING TIBIAL SZ 4 17.5MM THK GVF POLYETHYLENE POST $3,566.00

BEARING TIBIAL SZ 4 7MM THK POLYETHYLENE LEFT MEDIAL RIGHT $1,625.00

BEARING TIBIAL SZ 5 20MM THK POLYETHYLENE POST STABIL $2,000.00

BEARING TIBIAL SZ 5 89MM/55MML 12.5MM THK XLK POLYETHYLENE $1,500.00

BEARING TIBIAL SZ 5 9MM THK X3 LEFT MEDIAL RIGHT LATERAL F $2,500.00

BEARING TIBIAL SZ 6 8MM THK X3 RIGHT MEDIAL LEFT LATERAL F $2,500.00

BEARING TIBIAL SZ 7 18MM THK POLYETHYLENE POST STABIL $2,000.00

BEARING TIBIAL SZ 8 16MM THK UHMWPE POST STABILIZED F $2,000.00

BECLOMETHASONE DIPROP 40 MCG/ACTUATION HFA BREATH ACTIVATED AEROSOL $887.00

BECLOMETHASONE DIPROP 80 MCG/ACTUATION HFA BREATH ACTIVATED AEROSOL $1,044.00

BECLOMETHASONE DIPROPIONATE 40 MCG/ACTUATION AEROSOL INHALER $837.00

BECLOMETHASONE DIPROPIONATE 80 MCG/ACTUATION AEROSOL INHALER $985.00

BEHAVRAL QUALIT ANALYS VOICE $506.00

BELATACEPT 250 MG INTRAVENOUS SOLUTION $3,616.00

BELIMUMAB 120 MG INTRAVENOUS SOLUTION $2,286.00

BELIMUMAB 400 MG INTRAVENOUS SOLUTION $6,700.00

BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY $96.00

BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY $29.00

BENAZEPRIL 10 MG TABLET $5.00

BENAZEPRIL 5 MG TABLET $5.00

BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION $11,356.00

Page 21: DESCRIPTION Price - Fairview

BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION $3,229.00

BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION $10,753.00

BENGAL STACK STD LOR 22MM $7,224.00

BENGAL STACK STD LOR 24MM $7,325.00

BENGAL STACK STD LOR 26MM $7,325.00

BENGAL STACK STD LOR 38MM $7,325.00

BENGAL STACK STD PAR 20MM $7,325.00

BENGAL STACK STD PAR 22MM $7,325.00

BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE $18,708.00

BENSON WIRE $65.00

BENTSON GUIDE WIRE $84.00

BENZOCAINE 10 % MUCOSAL GEL $26.00

BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY $5.00

BENZOCAINE 20 % MUCOSAL GEL $22.00

BENZOCAINE 20 % TOPICAL AEROSOL $19.00

BENZOCAINE 20 % TOPICAL OINTMENT $19.00

BENZOCAINE 6 MG-MENTHOL 10 MG LOZENGES $5.00

BENZOCAINE-MENTHOL 15 MG-3.6 MG LOZENGES $5.00

BENZOCAINE-MENTHOL 20 %-0.5 % TOPICAL AEROSOL $22.00

BENZOCAINE-RESORCINOL 5 %-2 % TOPICAL CREAM $13.00

BENZODIAZEPINE CONFIRMATION, SO $181.00

BENZODIAZEPINE URINE, QUANT $220.00

BENZODIAZEPINES, REFLEX $181.00

BENZOIN (BULK) TOPICAL TINCTURE $53.00

BENZOIN TOPICAL SPRAY $34.00

BENZONATATE 100 MG CAPSULE $5.00

BENZOYL PEROXIDE 10 % TOPICAL GEL $70.00

BENZOYL PEROXIDE 2.5 % TOPICAL CLEANSER $1,018.00

BENZOYL PEROXIDE 2.5 % TOPICAL GEL $66.00

BENZOYL PEROXIDE 5 % TOPICAL GEL $80.00

BENZTROPINE 0.5 MG TABLET $5.00

BENZTROPINE 1 MG TABLET $5.00

BENZTROPINE 2 MG TABLET $5.00

BENZTROPINE 2 MG/2 ML INJECTION SOLUTION $261.00

BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION $10.00

BETA CAROTENE 25,000 UNIT CAPSULE $5.00

BETA HCG TUMOR MARKER, SO $84.00

BETA HCG, FREE $63.00

BETA-2 TRANSFERRIN,BF, SO $1,293.00

BETA-2-MICROGLOBULIN $106.00

BETA-CROSSLAPS(BETA-CTX) $305.00

BETA-HYDROXYBUTYRATE $101.00

BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION $244.00

BETAMETHASONE DIPROPIONATE 0.05 % LOTION $198.00

BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM $209.00

BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM $111.00

BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT $164.00

Page 22: DESCRIPTION Price - Fairview

BETAMETHASONE, AUGMENTED 0.05 % LOTION $744.00

BETAMETHASONE, AUGMENTED 0.05 % TOPICAL CREAM $58.00

BETAXOLOL 0.25 % EYE DROPS,SUSPENSION $1,350.00

BETAXOLOL 0.5 % EYE DROPS $251.00

BETHANECHOL CHLORIDE 10 MG TABLET $5.00

BETHANECHOL CHLORIDE 25 MG TABLET $5.00

BETHANECHOL CHLORIDE 5 MG TABLET $5.00

BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION $155.00

BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION $155.00

BICALUTAMIDE 50 MG TABLET $12.00

BICARBONATE DIALYSIS SOLN(NO POTASSIUM)NO.11 CAL 2.5 MEQ-MAG 1.5 MEQ/L $222.00

BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L $222.00

BI-CORT POST 4.5X45MM $250.00

BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET $448.00

BILE ACIDS; TOTAL $111.00

BILIRUBIN DIRECT $34.00

BILIRUBIN TOTAL $34.00

BIMATOPROST 0.01 % EYE DROPS $856.00

BINDER ABDOMINAL $97.00

BIO-AVAILABLE TESTOSTERONE $181.00

BIOCOMPOSITE-TENOD SCR W/ DISP DRIVER 5.5X15MM $1,013.00

BIOCOMP-TENO SWIVELOCK 4.75X15 VE5 $1,013.00

BIODESIGN MESH 4X7 $1,082.00

BIODESIGN MESH 7X10 $2,704.00

BIOPSY DURING BRONCH $3,764.00

BIOPSY LYMPH NODE(S), NEEDLE $2,863.00

BIOPSY MUSCLE, NEEDLE (SOFT TISSUE) $2,882.00

BIOPSY OF KIDNEY,PERCUTANEOUS $3,300.00

BIOPSY SALIVARY GLAND, NEEDLE $2,203.00

BIOPSY SOFT TISSUE NECK OR THORAX, NEEDLE $3,553.00

BIOPSY THYROID, PERCUT $1,481.00

BIOPSY/TRANS-CATHETER $2,448.00

BIOSTEP $46.00

BIOSYNC ANATOMIC COTTON WEDGE 16X5.7 MM $4,988.00

BIOSYNC ANATOMIC COTTON WEDGE 16X6.5 MM $4,988.00

BIOSYNC ANATOMIC COTTON WEDGE 20X6.5 MM $4,988.00

BIOSYNC EVANS WEDGE 18X18X10 MM $5,488.00

BIOSYNC EVANS WEDGE 22X22X12 MM $5,488.00

BIOTINIDASE $295.00

BIOVANCE PER 1 SQ CM (1 X 2) $464.00

BIOVANCE PER 1 SQ CM (2 X 2) $464.00

BIOVANCE PER 1 SQ CM (2 X 3) $464.00

BIOVANCE PER 1 SQ CM (2 X 4) $464.00

BIOVANCE PER 1 SQ CM (3 X 3.5) $464.00

BISACODYL 10 MG RECTAL SUPPOSITORY $1.00

BISACODYL 5 MG TABLET,DELAYED RELEASE $1.00

BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET $5.00

Page 23: DESCRIPTION Price - Fairview

BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION $5.00

BISOPROLOL FUMARATE 5 MG TABLET $5.00

BIT DRILL 220MM LONG 2.6MM DRILL AO CONNECTION FOR USE WITH $373.00

BIT DRILL 2MM STRAIGHT CAN TRIAL CALIBRATED $488.00

BIT DRILL 3.8MM 270MML FLUTEDX3 QUICK-COUPLING CALIBRATE $475.00

BIT DRILL 4.2MM 145MML TI FLUTEX3 QUICK COUPLING N $338.00

BIT DRILL 4.2MM 330MML TI FLUTEX3 QUICK COUPLING N $475.00

BIT DRILL ENDOSCOPIC 3MM CERVICAL CANNULATED AO SHAFT CA $288.00

BIT DRILL ENDOSCOPIC MINI STRAIGHT PROFILE TRIAL CALIBRATED $375.00

BIT SCREWDRIVER TRILLIANT CAN 2.0/2.4MM 210-24-003 $563.00

BIV P/ICD GEN RPLC/REM LV REPO $6,264.00

BIV: LV LEAD INSERT AT NEW GEN $23,839.00

BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION $2,391.00

BIV-ICD/PACER UPGRADE $24,006.00

BK VIRUS DNA QUANT, SO $275.00

BLADDER CATH (TEMP) COMPLEX $879.00

BLADDER CATH (TEMP) SINGLE $330.00

BLADDER CATHETER SET $110.00

BLADDER IRRIGATION SIMPLE $646.00

BLADDER SCAN $246.00

BLADDER SCANNING $246.00

BLADDER W/INSERT SUPRAPUB CATH $4,322.00

BLADE 100MM SPRL F/TI RTRGD 04.013.052 $1,155.00

BLADE 45MM SPRL F/TI RTRGD FEM 04.013.041 $1,155.00

BLADE 50MM SPRL F/TI RTRGD FEM 04.013.042 $1,155.00

BLADE 55MM SPRL F/TI RTRGD FEM 04.013.043 $1,155.00

BLADE 60MM SPRL F/TI RTRGD FEM 04.013.044 $1,155.00

BLADE 75MM SPRL F/TI RTRGD FEM 04.013.047 $1,155.00

BLADE 80MM SPRL F/TI RTRGD FEM 04.013.048 $1,155.00

BLADE 85MM SPRL F/TI RTRGD FEM 04.013.049 $1,155.00

BLADE 90MM SPRL F/TI RTRGD FEM 04.013.050 $1,155.00

BLADE 95MM SPRL F/TI RTRGD FEM 04.013.051 $1,155.00

BLADE ACETAB STRYKER EZ OUT CUP 52MM 7812-052-001K $2,625.00

BLADE BONE MILL FINE 5400-702-000 $3,900.00

BLADE BONE MILL STRK 5.0MM MED 5400-701-000 $3,443.00

BLADE CARPAL TUNNEL ENDO 81010-1 $750.00

BLADE CRCFRM HLD SLV STRDR 314.48 $2,658.00

BLADE DERMATOME ZIMMER 00-8800-000-10 $923.00

BLADE DISC CUTTER AMENDIA 10112-4 $390.00

BLADE DISSECTOR 5.5 $525.00

BLADE DISSECTOR CURVED 4.0 AR-8400CDS $525.00

BLADE DYONICS INCISOR CVD 4.5X180MM LONG 72200494 $811.00

BLADE DYONICS INCISOR PLUS ELITE 4.5MM 72200036 $695.00

BLADE ESU PLASMABLADE SPATULA TIP 4MM PS200-040 $769.00

BLADE EXCALIBUR 5.0 $525.00

BLADE GIGLI 12" 00-2808-001-00 $510.00

BLADE HELICAL 10.35X80MM ST $2,210.00

Page 24: DESCRIPTION Price - Fairview

BLADE HELICAL 10.35X85MM ST $2,210.00

BLADE HELICAL 10.35X90MM ST $2,210.00

BLADE HELICAL 100MML W/FENESTRATED PERFORATED GOLD STERILE $2,210.00

BLADE HELICAL TI 11.0 X 100MM STRL $1,343.00

BLADE HELICAL TI 11.0 X 105MM STRL $1,343.00

BLADE HELICAL TI 11.0 X 90MM STRL $1,343.00

BLADE HELICAL TI 11.0 X 95MM STRL 456.304S $1,343.00

BLADE INFERIOR TURBINATE 2.9MMX11CM 1882940HR $3,198.00

BLADE KLS S/D 2.0X80MM WS 2.0/2.3MM/BOS/ NEURO/RCT/USR DRVR $349.00

BLADE KNIFE BEAVER TYMPANOPLASTY 7300 $89.00

BLADE KNIFE MEDT BAYONET INST DISS 9560659 $652.00

BLADE OSTEO FLX 12MMX120MM 6210-0-710 $917.00

BLADE OSTEO FLX 12MMX93MM 6210-0-740 $917.00

BLADE OSTEO FLX 6MMX67MM 6210-0-720 $917.00

BLADE OSTEO FLX 8MMX80MM 6210-0-730 $917.00

BLADE PRECISION 25X1.27X9 6725127090 $1,173.00

BLADE QUADCUT ROTATABLE FUSION 4.3MMX13CM M4 1884380EM $886.00

BLADE RECIPRO DBL SIDED 277-96-275 $84.00

BLADE REPL SYSTEM HNDL 2MM BRN 01-9047 $223.00

BLADE SAGITTAL LONG NARROW THIN 2108-103 $69.00

BLADE SAGITTAL WIDE (SO-618) 2108-118 $69.00

BLADE SAGITTAL XX LONG WIDE 13MMX50MM $61.00

BLADE SAW 12MM/24MM/4MM SHT 532.094S $925.00

BLADE SAW LONG WIDE┬Á13MMX34.5MM $81.00

BLADE SAW OSCIL/SAG STRK MICRO 10.5X18X0.38MM 2296-003-212 $81.00

BLADE SAW OSCIL/SAG STRK MICRO 5.5X18X0.38MM 2296-003-412 $81.00

BLADE SAW OSCIL/SAG STRK MICRO 7.0X18.5X0.38MM 2296-003-114 $81.00

BLADE SAW OSCIL/SAG STRK MICRO 7.0X29.5X0.38MM 2296-003-115 $81.00

BLADE SAW OSCIL/SAG STRK MICRO 9.0X18.5X0.38MM 2296-003-105 $81.00

BLADE SAW OSCIL/SAG STRK MICRO 9.0X31X0.38MM 2296-003-125 $81.00

BLADE SAW OSCIL/SAG STRK MICRO 9X31X0.38MM 2296-003-225 $81.00

BLADE SAW OSCILLATING STRYK MED 9.0X25X0.38MM 2296-003-111 $81.00

BLADE SAW RECIP 77.5X6.35MM STL $92.00

BLADE SAW RECIP STRK 60X6.27X0.64MM SHORT 0277-096-250 $92.00

BLADE SAW RECIP STRK 60X6.27X0.64MM SHORT 0277-096-250 $92.00

BLADE SAW RECIP STRK EXCURSION 14.5X.635MM 5100-037-011 $190.00

BLADE SAW RECIP STRK EXCURSION 33.5X.635MM 5100-037-012 $190.00

BLADE SAW SAGITTAL STRK 12.5X81.5X1.27MM 4/2000 2108-158-000 $69.00

BLADE SAW SAGITTAL STRK 12.5X81.5X1.27MM 4/2000 2108-158-000 $69.00

BLADE SAW SAGITTAL STRK 18X90X1.27MM HD SYS 6 6118-127-090 $131.00

BLADE SAW SAGITTAL STRK 19.5X90X1.27MM 2108-109-000S11 $124.00

BLADE SAW SAGITTAL STRK 25X89.5X0.96MM 4/2000 2108-393-005 $69.00

BLADE SAW SAGITTAL STRK DUAL CUT 4118135090 $125.00

BLADE SAW SAGITTAL STRK DUAL CUT 4118135090 $125.00

BLADE SAW SAGITTAL STRK SHORT 35.5X9X0.64MM 2108-148-000 $69.00

BLADE SAW SAGITTAL STRK WIDE 25.4X85X1.2MM 2108-151-000 $69.00

BLADE SAW SAGITTAL STRK XSHORT 25X9.5X0.6MM 2108-145-000 $69.00

Page 25: DESCRIPTION Price - Fairview

BLADE SAW STRK STERNAL 6207-97-101 $73.00

BLADE SAW STRYKER NARROW WRIGHT MICROAIRE SYS 6 200138105S $363.00

BLADE SAW STRYKER WIDE WRIGHT MICROAIRE SYS 6 200138106S $363.00

BLADE SCREWDRIVER SYN 1.3 CRUCIFORM W/SLEEVE 314.411.96 $1,885.00

BLADE SCREWDRIVER SYN 1.3 CRUCIFORM W/SLEEVE SHORT $1,951.00

BLADE SHAVER ARTHRO 4.5MM INCISOR 72200414 $738.00

BLADE SHAVER SINUS 4.0MM RAD 40 ROTATE 1884006HR $2,688.00

BLADE SINUS RAD12 CVD 4MM FUSION ROTATE W/TRACKING $970.00

BLADE SINUS RAD40 CVD 4MM FUSION ROTATE 18840006EM $870.00

BLADE SKIMMER LARYN 2.9X22CM 1882923HRE $1,397.00

BLADE SPIRAL 100MM 456.100 $1,327.00

BLADE SPIRAL 100MM 456.105 $1,327.00

BLADE SPIRAL 110MM 456.110 $1,327.00

BLADE SPIRAL 115MM 456.115 $1,327.00

BLADE SPIRAL 120MM 456.120 $1,327.00

BLADE SPIRAL 70MM 456.70 $1,327.00

BLADE SPIRAL 80MM TI 456.80 $1,409.00

BLADE SPIRAL 85MM 456.85 $1,327.00

BLADE SPIRAL 90MM 456.90 $1,327.00

BLADE SPIRAL 95MM 456.95 $1,327.00

BLADE SPIRAL/HUMERAL NAIL GOLD 38MM $1,215.00

BLADE SPIRAL/HUMERAL NAIL GOLD 40MM 462.640 $1,215.00

BLADE SPIRAL/HUMERAL NAIL GOLD 44MM $1,215.00

BLADE SPRIAL 70MM RETRO FEMORAL 04.013.046 $1,155.00

BLADE TEAR RASP 13.0X7.0MM KM-81 $131.00

BLADE TFNA HELICAL 10.35X100MM STR $2,210.00

BLADE TFNA HELICAL 10.35X105MM $2,210.00

BLADE TFNA HELICAL 115MM $2,210.00

BLADE TFNA HELICAL 95MM STRL $2,210.00

BLADE TRICUT 4MMX11CM M4 ROTATABLE 1884004HR $3,088.00

BLADE TRICUT 4MMX13CM 1884080HR $2,502.00

BLADE TRICUT LARYN 4MMX22CM W/IRRIGATION 1884030HRE $1,305.00

BLADE TURBINATE INFERIOR 2MM ROTATE 1882040HR $3,269.00

BLADE UNI KNEE 6213137070 $147.00

BLANKET BAIR ADLT PLYMR 60X36IN 63000 $320.00

BLANKET SPNL UNDRBDY BAIR HUGG $288.00

BLASTOMYCES ID $60.00

BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION $155.00

BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION $155.00

BLEPHAROTOMY DRAIN ABSCESS LID $780.00

BLOCK BITE ADULT JAW LOCK TOOTHETTE 4000 $2.00

BLOCK TIBIAL AUGMENT 71X10MM $2,548.00

BLOCK TIBIAL AUGMENT 79X10MM $2,548.00

BLOCKER ROD XIA 4.5 $113.00

BLOCKER SPINAL XIA CLOSURE 03756230 $163.00

BLOOD ADMINISTRATION $1,067.00

BLOOD FILTER $115.00

Page 26: DESCRIPTION Price - Fairview

BLOOD GASES W/CALC O2 SAT $158.00

BLOOD GASES W/MEASURED O2 SAT $190.00

BLOOD PH $68.00

BLOOD TYPE ABO $99.00

BLOOD TYPE RH $91.00

BLOOD TYPING RBC ANTIGENS $113.00

BLOOD/BONE MARROW CULTURE $165.00

BODY HUMERAL CEMENTLESS SZ 14 14MMH POROCOAT PROXIMAL 135D $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 10 +5 $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 10 0 $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 10 -5 $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 12 +5 $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 12 0 $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 12 -5 $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 14 +5 $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 14 0 $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 14 -5 $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 16 +5 $2,000.00

BODY HUMERAL GLOBAL UNITE SZ 16 0 $2,000.00

BODY PROXIMAL ANATOMIC SZ 10 135DEG $2,000.00

BODY PROXIMAL GLOBAL UNITE SZ 12 135DEG $2,000.00

BOLT 20MM $138.00

BOLT ARCOS LATERAL TROCH 34MM $1,710.00

BOLT CANNULATD 9.5MM X 80MM $6,356.00

BOLT CANNULATED 8.5X70MM $6,356.00

BOLT CANNULATED 9.5 X 100MM $6,356.00

BOLT EXTERNAL FIXATION 6MM CARBON HOFFMANN II LATEX-FREE $64.00

BOLT EXTERNAL FIXATION LONG CONNECTION F/DISTRACTION OSTEOGE $25.00

BOLT EXTERNAL FIXATION SCHANZ SCR CAN POST MOUNT F/ $551.00

BOLT EXTERNAL FIXATION SCHANZ SCR CAN RING MOUNT F/ $482.00

BOLT EXTERNAL FIXATION WIRE OFFSET F/DISTRACTION OSTEOGENESI $98.00

BOLT EXTERNAL FIXATION WIRE SLOTTED F/DISTRACTION OSTEOGENES $105.00

BOLT FIXATION REVISION $688.00

BOLT INTRAMEDULLARY NAIL LOCKING 85MML HIP REVISION MODULAR $440.00

BOLT MIDFOOT FUSION 6.5X110MM $1,274.00

BOLT MIDFOOT FUSION 6.5X125MM $1,297.00

BOLT MIDFOOT FUSION 6.5X130MM $1,297.00

BOLT MIDFOOT FUSION 6.5X140MM $1,297.00

BOLT SHOULDER EXTERNAL FIXATION F/8MM RING $311.00

BOLT WIRE 2MM $550.00

BON OS INJECT 1 X 24 $1,125.00

BONE ACELLULAR DERMIS 5X5CM XTHICK $7,046.00

BONE ACELLULAR HUMAN DERMIS 5X10CM XTHIC $7,954.00

BONE ACHILLES 10MM PRE SHAPED $6,523.00

BONE AGE STUDIES $297.00

BONE ALLOCRAFT L 10MM X 4DEG $6,825.00

BONE ALLOCRAFT L 10MM X 8DEG $6,825.00

Page 27: DESCRIPTION Price - Fairview

BONE ALLOCRAFT L 12MM X 8DEG $6,825.00

BONE ALLOCRAFT L 14MM X 4DEG $6,825.00

BONE ALLOCRAFT L 14MM X 8DEG $6,825.00

BONE ALLOCRAFT L 16MM X 12DEG $6,825.00

BONE ALLOCRAFT L 16MM X 8DEG $6,825.00

BONE ALLOCRAFT L 18MM X 12DEG $8,750.00

BONE ALLOCRAFT L 18MM X 8DEG $8,750.00

BONE ALLOGRAFT DIVERTED TUBE $720.00

BONE ALLOGRAFT STRAIGHT TUBE $490.00

BONE ANKLE TALUS FRESH L $16,136.00

BONE BIO AVS CERVICAL 4DEG W / PLUG 6MM $2,000.00

BONE BIO AVS CERVICAL 4DEG W/ HOLE 8MM $2,169.00

BONE BIO AVS CERVICAL 4DEG W/ PLUG 5MM $2,169.00

BONE BIO AVS CERVICAL 4DEG W/ PLUG 7MM $2,000.00

BONE BIO AVS CERVICAL 4DEG W/ PLUG 8MM $2,169.00

BONE BIO AVS CERVICAL 4DEG W/ PLUG 9MM $2,169.00

BONE BIO AVS C-OPEN 4 $2,169.00

BONE BIO AVS UNILIF 9MM SHT $7,069.00

BONE BLOCK CORTICAL CANC L-ASR 5X14X11MM $2,250.00

BONE BLOCK CORTICAL L-ASR CAN 6X14X14 $2,250.00

BONE BLOCK MEDIAL MENISCUS LEFT $11,875.00

BONE BLOCK MENISCUS LATERAL LEFT $4,125.00

BONE BLOCK TIBIA MENIS LAT FR R ASEPT $11,875.00

BONE CANCELLOUS CRUNCH EVOGRAFT 10CC $2,325.00

BONE CEMENT DEPUY FAST SET 20GM CMW2 $185.00

BONE CEMENT GENTAMYCIN SMART SET GHV 5450-35-500 $813.00

BONE CEMENT HYDRO SUB HA 10ML 397010 $5,381.00

BONE CEMENT HYDRO SUB HA 15ML 397015 $7,725.00

BONE CEMENT KYPHX HV-R C01A $229.00

BONE CEMENT MIXEVAC HI VAC W/CARTRIDGE 0306-563-000 $1,175.00

BONE CEMENT MIXEVAC III HI VAC KIT 0206-015-000 $1,181.00

BONE CEMENT NORIAN FAST SET CRS 10ML 613.10.01S $6,889.00

BONE CEMENT NORIAN GRAFT SUBTITUTE 5ML 130DEG 07.704.005S $3,422.00

BONE CEMENT NORIAN GRAFT SUBTITUTE SRS 5ML SRS-005-RMS $3,258.00

BONE CEMENT NOZZLE THIN FLEX 206-515 $218.00

BONE CEMENT RESTRICTOR BUCK FEMORAL 18.5MM 129418 $894.00

BONE CEMENT RESTRICTOR BUCK FEMORAL 30MM 71279420 $491.00

BONE CHIP CANCELLOUS 15CC 100015 $832.00

BONE CHIP CANCELLOUS 30CC 100030 $936.00

BONE CHIP CANCELLOUS 30CC 100430S $936.00

BONE CHIP CANCELLOUS 4-10MM 15ML 100415 $577.00

BONE CHIP CANCELLOUS 5CC 1-4MM $461.00

BONE CHIP CANCELLOUS CUBE 15CC $1,183.00

BONE CHIPS CANCELLOUS 15CC 1-4MM $548.00

BONE CHIPS CANCELLOUS 15CC 1-8MM $548.00

BONE CHIPS CANCELLOUS 30CC 1-4MM $853.00

BONE CHIPS CANCELLOUS 30CC 1-8MM $853.00

Page 28: DESCRIPTION Price - Fairview

BONE CHIPS CORT-CANC 30CC 1-4MM $853.00

BONE CHIPS CORT-CANC 30CC 1-8MM $853.00

BONE COLLECTOR ANSPACH B-COLLECTOR-1 $318.00

BONE CONDYLE FEM HEMI LF MED FSH $28,232.00

BONE CRUSHED CANCELLOUS 15CC T00010 $832.00

BONE DECELLULARIZED DERMIS 2.5-3.5 $9,513.00

BONE DECELLULARIZED DERMIS ARTHROFLEX $5,773.00

BONE DOWEL 16MM X 20 401116 $8,980.00

BONE DOWEL MD II THD 16X23MM $7,700.00

BONE DOWEL MD II THD 16X26MM $7,700.00

BONE GEL STIMUBLAST 1CC $500.00

BONE GEL STIMUBLAST 5CC $2,000.00

BONE GRAFT AUGMENT 1.5CC $4,500.00

BONE GRAFT AUGMENT 3CC $7,950.00

BONE GRAFT AUGMENT 3CC $7,950.00

BONE GRAFT VEGA SPONGE 22X15X5 $3,200.00

BONE GRAFT VEGA SPONGE 26X19X7 $2,975.00

BONE GROWTH STIMULATOR MINI 10-1320 $16,493.00

BONE HEMI PRESHAPED 430007 $7,537.00

BONE HEMI-CONDYLE LT LATERAL 32147002 $27,375.00

BONE IMAGING 3 PHASE $1,337.00

BONE IMAGING LTD $1,046.00

BONE IMAGING WHOLE BODY $1,104.00

BONE JOINT REST HEMI CONDYLE MEDIAL L $29,175.00

BONE JOINT REST HEMI CONDYLE MEDIAL R $28,000.00

BONE MARROW ASPIRATION $983.00

BONE MARROW ASPIRATION ONLY $1,895.00

BONE MARROW BIOPSY $2,039.00

BONE MARROW LTD $1,565.00

BONE MATRIX 10CC BIO4 3102-2110 $14,123.00

BONE MATRIX 2.5CC BIO4 3102-2102 $3,975.00

BONE MATRIX 5CC BIO4 3102-2105 $7,692.00

BONE MORSELIZED ALLOSTEM 5CC $8,650.00

BONE PATELLA LIGAMENT WHOLE W/QUAD $10,000.00

BONE PLATE SMALL 5 HOLE $128.00

BONE PUTTY ALLOMATRIX C 5CC $1,305.00

BONE PUTTY GRAFTON 10CC T43110 $1,598.00

BONE PUTTY STIMUBLAST 5CC $2,000.00

BONE SCR T10 FT 2.7MM / L14MM $247.00

BONE SCR T10 FT 2.7MM / L16MM $247.00

BONE SCR T10 FT 2.7MM / L22MM $247.00

BONE SCR T10 FT 2.7MM / L24MM $247.00

BONE SCR T10 FT 2.7MM / L26MM $247.00

BONE SCR T10 FT 2.7MM / L30MM $247.00

BONE SCR T10 FT 2.7MM / L50MM $247.00

BONE SCR T10 FT 2.7MM / L55MM $247.00

BONE SCR T10 FT 2.7MM / L60MM $247.00

Page 29: DESCRIPTION Price - Fairview

BONE SCR T10 FT 2.7MM / L70MM $247.00

BONE SCR T10 FT 3.5MM / L10MM $247.00

BONE SCR T10 FT 3.5MM / L14MM $247.00

BONE SCR T10 FT 3.5MM / L22MM $247.00

BONE SCR T10 FT 3.5MM / L24MM $247.00

BONE SCR T10 FT 3.5MM / L26MM $247.00

BONE SCR T10 FT 3.5MM / L28MM $247.00

BONE SCR T10 FT 3.5MM / L34MM $247.00

BONE SCR T10 FT 3.5MM / L36MM $247.00

BONE SCR T10 FT 3.5MM / L38MM $247.00

BONE SCR T10 FT 3.5MM / L42MM $247.00

BONE SCR T10 FT 3.5MM / L44MM $247.00

BONE SCR T10 FT 3.5MM / L46MM $247.00

BONE SCR T10 FT 3.5MM / L48MM $247.00

BONE SCR T10 FT 3.5MM / L50MM $247.00

BONE SCR T10 FT 3.5MM / L55MM $247.00

BONE SCR T10 FT 3.5MM / L60MM $247.00

BONE SCR T6 2.3MM - L13MM $241.00

BONE SCR T6 2.3MM - L14MM $241.00

BONE SCR T8 FT 2.4MM / L10MM $238.00

BONE SCR T8 FT 2.4MM / L12MM $238.00

BONE SCR T8 FT 2.4MM / L14MM $238.00

BONE SCR T8 FT 2.4MM / L16MM $238.00

BONE SCR T8 FT 2.4MM / L18MM $238.00

BONE SCR T8 FT 2.4MM / L20MM $238.00

BONE SCR T8 FT 2.4MM / L22MM $238.00

BONE SCR T8 FT 2.4MM / L26MM $238.00

BONE SCR T8 FT 2.4MM / L32MM $238.00

BONE SCR T8 FT 2.7MM / L20MM $238.00

BONE SCR T8 FT 2.7MM / L24MM $238.00

BONE SCR T8 FT 2.7MM / L26MM $238.00

BONE SCR T8 FT 2.7MM / L28MM $238.00

BONE SCR T8 FT 2.7MM / L38MM $238.00

BONE SCR T8 FT 2.7MM / L40MM $238.00

BONE SCREW CROSS-PIN ST 1.7X10MM $210.00

BONE SCREW CROSS-PIN ST 1.7X12MM $210.00

BONE SCREW CROSS-PIN ST 1.7X8MM $210.00

BONE SCREW CROSS-PIN ST 1.7X9MM $210.00

BONE SCREW CROSS-PIN ST 2.3X10MM $210.00

BONE SCREW CROSS-PIN ST 2.3X11MM $210.00

BONE SCREW CROSS-PIN ST 2.3X12MM $210.00

BONE SCREW CROSS-PIN ST 2.3X14MM $210.00

BONE SCREW CROSS-PIN ST 2.3X18MM $210.00

BONE SCREW CROSS-PIN ST 2.3X22MM $210.00

BONE SCREW CROSS-PIN ST 2.3X8MM $210.00

BONE SCREW CROSS-PIN ST 2.3X9MM $210.00

BONE STRIP CHRONOS 100X25X6MM $9,625.00

Page 30: DESCRIPTION Price - Fairview

BONE STRIP CHRONOS 50X25X6MM $4,813.00

BONE SUB BIOACTIVE 25X50X8MM FOAM STRIP $4,804.00

BONE SUB VITOSS BA2X 1.2CC FOAM PACK $1,138.00

BONE SUB VITOSS BA2X 10CC FOAM PACK $4,928.00

BONE SUB VITOSS BA2X 2.5CC FOAM PACK $1,950.00

BONE SUB VIVIGEN 5CC $5,253.00

BONE SUB VIVIGEN MEDIUM 5CC $6,304.00

BONE SUB VIVIGEN SMALL 1CC $1,545.00

BONE SURVEY COMPLETE $742.00

BONE TENDON BONE W/QUAD HEMI A30785 $4,834.00

BONE UNILIF BIO AVS LONG 96009 $7,069.00

BONE WEDGE ALLOPURE 12X20X22MM $4,053.00

BONE WEDGE ALLOPURE 6MM 24X14X6MM $3,333.00

BONE WEDGE IIUM CREST 15X20MM 310120 $2,515.00

BONE WEDGE OSFERION OSTEO 10X30 AR133701 $1,238.00

BORRELIA SPECIES BY PCR $382.00

BORTEZOMIB 3.5 MG INTRAVENOUS SOLUTION $6,125.00

BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION $6,126.00

BOSENTAN 125 MG TABLET $201.00

BOSTON SCIENTIFIC FLEXIMA MATERIAL CATHETER $233.00

BRA STYLE 1524 SZ 36 $46.00

BRA STYLE 1524 SZ 38 $46.00

BRA STYLE 1524 SZ 40 $46.00

BRACE KNEE BREG ADJSTBL 07714 $189.00

BRACHYTHERAPY HDR IR192 $813.00

BRACHYTHERAPY ISODOSE PLAN, COMPLEX $1,038.00

BRACHYTHERAPY ISODOSE PLAN, INTERMEDIATE $1,110.00

BRACHYTHERAPY ISODOSE PLAN, SIMPLE $375.00

BREAST LOC MAMMO EACH ADD LESION $549.00

BREAST LOC MAMMO FIRST LESION $1,393.00

BREAST LOC US EACH ADD LESION $557.00

BREAST LOC US FIRST LESION $1,393.00

BREATH STRENGTH TEACH 1:1/15MI $161.00

BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION $30,418.00

BREXPIPRAZOLE 0.5 MG TABLET $84.00

BREXPIPRAZOLE 1 MG TABLET $42.00

BREXPIPRAZOLE 2 MG TABLET $21.00

BRIDGE SPEED W/JUMPSTART AR-8928BCJ-CP $4,988.00

BRIEF EMOTIONAL/BEHAVIORAL ASSESSMENT, W SCORING AND DOC, PER STANDARD INSTRUMENT $78.00

BRIMONIDINE 0.1 % EYE DROPS $695.00

BRIMONIDINE 0.15 % EYE DROPS $609.00

BRIMONIDINE 0.2 % EYE DROPS $73.00

BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS $766.00

BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION $1,340.00

BRINZOLAMIDE 1 %-BRIMONIDINE 0.2 % EYE DROPS,SUSPENSION $707.00

BRIVARACETAM 50 MG TABLET $47.00

BROAD Y-PLATE 3 SHAFT HOLES (T10) $2,589.00

Page 31: DESCRIPTION Price - Fairview

BROMFENAC 0.07 % EYE DROPS $1,159.00

BROMFENAC 0.09 % EYE DROPS $774.00

BROMOCRIPTINE 2.5 MG TABLET $15.00

BROMPHENIRAMINE-PHENYLEPHRINE 1 MG-2.5 MG/5 ML ORAL SOLUTION $5.00

BROMPHENIRAMINE-PSEUDOEPHEDRINE 1 MG-15 MG/5 ML ORAL LIQUID $5.00

BROMPHENIRAMINE-PSEUDOEPHEDRINE-DM 2 MG-30 MG-10 MG/5 ML ORAL SYRUP $5.00

BRONCH EBUS SAMPLING, 1 OR 2 NODE $6,808.00

BRONCH EBUS SAMPLING, 3 OR MORE NODE $6,808.00

BRONCH, RIGID OR FLEXIBLE, EBUS INTERVENTION FOR LESIONS $5,930.00

BRONCHOSCOPY $2,713.00

BRONCHOSCOPY AT BLH $3,787.00

BRONCHOSCOPY W/ THER ASPIR TRACHEOBRNCL TREE 1ST $2,713.00

BRONCHOSCOPY W/TUMOR EXCISE $5,853.00

BRONCHOSCOPY, DIAGNOSTIC WITH LAVAGE $2,833.00

BRONCHOSCOPY/LUNG BX ADDL $1,535.00

BRONCHOSCOPY/LUNG BX EACH $3,686.00

BRONCHOSCOPY/NEEDLE BX EACH $7,137.00

BRUSH CYTOLOGY 3FR 27023Y-S $918.00

BRUSH FEMORAL CANAL NARROW 110033 $915.00

BRUSHINGS DURING BRONCH $3,092.00

BSCI KIT LEAD TRIAL INFINION 50 CM $2,472.00

BTB TIGHTROPE W/ DEPLOYING SUTURE $1,113.00

BUCK CEMENT REST SIZE 35MM $491.00

BUCK W/DISP INSERTER 30MM $491.00

BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION $43.00

BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION $51.00

BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE $22.00

BUDESONIDE DR-ER 9 MG TABLET,DELAYED AND EXTENDED RELEASE $234.00

BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER $1,024.00

BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER $1,319.00

BULB LAMP HID CZ9086004 $453.00

BULB LIGHT 22.8V 150 CZ-909220 $163.00

BULB LIGHT 8 VOLT 150 WATT CZ- $105.00

BULB LIGHT GAS 90V 70W CZ-9085 $358.00

BULB W/BLADDER TUBING STRL DISP $350.00

BUMETANIDE 0.25 MG/ML INJECTION SOLUTION $50.00

BUMETANIDE 0.5 MG TABLET $5.00

BUMETANIDE 1 MG TABLET $5.00

BUMETANIDE 2 MG TABLET $5.00

BUN $33.00

BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION $50.00

BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION $50.00

BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION $50.00

BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION $50.00

BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION $50.00

BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE $50.00

BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION $802.00

Page 32: DESCRIPTION Price - Fairview

BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION $50.00

BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION $50.00

BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION $50.00

BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION $50.00

BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION $50.00

BUPRENORPHINE 1 MG SUBLINGUAL HALF-TABLET CHEM DEP $12.00

BUPRENORPHINE 1 MG SUBLINGUAL TABLET $12.00

BUPRENORPHINE 1 MG-NALOXONE 0.25 MG SUBLINGUAL HALF-TAB $12.00

BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH $479.00

BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH $691.00

BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM $24.00

BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET $23.00

BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET CHEM DEP $19.00

BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH $848.00

BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL HALF-TAB $17.00

BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH $319.00

BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH $447.00

BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM $42.00

BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET $41.00

BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET CHEM DEP $33.00

BUPRENORPHINE CONFIRMATION, SO $122.00

BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION $67.00

BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET $12.00

BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET CHEM DEP $12.00

BUPRENORPHINE HCL 450 MCG BUCCAL FILM $58.00

BUPRENORPHINE HCL 74.2 MG SUBDERMAL IMPLANT $18,915.00

BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET $12.00

BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET CHEM DEP $12.00

BUPRENORPHINE,URINE $101.00

BUPROPION HCL 100 MG TABLET $5.00

BUPROPION HCL 75 MG TABLET $5.00

BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE $5.00

BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE $5.00

BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE $5.00

BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE $5.00

BUR ARTHREX COOLCUT BONE CUTTER 4.0MMX13CM AR-8400BC $525.00

BUR ARTHREX COOLCUT DBL CUT 4.0MMX13CM AR-8400DC $525.00

BUR ARTHREX COOLCUT DBL CUT CVD 4.0MMX13MM AR-8400CDC $525.00

BUR ARTHREX COOLCUT DISSECTOR 3.5MM AR-8350DS $105.00

BUR ARTHREX COOLCUT DISSECTOR 4.0MMX13CM AR-8400DS $525.00

BUR ARTHREX COOLCUT DISSECTOR SJ 3.0MMX7CM AR-7300DS $525.00

BUR ARTHREX COOLCUT EXCALIBUR 4.0MMX13CM AR-8400EX $525.00

BUR ARTHREX COOLCUT EXCALIBUR HL 4.2MMX19CM AR-6420EX $525.00

BUR ARTHREX COOLCUT OVAL FLUSHCUT 6 FLUTE 5.0MM AR-8500FOS $525.00

BUR ARTHREX COOLCUT OVAL12 FLUTE 5.5MMX13CM AR-8550OBT $525.00

BUR ARTHREX COOLCUT POWERASP 3.5MMX13CM AR-8350PR $1,813.00

BUR ARTHREX COOLCUT POWERASP 4.0MMX13CM AR-8400PR $1,813.00

Page 33: DESCRIPTION Price - Fairview

BUR ARTHREX COOLCUT POWERPICK 45D 6MM AR-8150PX-45 $1,263.00

BUR ARTHREX COOLCUT ROUND 8 FLUTE 4.0MMX13CM AR-8400RBE $525.00

BUR ARTHREX COOLCUT ROUND 8 FLUTE 5.0MMX13CM AR-8500RBE $525.00

BUR ARTHREX COOLCUT ROUND SJ 8 FLUTE 3.0MMX7CM AR-7300RBE $525.00

BUR ARTHREX COOLCUT SABRE SJ 3.0MMX7CM AR-7300SR $525.00

BUR DYONICS ABRADER 5.5X180MM LONG 72200082 $652.00

BUR OVAL 4X48MM CARBIDE 03-C0901 $32.00

BUR OVAL 4X95MM CARBIDE 12-C0901 $37.00

BUR ROUND 3.2X73MM CARBIDE 04-C0107 $26.00

BUR ROUND 4.0X51MM CARBIDE 04-C0108 $26.00

BUR ROUND 4X73MM CARBIDE 8 FLUTED 10-C0108 $29.00

BUR ROUND 5MM CARBIDE ZB-330 $52.00

BUR STRK EGG 4.0X9.5X54MM 10 FLUTE 1608-002-035 $131.00

BUR STRK ROUND 3.0X30MM 2 FLUTE THRD PRECISION 5540-010-330 $368.00

BUR STRK ROUND 3.2X54MM FAST CUT 8 FLUTE 1608-006-149 $117.00

BUR STRK ROUND 4.8X51.2MM FAST CUT 8 FLUTE 1608-006-139 $117.00

BUR STRK ROUND 5.0MM MULTI-FLUTE 5H S2 PIDRIVE 5540-010-050 $368.00

BUR STRK ROUND 5.5X49.6MM FAST CUT 8 FLUTE 1608-006-141 $117.00

BUR STRK ROUND CUTTER 1.5MM 5H EXT 5540-011-315 $368.00

BUR STRK ROUND DIAMOND 0.5MM FINE EXT 5H S2 5540-011-305 $368.00

BUR STRK ROUND DIAMOND 1.0X90MM FINE S2 DRIVE 5540-011-310 $368.00

BUR STRK ROUND DIAMOND 2.0MM FINE 5540-011-020 $384.00

BUR STRK ROUND DIAMOND 3.0MM COARSE EXT 5540-013-330 $368.00

BUR STRK ROUND DIAMOND 4.0MM 5H DRIVE 5540-012-040 $368.00

BURR FLUSHCUT OVAL 5.5 6 FLUTE $525.00

BURR LEGEND 15CM 2.2MM 15MH22 $233.00

BURR MIDAS REX 9BA75 $240.00

BURR OVAL FLUSH CUT 8 FLUTE AR-8500FOE $525.00

BURR ROUND DIAMOND K-47 $83.00

BUSHING SALVATION $260.00

BUSPIRONE 10 MG TABLET $5.00

BUSPIRONE 15 MG TABLET $5.00

BUSPIRONE 5 MG TABLET $5.00

BUSPIRONE 7.5 MG TABLET $5.00

BUSULFAN 2 MG TABLET $102.00

BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG TABLET $12.00

BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG-CAFFEINE 40 MG-CODEINE 30 MG CAP $12.00

BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET $12.00

BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE $12.00

BUTORPHANOL TARTRATE 1 MG/ML INJECTION SOLUTION $50.00

BUTTERESS PIN LOCKING W/T8 1.8X20MM $313.00

BUTTON INTR FIX SS PRE-CONTOUR DISTAL CLAVICLE CORACOID $875.00

BUTTON SUTURE INSRTR SHLD TAPER DOG BONE W/AC 18IN NITINOL $875.00

BUTTON SUTURE REPAIR LARGE TI F/PECTORALIS MAJOR $1,088.00

BUTTRESS PIN LOCKING W/T8 1.8X16MM $313.00

BUTTRESS PIN LOCKING W/T8 1.8X18MM $313.00

BUTTRESS PIN LOCKING W/TS 1.8X14MM $313.00

Page 34: DESCRIPTION Price - Fairview

BUTTRESS PIN LOCKING W/TS 1.8X22MM $313.00

BX BREAST 1ST LESION STRTCTC $3,300.00

BX BREAST 1ST LESION US IMAG $3,300.00

BX BREAST ADD LESION STRTCTC $2,597.00

BX BREAST ADD LESION US IMAG $2,597.00

C DIFFICILE TOXIN BY PCR $212.00

C DIFFICILE TOXIN BY PCR, SO $212.00

C FIBROS TRANS CONDUCT $612.00

C THERAPEUTIC INTERVENTION W/FOCUS ON COGNITIVE FUNCTION,EA ADDL 15 MIN $120.00

C THERAPEUTIC INTERVENTION W/FOCUS ON COGNITIVE FUNCTION,INITIAL 15 MIN $120.00

C. PNEUMO IGG ABY $91.00

C. TRACH IGM ABY $84.00

C1 ESTERASE INHIB FUNCTIONAL $173.00

C1 ESTERASE INHIBIT, SO $91.00

C1 ESTERASE INHIBIT, SO $91.00

C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT $22,584.00

C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SOLUTION $22,584.00

C1 ESTERASE INHIBITOR 500 UNIT (5 ML) INTRAVENOUS SOLUTION $21,084.00

CA 125 $140.00

CA 19-9 $142.00

CA 27.29 $140.00

CA CHANNEL BIND, SO $191.00

CA ONLY $8,597.00

CA SCREEN; FLEX SIGMOIDOSCOPY $1,804.00

CA/GRAFTS $8,597.00

CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION $167,759.00

CABERGOLINE 0.5 MG TABLET $40.00

CABLE BP 12IN HOSE SOLAR REC 2 $134.00

CABLE BUTTON - NCB LOCK PLATE POLYAXIAL $560.00

CABLE CARTO 3 34 PIN 10FT $798.00

CABLE CARTO3 ECO INTERFACE 9FT $798.00

CABLE CATH 34 PIN BLACK 10 $798.00

CABLE CATH CARTO SYSTEM OR RECORDING SYS $503.00

CABLE CATH CONNECTING $563.00

CABLE COBALT CHR W/ TI CRIMP 750MM STRL $1,002.00

CABLE CONNECTING CATH SMARTTOUCH $900.00

CABLE DIAG CATH 12 PIN SENSOR ENABLED $65.00

CABLE DIAGNOSTIC CONNECTING 24-PIN $535.00

CABLE DOPPLER FLOW EXTENSION DP-CAB01 $250.00

CABLE ECO 20 POLE 20 CM $2,750.00

CABLE EXTENSION 2X8 61CM $750.00

CABLE FLEXABILITY SE $688.00

CABLE HIGH FREQEUCY STERILE 8MM PLUG 300CM 277KB-D/10 $772.00

CABLE INTERSTIM TEST STIMULATION 3576 $195.00

CABLE LONG MONITOR W/DUAL 12FT $111.00

CABLE MYO/LEAD PACING BLUE DISP 019-535 $325.00

CABLE MYO/LEAD PACING WHITE DISP 019-530 $325.00

Page 35: DESCRIPTION Price - Fairview

CABLE ORTHOPEDIC DALL-MILES MINI CLEAT $624.00

CABLE OXIMETER DASH 4000 20214 $400.00

CABLE PLUG 5MM $141.00

CABLE SPECTRA 2FT 1X16 SC-4116 $750.00

CABLE SURGICAL STRL DISP SHORT 12FT $1,125.00

CABLE TEST STIMULATION MEDTRONIC INTERSTIM 357501 $100.00

CABLE TWIST LOCK MEDTRONIC INTERSTIM 357664 $195.00

CABLE TWIST-LOCK 25CM NEUROSTIM $195.00

CABLE UMBILICAL CRYOABLATION ELEC $6,450.00

CABLE WITH CRIMP 1.0 X 750MM STRL $1,002.00

CAFFEINE 200 MG TABLET $5.00

CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION $141.00

CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION $192.00

CAFFEINE, SO $93.00

CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN $50.00

CAGE 12X80MM $8,033.00

CAGE 12X9MM $8,033.00

CAGE 14X40MM $8,033.00

CAGE 18X20MM $12,583.00

CAGE 18X25MM $12,583.00

CAGE 18X32MM $12,583.00

CAGE 22MM X 37MM $12,583.00

CAGE 22X21MM 22A $11,700.00

CAGE 22X25MM $11,700.00

CAGE 22X25MM $12,583.00

CAGE 22X32MM $12,583.00

CAGE 22X37MM $11,700.00

CAGE ANATOMIC C 16X14X9MM $2,025.00

CAGE ANCHOR-C 10X12X14MM 4DEG $6,417.00

CAGE ANCHOR-C 10X14X16MM 4DEG $6,417.00

CAGE ANCHOR-C 10X14X16MM 8DEG $6,417.00

CAGE ANCHOR-C 6X12X14MM 4DEG $6,417.00

CAGE ANCHOR-C 6X14X16MM 4DEG $6,417.00

CAGE ANCHOR-C 6X14X16MM 8DEG $6,417.00

CAGE ANCHOR-C 7X12X14MM 8DEG $6,417.00

CAGE ANCHOR-C 7X14X16MM 4DEG $6,417.00

CAGE ANCHOR-C 7X14X16MM 8DEG $6,417.00

CAGE ANCHOR-C 8X12X14MM 8DEG $6,417.00

CAGE ANCHOR-C 8X14X16MM 4DEG $6,417.00

CAGE ANCHOR-C 8X14X16MM 8DEG $6,417.00

CAGE ANCHOR-C 9X12X14MM 4DEG $6,417.00

CAGE ANCHOR-C 9X12X14MM 8DEG $6,417.00

CAGE ANCHOR-C 9X14X16MM 4DEG $6,417.00

CAGE ANCHOR-C 9X14X16MM 8DEG $6,417.00

CAGE ARIA 0DEG X18X40X12MM 48750012 $11,883.00

CAGE ARIA 0DEG X18X40X14MM 48750014 $11,883.00

CAGE ARIA 0DEG X18X40X8MM 48750008 $11,883.00

Page 36: DESCRIPTION Price - Fairview

CAGE ARIA 0DEG X18X45X12MM 48750112 $9,375.00

CAGE ARIA 0DEG X18X50X12MM 48750212 $11,883.00

CAGE ARIA 0DEG X18X55X10MM 48750310 $11,883.00

CAGE ARIA 8DEG X 18X50X10MM $11,883.00

CAGE ARIA 8DEG X18X45X14MM $9,375.00

CAGE ARIA 8DEG X18X50X8MM $11,883.00

CAGE CENTERPIECE 25X48MM 25E $11,700.00

CAGE EXPANDABLE 14MM 18-22MM 5-8 DEG $15,000.00

CAGE EXPANDABLE 14MM 23-32MM 2-5 DEG $15,000.00

CAGE EXPANDABLE 14MM 23-32MM 7-10 DEG $15,000.00

CAGE EXPANDABLE 14MM 33-54MM 7-10DEG $15,000.00

CAGE INTERBODY FUSION 14MM 33-54MML VERTEBRAL 2-5DEG GIZ $16,017.00

CAGE LT 14X17X20 $8,775.00

CAGE LUMBAR 10X55MM 8DEG $17,349.00

CAGE LUMBAR 12X55MM 8DEG $17,349.00

CAGE LUMBAR 12X55MM 8DEG $17,349.00

CAGE LUMBAR 15MMX30MMX12DEG $18,656.00

CAGE LUMBAR AERO AL 22X28X11MM $18,656.00

CAGE LUMBAR AERO AL 26X32X11MM $18,656.00

CAGE LUMBAR AERO AL 26X32X13 $18,656.00

CAGE PEEK ARIA 8DEG 18X50X12MM $11,883.00

CAGE PEEK ARIA 8DEG 18X55X12MM $11,883.00

CAGE PEEK ARIA 8DEG 18X55X14MM $11,883.00

CAGE PL 6-9MM X 11MM X 27MM $13,546.00

CAGE PTC 18MM 6DEG 10X50 $9,000.00

CAGE SPINAL 10MMW X 23MML X 11MMH TRITANIUM POST LUMBAR $14,759.00

CAGE SPINAL 10MMW X 28MML X 11MMH TRITANIUM POST LUMBAR $14,759.00

CAGE SPINAL 11MMW X 23MML X 11MMH TRITANIUM POST LUMBAR $14,759.00

CAGE SPINAL 11MMW X 23MML X 12MMH TRITANIUM POST LUMBAR $14,759.00

CAGE SPINAL 11MMW X 23MML X 13MMH TRITANIUM POST LUMBAR $14,759.00

CAGE SPINAL 11MMW X 23MML X 14MMH TRITANIUM POST LUMBAR $14,759.00

CAGE SPINAL 11MMW X 28MML X 11MMH TRITANIUM POST LUMBAR $14,000.00

CAGE SPINAL 11MMW X 28MML X 12MMH TRITANIUM POST LUMBAR $14,000.00

CAGE SPINAL 11MMW X 28MML X 13MMH TRITANIUM POST LUMBAR $14,379.00

CAGE SPINAL 14MM 12MMH TITANIUM ANTERIOR VERTEBRAL EXPAN $3,095.00

CAGE SPINAL 7MMW X 23MML X 11MMH TRITANIUM POST LUMBAR $14,000.00

CAGE SPINAL 8MMW X 23MML X 11MMH TRITANIUM POST LUMBAR $14,000.00

CAGE SPINAL 8MMW X 28MML X 11MMH TRITANIUM POST LUMBAR $14,759.00

CAGE SPINAL 9MMW X 23MML X 11MMH TRITANIUM POST LUMBAR $14,759.00

CAGE SPINAL 9MMW X 23MML X 9MMH TRITANIUM POST LUMBAR 6 $14,000.00

CAGE SPINAL 9MMW X 28MML X 11MMH TRITANIUM POST LUMBAR $14,379.00

CAGE SPINAL ANTERIOR 7MM X 14MM X 17MM $5,475.00

CAGE SPINAL ANTERIOR SPINAL STERILE $9,625.00

CAGE SYSTEM LUMBAR 10X50MM 0DEG $17,349.00

CAGE TL 10-16MM X 11MM X 32MM $14,259.00

CALAMINE 8 %-ZINC OXIDE 8 % LOTION $18.00

CALAMINE LOTION $1.00

Page 37: DESCRIPTION Price - Fairview

CALCIPOTRIENE 0.005 % TOPICAL CREAM $1,748.00

CALCIPOTRIENE-BETAMETHASONE 0.005 %-0.064 % TOPICAL OINTMENT $3,251.00

CALCITONIN $179.00

CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY $325.00

CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION $10,329.00

CALCITRIOL 0.25 MCG CAPSULE $5.00

CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION $50.00

CALCITRIOL 1 MCG/ML ORAL SOLUTION $11.00

CALCIUM TOTAL $38.00

CALCIUM UR $41.00

CALCIUM ACETATE 667 MG (169 MG CALCIUM)/5 ML ORAL SOLUTION $8.00

CALCIUM ACETATE 667 MG CAPSULE $5.00

CALCIUM ACETATE-ALUMINUM 952 MG-1,347 MG TOPICAL POWDER IN PACKET $5.00

CALCIUM CARB-CA GLUC 500 MG CALCIUM-MAGNESIUM OX-MG GLUC 250 MG TABLET $5.00

CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEWABLE TABLET $1.00

CALCIUM CARBONATE 500 MG (1,250 MG)-VITAMIN D3 200 UNIT TABLET $1.00

CALCIUM CARBONATE 500 MG CALCIUM (1,250 MG) TABLET $5.00

CALCIUM CARBONATE 500 MG/5 ML CALCIUM (1,250 MG/5 ML) ORAL SUSPENSION $1.00

CALCIUM CARBONATE-VITAMIN D3 250 MG-125 UNIT TABLET $1.00

CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION $50.00

CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE $50.00

CALCIUM CITRATE 200 MG (950 MG) TABLET $1.00

CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION $50.00

CALCIUM GLUCONATE 45 MG (500 MG) TABLET $5.00

CALCIUM POLYCARBOPHIL 625 MG TABLET $5.00

CALCULUS; STONE ANALYSIS $88.00

CALIFORNIA ABY, CSF $38.00

CALIFORNIA ABY, SO $38.00

CALOR $610.00

CALORIC VESTIBULAR TEST WITH RECORDING, BILATERAL; BITHERMAL $666.00

CALORIC VESTIBULAR TEST WITH RECORDING, BILATERAL; MONOTHERMAL $501.00

CALPROTECTIN, STOOL $153.00

CAMPHOR-EUCALYPTUS OIL-MENTHOL 4.8 %-1.2 %-2.6 % TOPICAL OINTMENT $47.00

CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION $18.00

CAN BLUNT TIP 4X34 MM $413.00

CANCELED IN PRE-OP $307.00

CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL $37.00

CANGRELOR 50 MG INTRAVENOUS SOLUTION $3,256.00

CANISTER ARGON ENDOMETRIAL ABLATION SYS MINERVA MINARGC $213.00

CANISTER CO2 ENDOMETRIAL ABLATION SYS MINERVA MINCO2C $138.00

CANN PASSPORT BUTTON 12MM ARTHREX $150.00

CANNULA ACCESS IVAS 11GA 0306-330-000 $1,068.00

CANNULA ASCP INFL PSTD FNGR 5.5MM 2711 $435.00

CANNULA ASCP INFS ADPT STRL DISP 1986 $435.00

CANNULA BONE CEMENT IVAS VERTEPORT 11GA 0306-511-000 $3,306.00

CANNULA CORONARY IMA 31001 $533.00

CANNULA ERCP CVD SHORT TAPER TIP 050330 $209.00

Page 38: DESCRIPTION Price - Fairview

CANNULA ERCP STR SHORT TAPER TIP 050325 $209.00

CANNULA ERCP STR STD TIP 050300 $209.00

CANNULA FLOWPORT CAT02438 $889.00

CANNULA PASSPORT BUTTON 10MMX4CM AR-6592-10-40 $400.00

CANNULA PASSPORT BUTTON 8X2CM AR-6592-08-20 $80.00

CANNULA PASSPORT BUTTON 8X3CM AR-6592-08-30 $400.00

CANNULA PASSPORT BUTTON 8X4CM AR-6592-08-40 $400.00

CANNULA PERFUSION KIT FEM ARTERIAL 15FR 17" CB96535-015 $823.00

CANNULA PERFUSION KIT FEM ARTERIAL 15FR 17" CB96535-017 $823.00

CANNULA PERFUSION KIT FEM ARTERIAL 19FR 17" CB96535-019 $823.00

CANNULA SYN INJ TRAUMACEM FOR TFNA 03.702.121S $1,349.00

CAP COVER FOR FILTER 2061-03 $315.00

CAP END GREEN 459.012S $389.00

CAP END STD LOCK 10X12MM 459.013 $389.00

CAP END STD LOCK 20X12MM 459.014 $389.00

CAP END STRK T2 STD 8MM 1822-0003S $420.00

CAP END T25 0MM $318.00

CAP END TI 15MM EXT 0MM 457.010 $433.00

CAP END TI 15MM EXT 0MM 457.210 $381.00

CAP END TI 15MM EXT 10MM 457.011 $433.00

CAP END TI 15MM EXT 10MM 457.211 $381.00

CAP END TI 15MM EXT 20MM 457.012 $406.00

CAP END TI 15MM EXT 20MM 457.212 $381.00

CAP END TI ELASTIC NAIL 1.5-2.5MM $161.00

CAP END TI ELASTIC NAIL 3.0-4.0MM $183.00

CAP END TI NAILS EX 10MM 04.004.002 $442.00

CAP END TI TROCHANTERIC 0MM 456.311 $330.00

CAP END TI TROCHANTERIC 10MM 456.313 $330.00

CAP END TI TROCHANTERIC 5MM 456.312 $330.00

CAP PROTECTIVE CARBON FIBER ROD 11MM 394.97 $35.00

CAP PROTECTIVE FOR 1.6MM K-WIRE $71.00

CAP PROTECTIVE FOR 2MM K-WIRE $71.00

CAP PROTECTIVE TIP BLUE 5MM $110.00

CAP PROTECTIVE TIP BROWN 3MM $108.00

CAP PROTECTIVE TIP WHITE 4MM $107.00

CAPECITABINE 150 MG TABLET $67.00

CAPECITABINE 500 MG TABLET $196.00

CAPILLARY BLOOD DRAW $47.00

CAPREOMYCIN 1 GRAM SOLUTION FOR INJECTION $988.00

CAPSAICIN 0.025 % TOPICAL CREAM $54.00

CAPTOPRIL 12.5 MG TABLET $5.00

CAPTOPRIL 25 MG TABLET $5.00

CAPTOPRIL 50 MG TABLET $5.00

CARBAMAZEPINE $96.00

CARBAMAZEPINE 100 MG CHEWABLE TABLET $5.00

CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION $8.00

CARBAMAZEPINE 200 MG TABLET $6.00

Page 39: DESCRIPTION Price - Fairview

CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR $8.00

CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR $7.00

CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR $5.00

CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR $5.00

CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR $5.00

CARBAMAZEPINE-10,11-EPOXD, SO $135.00

CARBAMIDE PEROXIDE 6.5 % EAR DROPS $23.00

CARBIDOPA 10 MG-LEVODOPA 100 MG DISINTEGRATING TABLET $5.00

CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET $5.00

CARBIDOPA 25 MG TABLET $121.00

CARBIDOPA 25 MG-LEVODOPA 100 MG DISINTEGRATING TABLET $5.00

CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET $5.00

CARBIDOPA 25 MG-LEVODOPA 250 MG DISINTEGRATING TABLET $6.00

CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET $5.00

CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE $16.00

CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE $5.00

CARBIDOPA ER 36.25 MG-LEVODOPA 145 MG CAPSULE,EXTENDED RELEASE $16.00

CARBIDOPA ER 48.75 MG-LEVODOPA 195 MG CAPSULE,EXTENDED RELEASE $16.00

CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE $5.00

CARBIDOPA ER 61.25 MG-LEVODOPA 245 MG CAPSULE,EXTENDED RELEASE $20.00

CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION $155.00

CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION $1,541.00

CARBOXYHGB $79.00

CARBOXYMETHYLCELLULOSE 0.5 %-GLYCERIN 0.9 % EYE DROPS $46.00

CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS $39.00

CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE $5.00

CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE $5.00

CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS $39.00

CARDIAC STRESS TST,TRACING ONLY $675.00

CARDIOLIPIN ABY $55.00

CARDIOLIPIN ABY, SO $102.00

CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION $232.00

CARDIOPULMONARY RESUSCITATION $736.00

CARDIOVERSION EXTERNAL $1,370.00

CARDIOVERSION EXTERNAL. $1,370.00

CARDIOVERSION PERFORMED THROUGH ICD $1,507.00

CARDIOVERSION, ELECTIVE;EXTERN $1,370.00

CARFILZOMIB 60 MG INTRAVENOUS SOLUTION $8,872.00

CARIPRAZINE 1.5 MG CAPSULE $174.00

CARISOPRODOL 350 MG TABLET $5.00

CARISOPRODOL AND METABOLITE, UR $75.00

CARNITINE FREE & TOTAL $111.00

CAROTENE $82.00

CARPAL POLY SIZE 1 STANDARD $2,826.00

CARPAL POLY SIZE 3 +2 $2,826.00

CARPAL POLY SIZE 3 STANDARD $2,968.00

CARTEOLOL 1 % EYE DROPS $66.00

Page 40: DESCRIPTION Price - Fairview

CARTRIDGE RIBBON STERILIZER P150828440 $141.00

CARTRIDGE SAW OSCILLATING STRK 90MM F SYS 7 6625-127-090 $498.00

CARTRIDGE, LENGTH-MEASURING, FOR 2.3MM LEVEL 1 SCREWS, BLACK $14.00

CARVEDILOL 12.5 MG TABLET $5.00

CARVEDILOL 25 MG TABLET $5.00

CARVEDILOL 3.125 MG TABLET $5.00

CARVEDILOL 6.25 MG TABLET $5.00

CASE VSP ORTHOGNATHICS BUNDLE $1,238.00

CASE VSP ORTHOGNATHICS BUNDLE $3,205.00

CASE VSP ORTHOGNATHICS BUNDLE $4,938.00

CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION $1,468.00

CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION $1,525.00

CASPR2-IGG CBA $1,321.00

CAST BOOT $20.00

CAT SCAN OF CHEST COMBO $1,016.00

CAT SCAN OF CHEST CONTRAST $1,016.00

CATECHOLAMINES FRACT URINE $165.00

CATECHOLAMINES,FRACT $165.00

CATH FOLEY $93.00

CATH 3 WAY/COUDE $141.00

CATH ABLATION FLEXABILITY SE DF $4,738.00

CATH ABLATION FLEXABILITY SE FJ $4,738.00

CATH ABLATION MULTI-ARRAY MAAC $2,625.00

CATH AMPLATZER TORQVUE DS 12FRX80CM 45DEG TIP 9-ITV12F45/80 $2,170.00

CATH ANGIO 6FR 100CML AMPLATZ LEFT 2 $121.00

CATH ANGIO ANG GLIDE 4FRX65CM CG415 $563.00

CATH ANGIO ANG GLIDECATH 4FRX100CM CG416 $563.00

CATH ANGIO C2 GLIDECATH 4FRX65CM CG409 $563.00

CATH ANGIO GUIDING 6F LEFTBU3.75 RUNWAY $131.00

CATH ANGIO GUIDING AL1 RUNWAY 6FX100CM H74938969190 $131.00

CATH ANGIO GUIDING LEFT BU3.5 RUNWAY 6F $131.00

CATH ANGIO IMPLUSE 6FR 100CML RIGHT 4 $101.00

CATH ANGIO IMPULSE 6FR 100CML AMPLATZ RIGHT 1 $121.00

CATH ANGIO IMPULSE 6FR 100CML IMA CURVE $121.00

CATH ANGIO IMPULSE 6FR 100CML LEFT 3.5 $121.00

CATH ANGIO IMPULSE 6FR 100CML LEFT 4 $121.00

CATH ANGIO IMPULSE 6FR 100CML LEFT 5 $121.00

CATH ANGIO IMPULSE 6FR 100CML LEFT 6 $121.00

CATH ANGIO IMPULSE 6FR 100CML RIGHT 5 $121.00

CATH ANGIO IMPULSE 6FR 110CML LEFT $121.00

CATH ANGIO SIM2 GLIDECATH 5FRX100CM CG511 $563.00

CATH ANGIO SUPERTORQUE MPA1 4FRX100CM 532430 $163.00

CATH ANGIO TORCON BECAON TIP JB-1 5FRX65CM G11208 $313.00

CATH ANGIO WEDGE PRESSURE 5FRX110CM DL AI-07124 $145.00

CATH ANGIOGRAPHY BER TIP NEURON6FRX125CM $310.00

CATH ANGIOGRAPHY H1 TIP NEURON 6FRX125CM $310.00

CATH ANGIOGRAPHY SIM TIP NEURON6FRX125CM $313.00

Page 41: DESCRIPTION Price - Fairview

CATH ANGIOGRAPHY SIM-V TIP NEURON 6FRX12 $310.00

CATH ASPIRATION THROMBECTOMY PENUMBRA 6 STR CAT6 $4,775.00

CATH ASPIRATION THROMBECTOMY PENUMBRA 8 XTORQ CAT8XTORQ115 $7,275.00

CATH BALLOON .014 2MMX150MMX150 $744.00

CATH BALLOON .014 4MMX40MMX150CM $669.00

CATH BALLOON .014 NANOCROSS 2.5X150X150C $744.00

CATH BALLOON .014 NANOCROSS 3MMX80MMX150 $669.00

CATH BALLOON .014 NANOCROSS 3X150X150CM $744.00

CATH BALLOON .018 PACIFIC XTR 5X200X135 $613.00

CATH BALLOON .035 ADMIRAL 4MMX40MMX80CM $355.00

CATH BALLOON .035 ADMIRAL 8X80X80CM $355.00

CATH BALLOON .035 EVERCROSS 10X20X135 $295.00

CATH BALLOON .035 EVERCROSS 10X20X80 $295.00

CATH BALLOON .035 EVERCROSS 4X40X80 $295.00

CATH BALLOON .035 EVERCROSS 5X200X135 $295.00

CATH BALLOON .035 EVERCROSS 6X100X135 $295.00

CATH BALLOON .035 EVERCROSS 6X200X135 $295.00

CATH BALLOON .035 EVERCROSS 7X100X135 $295.00

CATH BALLOON .035 EVERCROSS 7X200X135 $295.00

CATH BALLOON .035 EVERCROSS 8X20X135 $295.00

CATH BALLOON .035 EVERCROSS 8X20X80 $295.00

CATH BALLOON .035 EVERCROSS 8X40X80 $295.00

CATH BALLOON .035 EVERCROSS 9X80X135 $295.00

CATH BALLOON 0.035 ADMIRAL - BUCKET 1 $338.00

CATH BALLOON 1.5X20MMX150 NANOCROSS $669.00

CATH BALLOON 2MMX120MM150CM $669.00

CATH BALLOON 2MMX40MMX150CM $669.00

CATH BALLOON ANGIOSCULPT 4X100MM 137CM $2,875.00

CATH BALLOON ANGIOSCULPT 4X200MM 137CM $3,375.00

CATH BALLOON ANGIOSCULPT 5X100MM 137CM $511.00

CATH BALLOON ANGIOSCULPT 5X200MM 137CM $3,375.00

CATH BALLOON ANGIOSCULPT 8X40MM 137CM $3,125.00

CATH BALLOON ATRIOSEPTOSTOMY 5FR 13.5MMX50CM 611100 $661.00

CATH BALLOON BAKRI POST PARTUM UTERINE 24FRX5CM G24237 $588.00

CATH BALLOON DILATATION ELIMINATOR 8MMX4X230CM 000845 $198.00

CATH BALLOON DILATATION UROMAX ULTRA 18FRX4CM M0062251020 $561.00

CATH BALLOON DILATION SYSTEM 16X40 $1,738.00

CATH BALLOON DILATION SYSTEM 6MM X16MM EUSTACHIAN TUBE AERA $20,954.00

CATH BALLOON IABP 7.5FRX40ML INTRA-AORTIC 0684-00-0568-01 $2,611.00

CATH BALLOON IN.PACT ADMIRAL 4X150X130CM ADM04015013P $4,475.00

CATH BALLOON IN.PACT ADMIRAL 5X150X130CM ADM05015013P $4,475.00

CATH BALLOON IN.PACT ADMIRAL 6X150X130CM ADM06015013P $4,475.00

CATH BALLOON MAV 2 MONORAIL 4.0X20MM $250.00

CATH BALLOON MEGA 7.5FR 30CC $2,486.00

CATH BALLOON PYLORIC 10MM 000846 $198.00

CATH BALLOON PYLORIC 12MM 000847 $198.00

CATH BALLOON PYLORIC 15MM 000848 $198.00

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CATH BALLOON PYLORIX 18MM 000849 $198.00

CATH BALLOON RELIANT STENT GRAFT 8FR REL46 $1,113.00

CATH BALLOON TRAVERSE .035 6MMX150CMX130 $263.00

CATH BALLOON ULTRAVERSE.018 2MMX12CMX130 $513.00

CATH BALLOON ULTRAVERSE.035 6MMX40CMX130 $263.00

CATH BALLOON.014 NANOCROSS 3MMX210MMX150 $744.00

CATH BALLOON.014 NANOCROSS 4MMX210MMX150 $744.00

CATH BALLOON.035 EVERCROSS 12MMX40MMX135 $295.00

CATH BALLOON.035 EVERCROSS 7MMX120MMX135 $295.00

CATH BALLOON.035 EVERCROSS 9MMX40MMX135C $295.00

CATH BALOON 014 NANOCROSS 2MMX210MMX150M $744.00

CATH BRANCHES PAST ICA/VERT $7,179.00

CATH BRANCHES PAST ICA/VERT BI $7,179.00

CATH CENTRAL 7FR DBL LUMEN HO-14702 $258.00

CATH CENTRAL LINE MULTI LUMEN 7FRX20CM CDC-45703-XP1A $1,423.00

CATH CHOLANGIOGRAM 4.5FR TAUT METAL TIP 20018-M55 $1,250.00

CATH CHOLANGIOGRAM 4FR ARROW LATEX CS-01700 $1,375.00

CATH CHOLANGIOGRAM 7.5FR TAUT PLASTIC TIP 20018-010 $1,250.00

CATH CXI SUPPORT 4.0FRX90CM G52546 $471.00

CATH DELIVERY ATTAIN SELECT II 57CM $758.00

CATH DELIVERY ATTAIN SELECT II 65CM $758.00

CATH DIAG 4FR 110CM STR SELECTIVE $144.00

CATH DIAG 6FR 100CML LEFT 4.5 DBL WIRE STIFF $121.00

CATH DIAG IMAGER II 5FR X 65CM SIM1 $122.00

CATH DIAG RADIAL 5FR TIG 4.5 100CM $374.00

CATH DIAG UAC IMPRESS .038 5FRX90CM $144.00

CATH DIALATION BLLN 18FR 10CM 225-137 $620.00

CATH DIALATION BLLN 18FR 4CM 225122 $620.00

CATH DIALYSIS ARGYLE CURL 57CM 2 CUFFKIT $1,424.00

CATH DIALYSIS PERMCATH 40CM DUAL KIT $2,629.00

CATH DIALYSIS QUINT TENCKHOFF 42CM 2CUFF $132.00

CATH DILATOR BALLOON UROMAX 18FR 4CM M0062251220 $620.00

CATH DRAIN 29CM 9FR TFE THOR 20 C-TPT-100 $458.00

CATH DRAIN MP 18FR 25CM G07774 $301.00

CATH ECA $6,060.00

CATH ECA $6,060.00

CATH EMBOLECTOMY ADHERENT ART RND TIP 6FRX80CM 1408010 $588.00

CATH EP DECAPOLAR CS 7FR BI-DIR DFCURVE $1,190.00

CATH EP DECAPOLAR CS 7FR BI-DIRECTL FJ $1,190.00

CATH EP DECAPOLAR CS D CURVE $1,045.00

CATH EP GOETZ TEMP PACING 6FRX125CM 2-5MM 007157P $2,563.00

CATH EP INQUIRY DECAPOLAR 6FRX110CM STER $1,488.00

CATH EP LASSO 15MM $2,880.00

CATH EP LIVEWIRE DECAPOLAR 5FR X 115CM S $1,375.00

CATH EVD BACTISEAL 1.9MM $1,235.00

CATH EXTRACTION PRONTO V4 6FR $688.00

CATH FOGARTY BILIARY 5FR LATEX 410235F $188.00

Page 43: DESCRIPTION Price - Fairview

CATH FOGARTY BILIARY 6FR LATEX 410236F $188.00

CATH FOGARTY EMBOLECTOMY 2FR 60CM LATEX 120602F $197.00

CATH FOGARTY EMBOLECTOMY 3FR 40CM LATEX 120403F $129.00

CATH FOGARTY EMBOLECTOMY 3FR 80CM LATEX 120803F $129.00

CATH FOGARTY EMBOLECTOMY 4FR 40CM LATEX 120404F $129.00

CATH FOGARTY EMBOLECTOMY 4FR 80CM LATEX 120804F $129.00

CATH FOGARTY EMBOLECTOMY 5FR 80CM LATEX 120805F $129.00

CATH FOGARTY EMBOLECTOMY 6FR 80CM LATEX 120806F $129.00

CATH FOLEY COUNCIL 16FR 5ML LATEX 0196L16 $28.00

CATH FOLEY COUNCIL 18FR 5ML LUBRICATH LATEX 0196L18 $28.00

CATH FOLEY COUNCIL 20FR 5ML LUBRICATH LATEX 0196L20 $340.00

CATH FOLEY COUNCIL 22FR 5ML LUBRICATH LATEX 0196L22 $340.00

CATH FOLEY URETHERAL 24FR 5ML 6 EYE LATEX 606124 $594.00

CATH FRENCH $70.00

CATH GUIDE ACUITY CS IC90 60CM 8101 $488.00

CATH GUIDEZILLA II 6FR LONG $938.00

CATH GUIDING LAUNCHER 7FRX100CM AMP LT $110.00

CATH GUIDING MACH 1 8FR 100XM AL.75 W/SH $131.00

CATH GUIDING MACH 1 8FRX90CM BU 3.5 LEFT $131.00

CATH ICA NECK HEAD ARCH $13,704.00

CATH ICA NECK HEAD ARCH $13,704.00

CATH ICP MONITORING CAMINO 1104B $1,408.00

CATH INN/CCA NECK ARCH $9,183.00

CATH INN/CCA NECK ARCH $9,183.00

CATH INN/CCA NECK HEAD ARCH $10,707.00

CATH INN/CCA NECK HEAD ARCH $10,707.00

CATH KIT REPERFUSION 3MAXC $4,375.00

CATH KIT REPERFUSION 5MAX ACE68 $6,875.00

CATH LASER TURBO ELITE OTW .9MM $6,750.00

CATH LASER URETERAL 7.1FRX40CM 022403-7.1-40 $59.00

CATH LAUNCHER 6FR 55CM LA6JR40K $110.00

CATH LAUNCHER 8FR AL 100CMX0.090 IN LA8AL10SH $110.00

CATH LAUNCHER 8FR EBU 100CMX0.090 L 3.5 LA8EBU35SH $110.00

CATH LAUNCHER 8FR EBU 100CMX0.090 L 4.0 $110.00

CATH LAUNCHER 8FR EBU 100CMX0.090IN $110.00

CATH LAUNCHER 8FR JR 4.0 LA8JR50 $110.00

CATH LAUNCHER 8FR SAL 100CMX0.090IN $110.00

CATH LUMBAR 60CM 46419 $531.00

CATH MAPPING ACHEIVE ADVANCE 20MM $1,875.00

CATH MAPPING ADVISOR FL 15MM UNID $3,375.00

CATH MAPPING ADVISOR FL BI D DF $3,375.00

CATH MAPPING ADVISOR FL UNID 20MM $3,375.00

CATH MICRO LANTERN DELIVERY 115CMX0.025 $1,475.00

CATH MICRO LANTERN DELIVERY 135CM 45DEGT $1,475.00

CATH MICRO LANTERN DELIVERY 150CM 45DEG $1,475.00

CATH MICRO LANTERN DELVIERY .025INX136CM $1,475.00

CATH MICRO TORNUS 2.1FR 135CM $1,988.00

Page 44: DESCRIPTION Price - Fairview

CATH MIDLINE POWERGLIDE 10CM FULL KIT $2,050.00

CATH MINERVA BALLOON MIN3PAK $8,700.00

CATH MINI $17.00

CATH NAV PENTARAY F CURVE $3,960.00

CATH OF UMBILICAL VEIN FOR DX $482.00

CATH ON-Q PAIN SILVER SKR 5" DL PM025-A $2,106.00

CATH PD ARGYLE W/2 CUFFS 62CM 8811313010 $225.00

CATH PICC 4F SL POWER SOLO 9194108D $1,397.00

CATH PICC 5F DL PWR SOLO FLARE 9295108FD $1,590.00

CATH PICC 5F SL SOLO POWER FOR IR ONLY $1,180.00

CATH PICC 5FR DL SOLO SHERLOCK 9295108D $1,430.00

CATH PICC 5FR TL SOLO SHERLOCK 9395108QD $1,853.00

CATH PROBE CRYOABLATION CRYOICE BYPOLAR 10CM CRYO2 $22,463.00

CATH PROGREAT OMEGA 2.8FRX130CM MICRO CATH MC*PE2813YB $1,300.00

CATH PULM ART CONT TD SWAN-GANZ 8FRX110CM 6LUM 746F8 $538.00

CATH PULM ART VOL TD SWAN-GANZ 7.5FRX110CM 5LUM 831F75P $725.00

CATH SCHON XL TEMPORAR 20CM 10800702 $1,533.00

CATH SLITTABLE CPS AIM UNIV 59CM CURVE $661.00

CATH SLITTABLE CPS AIR UNIV 59CM SUB 90 $661.00

CATH STRIPPING/MECH/SURG $6,924.00

CATH SUB/INN VERT ARCH $9,183.00

CATH SUB/INN VERT ARCH $9,183.00

CATH SUPPORT CXI 4FRX135CM $471.00

CATH SUPPORT CXI 4FRX90CM $471.00

CATH SUPRAPUBIC INTRODUCER LAWRENCE 16FR SF-S16-851 $475.00

CATH SUPRAPUBIC MALECOT 14FR G55824 UMCP-14-30 $132.00

CATH TEMP PACING ELCTR 5FR BIPOL 007155P $2,563.00

CATH THERMOCOOL SMARTTOUCH DF CURVE $6,943.00

CATH THERMOCOOL SMARTTOUCH F CURVE $6,545.00

CATH THERMOCOOL SMARTTOUCH FJ CURVE $6,943.00

CATH THERMOCOOL SMARTTOUCH SF DF CURVE $7,095.00

CATH THERMOCOOL SMARTTOUCH SF FJ CURVE $7,095.00

CATH THERMODILUTION SWAN-GANZ 5FR 90CM D97130F5 $338.00

CATH THORACIC RT ANGLE CLOTSTOP 28FR $433.00

CATH THORACIC RT ANGLE CLOTSTOP 32FR $418.00

CATH THORACIC RT ANGLE CLOTSTOP 36FR $418.00

CATH THORACIC STRAIGHT CLOTSTOP 28FR $401.00

CATH THORACIC STRAIGHT CLOTSTOP 32FR $401.00

CATH TRAY FOLEY 16FR CRITICORE TEMP LF $907.00

CATH TRAY FOLEY SURESTEP 16FR DRAIN BAG STATOCK A899916 $294.00

CATH TRAY FOLEY SURESTEP 16FR LF A947316 $363.00

CATH TRAY FOLEY SURESTEP 16FR W/TMP PRB STLK LATEX A319416AM $715.00

CATH TRIPLE LUMEN 0600650 $663.00

CATH UMBILICAL 3.5FR $290.00

CATH UMBILICAL 5FR 15 $290.00

CATH UMBILICAL 5FR 15 $365.00

CATH URETERAL 6FR OPEN END 400-116 $262.00

Page 45: DESCRIPTION Price - Fairview

CATH URETERAL CONE 10FR 138010 $366.00

CATH URETERAL CONE 10FR 38010 $202.00

CATH URETERAL DL 6FR FLEX-TIP 10FRX50CM G17323 AQ-022610 $140.00

CATH URETERAL WHISTLE 6FR 70CM 136406 $381.00

CATH UROMAX BALLOON DIALATION 4CM $591.00

CATH VA 12FR 13CM DL STR MAHURKAR ELITE 8888221313 $1,611.00

CATH VA 12FR 20CM STR MAHURKAR ELITE 8888221320 $1,611.00

CATH VA HEMODIALYSIS 13.5FR 40CM DL 0600692 $793.00

CATH VA HICKMAN 9.6FR SL CUFF W/INTRO 0600560 $376.00

CATH VA HICKMAN LEONARD DL 10FR SIL 0600630 $553.00

CATH VENOUS ACCESS KIT DBL LUM 2.5"X10CM AK-11142D $2,255.00

CATH VENTRICLEAR II EVD ANTI IMPREG $3,485.00

CATH VENTRICULAR EDM 46118 $405.00

CATH VENTRICULAR STR 15CM 821650 $445.00

CATH VENTRICULOSTOMY $361.00

CATH VENTRICULOSTOMY $403.00

CATH VERT ARCH $13,704.00

CATH VERT ARCH $13,704.00

CATH WORD BARTHOLIN 10FR 564000 $270.00

CATHERIZATION FOR COLLECTION OF SPECIMEN $152.00

CATHETER APD $346.00

CATHETER CEREBRAL BA 3CM $1,410.00

CATHETER CHEST DRAIN $304.00

CATHETER COMPLETE SET $63.00

CATHETER PASSER $233.00

CATHETER STRIPPING/MECHANICAL $1,824.00

CCP ABY $41.00

CD ASSESSMENT MORE THAN 30 MIN $374.00

CD4 & CD8 SURFACE MARKERS $259.00

CEA $122.00

CECOSTOMY TUBE INSERT (NEW) $3,922.00

CEFADROXIL 500 MG CAPSULE $5.00

CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION $50.00

CEFAZOLIN 1 GRAM SOLUTION FOR IV PUSH $7.00

CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION $50.00

CEFAZOLIN 2 GRAM SOLUTION FOR IV PUSH $50.00

CEFAZOLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK $50.00

CEFAZOLIN 3 GRAM/100 ML IN DEXTROSE INTRAVENOUS PIGGYBACK $46.00

CEFAZOLIN 3 GRAM/100 ML IN NORMAL SALINE $534.00

CEFAZOLIN 500 MG SOLUTION FOR INJECTION $50.00

CEFAZOLIN 500 MG SOLUTION FOR IV PUSH $50.00

CEFDINIR 125 MG/5 ML ORAL SUSPENSION $189.00

CEFDINIR 300 MG CAPSULE $19.00

CEFEPIME 1 GRAM SOLUTION FOR INJECTION $50.00

CEFEPIME 1 GRAM SOLUTION FOR IV PUSH $35.00

CEFEPIME 2 GRAM SOLUTION FOR INJECTION $70.00

CEFEPIME 2 GRAM SOLUTION FOR IV PUSH $70.00

Page 46: DESCRIPTION Price - Fairview

CEFIXIME 400 MG CAPSULE $100.00

CEFOTETAN 1 GRAM SOLUTION FOR INJECTION $50.00

CEFOTETAN 2 GRAM SOLUTION FOR INJECTION $167.00

CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION $50.00

CEFOXITIN 1 GRAM SOLUTION FOR IV PUSH $50.00

CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION $50.00

CEFOXITIN 2 GRAM SOLUTION FOR IV PUSH $49.00

CEFPODOXIME 100 MG TABLET $27.00

CEFPODOXIME 200 MG TABLET $17.00

CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION $418.00

CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION $418.00

CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION $50.00

CEFTAZIDIME 1 GRAM SOLUTION FOR IV PUSH $50.00

CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION $50.00

CEFTAZIDIME 2 GRAM SOLUTION FOR IV PUSH $50.00

CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION $1,560.00

CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION $495.00

CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION $50.00

CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK $70.00

CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION $84.00

CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION $50.00

CEFTRIAXONE 250 MG SOLUTION FOR INJECTION $50.00

CEFTRIAXONE 500 MG SOLUTION FOR INJECTION $50.00

CEFUROXIME 750 MG SOLUTION FOR IV PUSH $50.00

CEFUROXIME AXETIL 250 MG TABLET $9.00

CEFUROXIME AXETIL 250 MG/5 ML ORAL SUSPENSION $1,222.00

CEFUROXIME AXETIL 500 MG TABLET $9.00

CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION $50.00

CEFUROXIME SODIUM 1.5 GRAM SOLUTION FOR IV PUSH $50.00

CELECOXIB 100 MG CAPSULE $5.00

CELECOXIB 200 MG CAPSULE $5.00

CELECOXIB 50 MG CAPSULE $5.00

CELERO HAND PIECE $769.00

CELERO INTRODUCER $61.00

CELERO MARKER $251.00

CELIAC HLA DQB1 $393.00

CELL COUNT CSF $274.00

CELL COUNT W/DIFF, BF OR CSF $297.00

CELL CT W/O DIFF, CSF OR BF $164.00

CELL MARKER STUDY $122.00

CELLULOSE, OXIDIZED 2" X 1" X 1" PADS $272.00

CELLULOSE, OXIDIZED 3" X 4" PADS $241.00

CEMENT BONE 15CC SURGICAL NJCTBL HYDROSET XT $10,492.00

CEMENT BONE 3.0CC NJCTBL HYDROSET XT $2,396.00

CEMENT BONE 5.0 CUBIC CM NJCTBL GRAFTING CANNULA $3,841.00

CEMENT BONE COBALT G-MV 40G W/GENTAMICIN $688.00

CEMENT BONE COBALT MV 40G W/GENTAMICIN $190.00

Page 47: DESCRIPTION Price - Fairview

CEMENT BONE COPOLYMER SINGGLE 40GR $291.00

CEMENT BONE PMMA $786.00

CEMENT BONE SIMPLEX HV 40G W/GENTA .5G $432.00

CEMENT BONE SIMPLEX HV 40G W/O GENTRA $1,548.00

CEMENT BONE SIMPLEX P SPEEDSET FULL DOSE $1,548.00

CEMENT PLUG SZ 1 11MM $125.00

CEMENT PLUG SZ 2 12.5MM $125.00

CEMENT PLUG SZ 3 14MM $125.00

CEMENT PLUG SZ 4 15.5MM $125.00

CEMENT PLUG SZ 5 17MM $125.00

CEMENT PLUG SZ 8 21.5MM $125.00

CEMENT PRESSURIZER FEMORAL CANAL MED 0206-546-000 $218.00

CEMENT PRESSURIZER FEMORAL CANAL SM $218.00

CEMENT QUICKSET 8CC $4,988.00

CEMENT RESTRICTOR 20MM HOWMEDICA $125.00

CEMENT SURGICAL FULL DOSE 6191-1-001 $1,548.00

CEMENT SURGICAL FULL DOSE HV 3092040 $205.00

CEMENT SURGICAL FULL DOSE MV 3122040 $193.00

CEMENT SURGICAL GENTAMICIN GMV $727.00

CEMENT SURGICAL HALF DOSE 6188-1-001 $108.00

CEMENT SURGICAL SPEED SET FULL DOSE $1,548.00

CEMENT SURGICAL TOBRAMYCIN 6197-9-001 $6,308.00

CENT CATH/<5YR/NONTUNNELED $3,427.00

CENT CATH/>5YR/NONTUNNELED $2,589.00

CENT CATH/>5YR/SUBQ PORT-TUNNE $6,574.00

CENT CATH/>5YR/TUNNELED $6,833.00

CENT CATH/PERIPH/REPL/SUBQPRT $6,574.00

CENT CATH/REM SUBQ/PORT/PUMP $2,589.00

CENT CATH/REMOVE/TUNNELED $1,977.00

CENT CATH/REPAIR W/O REPLACE $1,812.00

CENT CATH/REPLACE/NON-TUNNELED $2,524.00

CENT CATH/REPLACE/PICC $2,792.00

CENT CATH/REPLACE/SUBQ PORT $6,574.00

CENT CATH/REPLACE/TUNNELED $6,574.00

CENT CATH/REPOSITION $2,524.00

CENTERPIECE 12X22MM 13C $11,700.00

CENTERPIECE 13X32MM 13E $11,700.00

CENTERPIECE 19 X 23MM 19B $11,700.00

CENTERPIECE 19 X 28MM 19C $11,700.00

CENTERPIECE 19X19MM 19A $11,700.00

CENTERPIECE 22X48MM 22E $11,700.00

CENTRALIZER STEM 10.5MM ID DIST FEMORAL HIP SUMMIT $313.00

CENTROMERE ANTIBODY $133.00

CENTROMERE IGG ANTIBODY, SO $133.00

CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION $158.00

CEPHALEXIN 250 MG CAPSULE $5.00

CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION $114.00

Page 48: DESCRIPTION Price - Fairview

CEPHALEXIN 500 MG CAPSULE $5.00

CEPHALIC VERSION $6,262.00

CERAMIDES 1,3,6-11 TOPICAL CREAM $52.00

CERETEC (PER DOSE) $4,225.00

CERETEC WBC STUDY $6,230.00

CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT $7,800.00

CERULOPLASMIN $71.00

CERVICAL COLLAR $110.00

CERVICAL SPINE COMPLETE 6+VWS $345.00

CETIRIZINE 10 MG TABLET $5.00

CETIRIZINE 5 MG TABLET $5.00

CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION $3,152.00

CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION $6,304.00

CEVIMELINE 30 MG CAPSULE $13.00

CHANGE OF BLADDER TUBE 2 $1,484.00

CHANGE OF CYSTOSTOMY TUBE COMP $1,484.00

CHANGE OF CYSTOSTOMY TUBE SIMP $646.00

CHANGE PERCUT TUBE/DRAIN CATH W CONTRAST MONIT $1,354.00

CHANNELSCOPE 30K DISP 2233-005 $4,863.00

CHEM CAUT GRANULATION TISS $518.00

CHEM CAUT GRANULATION TISS $518.00

CHEMO ADMIN, INTRA-ARTERIAL; PUSH TECHNIQUE $677.00

CHEMO EXTEND IV INFUS W/PUMP $949.00

CHEMO INJ VIA SUBCUT RESERVOIR $689.00

CHEMO PUMP INITIATION >8HRS $1,234.00

CHEMODEN 1 EXTREM 1-4 MUSC EA $889.00

CHEMODEN 1 EXTREMITY 1-4 MUSC $1,565.00

CHEMODENER MUSCLE LARYNX EMG $1,671.00

CHEMODENERV 1 EXTREM 5/> EA $889.00

CHEMODENERV 1 EXTREM 5/> MUS $1,565.00

CHEMODENERV MUSC MIGRAINE $893.00

CHEMODENERV MUSC MIGRAINE $893.00

CHEMODENERV MUSC NECK DYSTON $889.00

CHEMODENERV SALIVARY GLNDS $825.00

CHEMODENERV TRUNK MUSC 1-5 $1,505.00

CHEMODENERV TRUNK MUSC 6/> $1,633.00

CHEMODENERVATION ECCRINE GLNDS $735.00

CHEMODENERVATION FACIAL $854.00

CHEMODENRV FACE NERVE MUSCLES $854.00

CHEMOTHER HORMON ANTINEOPL SUB-Q/IM $336.00

CHEMOTHER, IV INFUSE, EACH SEQU INFUS $737.00

CHEMOTHER, IV INFUSION, 1 HR $995.00

CHEMOTHER, IV INFUSION, EA ADD HR $573.00

CHEMOTHER, IV PUSH, SNGL DRUG $780.00

CHEMOTHER, IV PUSH,EA ADD DRUG $544.00

CHEMOTHER,CNS,W/LUMBAR PUNCTURE $913.00

CHEMOTHER,NON-HORMONE ANTI-NEOPL, SUB-Q/IM $557.00

Page 49: DESCRIPTION Price - Fairview

CHERRY FLAVOR (BULK) ORAL SYRUP $68.00

CHEST TUBE/INJ DRUG/INIT DAY $1,560.00

CHEST TUBE/INJ DRUG/SUBSEQ DAY $1,560.00

CHEST TUBE-NEONATAL $500.00

CHEST XRAY, 2 VIEWS $216.00

CHEST XRAY, 3 VIEWS $242.00

CHEST XRAY, 4 OR MORE VIEWS $298.00

CHEST XRAY, SINGLE VIEW $240.00

CHEST-SPECIAL VIEWS $248.00

CHIKUNGUNYA ABY, IGG $93.00

CHIKUNGUNYA ABY, IGM $93.00

CHLAMYDIA DETECTION $198.00

CHLAMYDIA DETECTION $198.00

CHLORAMBUCIL 2 MG TABLET $88.00

CHLORDIAZEPOXIDE 10 MG CAPSULE $12.00

CHLORDIAZEPOXIDE 25 MG CAPSULE $5.00

CHLORDIAZEPOXIDE 5 MG CAPSULE $5.00

CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE $21.00

CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH $5.00

CHLORIDE BLOOD $34.00

CHLORIDE UR $54.00

CHLORIDE,FECAL, SO $57.00

CHLOROPHYLL COPPER COMPLEX 100 MG TABLET $5.00

CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION $105.00

CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION $111.00

CHLOROPROCAINE 10 MG/ML (1 %) INJECTION SOLUTION $89.00

CHLOROQUINE 250 MG TABLET $5.00

CHLOROQUINE 500 MG TABLET $8.00

CHLOROTHIAZIDE 250 MG TABLET $5.00

CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION $341.00

CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION $1,294.00

CHLORPHENIRAMINE 4 MG TABLET $5.00

CHLORPROMAZINE 10 MG TABLET $13.00

CHLORPROMAZINE 100 MG TABLET $5.00

CHLORPROMAZINE 25 MG TABLET $10.00

CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION $114.00

CHLORPROPAMIDE 250 MG TABLET $5.00

CHLORTHALIDONE 25 MG TABLET $5.00

CHOLANGIOGRAM OPERATIVE $950.00

CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET $5.00

CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS $5.00

CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET $5.00

CHOLECALCIFEROL (VITAMIN D3) 200 UNIT/0.5 ML ORAL DROPS $5.00

CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET $5.00

CHOLECALCIFEROL (VITAMIN D3) 400 UNIT/1 ML ORAL DROPS $5.00

CHOLESTEROL $40.00

CHOLESTEROL,SO $40.00

Page 50: DESCRIPTION Price - Fairview

CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET $10.00

CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET $10.00

CHOLETEC (PER DOSE) $77.00

CHOLINE AND MAGNESIUM SALICYLATE 500 MG/5 ML ORAL LIQUID $5.00

CHONDROITIN-SOD HYALURON 3 %-4 %(0.35 ML)1 %(0.4 ML)INTRAOCULAR SYRING $862.00

CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE $656.00

CHORIONIC VILLUS SAMPLING $1,534.00

CHORIONIC VILLUS SAMPLING, EA ADDL FETUS $1,534.00

CHROM CULT HI RES $140.00

CHROMIUM, SO $98.00

CHROMOGRANIN A, SO $247.00

CHROMOSOME AMNIO $1,147.00

CHROMOSOME BLOOD $1,238.00

CHROMOSOME FIBROBLASTS $1,376.00

CHROMOSOME ADDITIONAL CELLS $72.00

CHROMOSOME ANALYSIS $1,334.00

CHROMOSOME ANALYSIS ADDL $233.00

CHROMOSOME ANALYSIS ADDL KARYO $98.00

CHROMOSOME ANALYSIS AMNIOTIC $475.00

CHROMOSOME ANALYSIS: HI RES $453.00

CHROM-TISSUE CULTURE $660.00

CHROM-TISSUE CULTURE AMNIO $769.00

CHROM-TISSUE CULTURE BLOOD $743.00

CHUCK DRL STD PIN PUL HRVST TB $1,273.00

CICLESONIDE HFA 160 MCG/ACTUATION AEROSOL INHALER $1,093.00

CICLOPIROX 0.77 % TOPICAL CREAM $134.00

CICLOPIROX 8 % TOPICAL SOLUTION $184.00

CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION $3,216.00

CILOSTAZOL 100 MG TABLET $5.00

CILOSTAZOL 50 MG TABLET $5.00

CINACALCET 30 MG TABLET $117.00

CINCHLOCK FLEX ANCHOR W/ INSERTER $850.00

CINE TO COMPLEMENT ROUTINE EX. $219.00

CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE $35.00

CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION $1,373.00

CIPROFLOXACIN 0.3 % EYE DROPS $125.00

CIPROFLOXACIN 0.3 % EYE OINTMENT $932.00

CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION $1,026.00

CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK $50.00

CIPROFLOXACIN 250 MG TABLET $5.00

CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK $50.00

CIPROFLOXACIN 500 MG TABLET $5.00

CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION $753.00

CIPROFLOXACIN 6 % (6 MG/0.1 ML) INTRATYMPANIC SUSPENSION $123.00

CIRCLIP FEMORAL HMRS GENESIS II $789.00

CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION $71.00

CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION $1,337.00

Page 51: DESCRIPTION Price - Fairview

CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION $155.00

CISTERNOGRAM PLANAR $2,475.00

CITALOPRAM 10 MG TABLET $5.00

CITALOPRAM 10 MG/5 ML ORAL SOLUTION $5.00

CITALOPRAM 20 MG TABLET $5.00

CITALOPRAM 40 MG TABLET $5.00

CITRATE DEXTROSE SOLUTION $50.00

CITRATE,URINE $191.00

CITRIC AC 1980.6 MG-GLUCONO 59.4 MG-MAG CARB 980.4 MG/30 ML IRRIG.SOLN $50.00

CK (CPK) $60.00

CK (CPK) MB $87.00

CL LACERATION MOUTH VESTIB; > 2.5 CM $1,922.00

CL TX ACETABULUM (HIP SOCKET) FX; W/O MANIP $1,297.00

CL TX FEM SHAFT FX W MANIP $3,506.00

CL TX OF MAND FX W ID FIX $11,574.00

CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION $1,891.00

CLAMP 1X2 TTH 8IN LOWMAN 225-210 $437.00

CLAMP ADULT BONE TRANSPORT $3,260.00

CLAMP ADULT RAIL GRADUAL SWIVEL $8,518.00

CLAMP ADULT RAIL STR $5,570.00

CLAMP EXTERNAL FIXATION 3MM PERI-ARTICULAR W/PINX4 F/FOO $1,037.00

CLAMP HII MRI 10 HOLE PIN 4921-2-060 $2,351.00

CLAMP HII MRI 5 HOLE PIN 4921-2-020 $1,764.00

CLAMP HII MRI PELVIC 4921-2-080 $2,144.00

CLAMP IND BONE SCREW $740.00

CLAMP PIN 5H $1,941.00

CLAMP PIN H2 MICRO LENGTHENER $2,632.00

CLAMP ROD TO ROD 5/8/11MM $2,661.00

CLAMP T XS VARIABLE POSITION $4,038.00

CLAMP W CD XS RAIL 6MM $2,958.00

CLAMP XS ANGULATING SCREW $1,545.00

CLARITHROMYCIN 125 MG/5 ML ORAL SUSPENSION $538.00

CLARITHROMYCIN 250 MG TABLET $5.00

CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION $785.00

CLARITHROMYCIN 500 MG TABLET $5.00

CLICKER C/D 15CM TI $3,750.00

CLICKER CARBON 420MM $8,488.00

CLINDAMYCIN 1 % LOTION $570.00

CLINDAMYCIN 1 % TOPICAL GEL $738.00

CLINDAMYCIN 150 MG/ML INJECTION SOLUTION $50.00

CLINDAMYCIN 2 % VAGINAL CREAM $430.00

CLINDAMYCIN 600 MG/4 ML INTRAVENOUS SOLUTION $50.00

CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK $53.00

CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION $245.00

CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK $65.00

CLINDAMYCIN HCL 150 MG CAPSULE $5.00

CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION $239.00

Page 52: DESCRIPTION Price - Fairview

CLIP ANEURYSM OPEN 7.4 FE785K $984.00

CLIP ANEURYSM PHYNOX AESCULAP FE-781K $984.00

CLIP ANEURYSM STD TEMPORARY FE755K $984.00

CLIP ANEURYSMEN YASARGIL FE753K $984.00

CLIP ANRYSM YSRGIL MINI PERM STR 7MM $1,042.00

CLIP ANRYSM YSRGIL STD PERM SLTCVD 7MM $1,042.00

CLIP APPLIER 09 3/8" SM LIGACLIP MCS20 $609.00

CLIP APPLIER 11" MED LIGACLIP MCM20 $612.00

CLIP APPLIER ENDO 05MMX35CM AE05ML $930.00

CLIP APPLIER ENDO 5MM M/L LIGAMAX EL5ML $889.00

CLIP APPLIER ENDO ROTATING 10MM MED/LG ER320 $169.00

CLIP GEM MICRO GEM2431 $775.00

CLIP HEMOSTATIC RESOLN DURACLIP DC0235 $3,000.00

CLIP HORIZON MED BLUE 002200 $180.00

CLIP HORIZON MULTI MED BLUE 002204 $640.00

CLIP LIGACLIP LG YELLOW LT400 $178.00

CLIP LOCKING FOR REAMER IRRIGATION ASPIR $144.00

CLIP SCALP RANEY 20-1037 $648.00

CLIP SPRING FOGARTY SOFTJAW CSOFT6 $317.00

CLIP TUBE STRK GAMMA3 CLOSED 1320-0125S $362.00

CLIP YASARGIL MINI TEMPORARY STR 7.0MM FT220T $1,042.00

CLIP YASARGIL TEMPORARY FT190T $1,042.00

CLIP YASARGIL TEMPORARY FT192T $1,042.00

CLIP YASARGIL TEMPORARY FT227T $1,042.00

CLIP YASARGIL TIT FEN 9.8MM FT637T $1,042.00

CLIP YASARGIL TIT TEMP 13.7MM FT782T $1,042.00

CLIP YASARGIL TIT TEMP 2.8MM FT682T $1,042.00

CLIP YASARGIL TIT TEMP 3MM FT680T $1,042.00

CLIP YASARGIL TIT TEMP 4.0MM FT711T $1,042.00

CLIP YASARGIL TIT TEMP 5.0MM FT772T $1,042.00

CLIPPER SURGICAL AND CHARGING $75.00

CLOBAZAM 10 MG TABLET $22.00

CLOBAZAM 2.5 MG/ML ORAL SUSPENSION $6.00

CLOBETASOL 0.05 % SCALP SOLUTION $494.00

CLOBETASOL 0.05 % TOPICAL CREAM $616.00

CLOBETASOL 0.05 % TOPICAL GEL $658.00

CLOBETASOL 0.05 % TOPICAL OINTMENT $427.00

CLOMIPHENE CITRATE 50 MG TABLET $10.00

CLOMIPRAMINE 25 MG CAPSULE $33.00

CLOMIPRAMINE 50 MG CAPSULE $17.00

CLOMIPRAMINE, SO $136.00

CLONAZEPAM 0.25 MG DISINTEGRATING TABLET $12.00

CLONAZEPAM 0.5 MG TABLET $5.00

CLONAZEPAM 1 MG DISINTEGRATING TABLET $12.00

CLONAZEPAM 1 MG TABLET $5.00

CLONAZEPAM CONFIRMATION, SO $126.00

CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION $50.00

Page 53: DESCRIPTION Price - Fairview

CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH $115.00

CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH $194.00

CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH $269.00

CLONIDINE HCL 0.1 MG TABLET $5.00

CLONIDINE HCL 0.2 MG TABLET $5.00

CLOPIDOGREL 300 MG TABLET $90.00

CLOPIDOGREL 75 MG TABLET $5.00

CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET $12.00

CLOSED TREATMENT OF ULNAR STYLOID FRACTURE $875.00

CLOSED TX CALCANEAL FRACTURE W/O MANIP $679.00

CLOSED TX CARPAL FX W/O MANIP EA. BONE; EXCL SCAPH (NAV) $757.00

CLOSED TX METATARSAL FX; W/O MANIP, EA $641.00

CLOSED TX NOSE FX W/O STABLIZATION $4,500.00

CLOSED TX OF TIBIAL FX, PROXIMAL; W/O MANIPULATION $1,046.00

CLOSED TX ORBIT FX W/O MANIP $1,922.00

CLOSED TX PATELLER FX, WO MANIPULATION $769.00

CLOSED TX POSTERIOR MALLEOLUS FRACT WITH MANIPULATION $3,069.00

CLOSED TX POSTERIOR MALLEOLUS FX; W/O MANIP. $777.00

CLOSED TX PROX FIB/SHAFT FX W/O MANIP $745.00

CLOSURE DEVICE PLACEMENT $796.00

CLOSURE DEVICE ZIPLINE 16CM ZIP16 PS1160 $2,125.00

CLOSURE DEVICE ZIPLINE 8CM PS2080 $1,700.00

CLOSURE PROCEDURE PACK $307.00

CLOSURE SKIN ZIPLINE $188.00

CLOSURE SYS SKIN PREMIERPRO EXOFINFUSION 4X22CM 3472 $345.00

CLOSURE SYS SKIN PREMIERPRO EXOFINFUSION 4X44CM 3473 $514.00

CLOTRIMAZOLE 1 % TOPICAL CREAM $9.00

CLOTRIMAZOLE 1 % TOPICAL SOLUTION $296.00

CLOTRIMAZOLE 1 % VAGINAL CREAM $20.00

CLOTRIMAZOLE 10 MG TROCHE $10.00

CLOTRIMAZOLE 2 % VAGINAL CREAM $35.00

CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % LOTION $581.00

CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM $83.00

CLOVE OIL (BULK) $27.00

CLOZAPINE 100 MG DISINTEGRATING TABLET $20.00

CLOZAPINE 100 MG TABLET $5.00

CLOZAPINE 25 MG DISINTEGRATING TABLET $20.00

CLOZAPINE 25 MG TABLET $5.00

CLOZAPINE, SO $91.00

CLSD TRMT KNEE DISLOCA W/O ANE $1,197.00

CLSD TX BIMALLEOLR FX W/MAN $2,145.00

CLSD TX POST PELVIC RING FX/DISLO WO MANIP UNI OR BILAT $585.00

CLSD TX PROX FIB/SHAFT W/MAN $3,305.00

CLSD TX TRIMALLEOLR FX W/MA $2,145.00

CMV IGG $111.00

CMV IGG ABY $111.00

CMV IGM $114.00

Page 54: DESCRIPTION Price - Fairview

CMV IGM ABY $114.00

CMV-PCR URINE $295.00

CO2 TOTAL $34.00

COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION $14,980.00

COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION $50.00

COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION $50.00

COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION $50.00

COAL TAR 0.5 % SHAMPOO $11.00

COAL TAR 1 % SHAMPOO $28.00

COAL TAR 2 % TOPICAL OINTMENT $1.00

COBALT, SO $115.00

COBAN $40.00

COCAINE (BULK) 100 % CRYSTALS $1,660.00

COCAINE 4 % TOPICAL SOLUTION $1,939.00

COCAINE CONFIRMATION, SO $160.00

COCAINE METABOLITE URINE, QUANT $168.00

COCAINE, REFLEX $98.00

COCCIDIOIDES ABY $81.00

CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID $53.00

CODEINE SULFATE 15 MG TABLET $12.00

CODEINE SULFATE 30 MG TABLET $12.00

CODEINE-BUTALBITAL-ASA-CAFFEINE 30 MG-50 MG-325 MG-40 MG CAPSULE $12.00

COIL DETACHMENT HANDLE RUBY PENUMBRA RH-1 $595.00

COIL EMBOLIZATION 15CM POD $2,450.00

COIL EMBOLIZATION 30CM POD $3,200.00

COIL EMBOLIZATION 45CM POD $3,200.00

COIL RUBY 14MMX60MM .020IN STD DETACH RBY2C1460 $3,200.00

COIL RUBY 16MMX50CM .020IN SOFT DETACH RBY4C1650 $3,200.00

COIL RUBY 2MMX2CM .020IN SOFT DETACH RBY4C0202 $1,975.00

COIL RUBY 2MMX4CM .020IN SOFT DETACH RBY4C0204 $1,975.00

COIL RUBY 3MMX12CM .020IN STD DETACH RBY2C0312 $2,450.00

COIL RUBY 3MMX15CM .020IN SOFT DETACH RBY4C0315 $2,450.00

COIL RUBY 3MMX15CM 0.020IN SOFT DETACH RBY4C0305 $1,975.00

COIL RUBY 3MMX20CM .020IN STD DETACH RBY2C0320 $2,450.00

COIL RUBY 400 12MMX40CM 0.020 STD DETACH RBY2C1240 $3,200.00

COIL RUBY 400 8MMX60CM 0.20 SOFT DETACH RBY4C0860 $3,200.00

COIL RUBY 4MMX15CM .020IN SOFT DETACH RBY4C0415 $2,450.00

COIL RUBY 4MMX15CM 0.020 SOFT DETACHABLE $2,475.00

COIL RUBY 4MMX30CM 0.020IN STD DETACH RBY2C0430 $3,200.00

COIL RUBY 4MMX35CM 0.020 STD DETACHABLE RBY2C0435 $3,200.00

COIL RUBY 6MMX20CM 0.020 SOFT DETACHABLE RBY4C0620 $2,450.00

COIL RUBY 6MMX30CM 0.020 SOFT DETACHABLE RBY4C0630 $3,200.00

COIL RUBY 6MMX30CM 0.020 STD DETACHABLE RBY2C0630 $3,200.00

COIL RUBY 8MMX35CM 0.020 STD DETACHABLE RBY4C0835 $3,200.00

COIL RUBY 8MMX40CM.020 STD DETACHABLE RBY2C0840 $3,200.00

COIL RUBY POD┬ÁPENUMBRA J-SOFT 60CML RBYPODJ60 $3,200.00

COLCHICINE 0.6 MG TABLET $17.00

Page 55: DESCRIPTION Price - Fairview

COLD AGGLUTININ $86.00

COLD AGGLUTININ, TITER (CATTH) $72.00

COLESEVELAM 625 MG TABLET $18.00

COLESTIPOL 1 GRAM TABLET $5.00

COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION $61.00

COLLAGEN COATED FIBERTAPE $188.00

COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT $1,172.00

COLLAR HUMERAL GLOBAL UNITE SZ 40 $688.00

COLLAR HUMERAL GLOBAL UNITE SZ 40 ECC $688.00

COLLAR HUMERAL GLOBAL UNITE SZ 44 $688.00

COLLAR HUMERAL GLOBAL UNITE SZ 44 ECC $688.00

COLLAR HUMERAL GLOBAL UNITE SZ 48 $688.00

COLLAR HUMERAL GLOBAL UNITE SZ 48 ECC $688.00

COLLAR HUMERAL GLOBAL UNITE SZ 52 $688.00

COLLAR HUMERAL GLOBAL UNITE SZ 52 ECC $688.00

COLLAR HUMERAL GLOBAL UNITE SZ 56 $688.00

COLLAR HUMERAL GLOBAL UNITE SZ 56 ECC $688.00

COLLAR STANDARD MIAMI JSPAD MED $130.00

COLON AIR CONTRAST $1,083.00

COLON CONTRAST ENEMA $933.00

COLONOSCOPY FLEXIBLE ABLATION TUMOR POLYP/OTHER LESION/S $2,596.00

COLONOSCOPY FLEXIBLE WITH DECOMPRESSION $2,596.00

COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $2,094.00

COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S) $2,334.00

COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX $2,274.00

COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE $3,091.00

COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION $2,266.00

COLONOSCOPY THROUGH STOMA; WITH DIRECTED SUBMUCOSAL INJECTION/S, ANY SUBSTANCE $2,549.00

COLONOSCOPY THROUGH STOMA; WITH TRANSENDOSCOPIC BALLOON DILATION $2,495.00

COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $2,518.00

COLONOSCOPY W/SNARE $2,149.00

COLORECTAL CANCER SCREENING; HIGH RISK $1,722.00

COLORECTAL CANCER SCREENING; NOT HIGH RISK $1,722.00

COLPOCENTESIS $5,208.00

COLPORRHAPHY VAGINAL INJURY $5,564.00

COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD $2,988.00

COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT $3,361.00

COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS $2,094.00

COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $2,094.00

COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST $2,094.00

COMBINED SPINAL EPIDURAL $3,250.00

COMM/WORK REINTEGRATION TRAINING; DIRECT 1:1 CONTACT; EACH 15 MIN $149.00

COMMERCIAL MDI SPACER $63.00

COMP FEMORAL 150MML LEFT DIST F/GROWING PROSTHESIS GM $69,553.00

COMP FEMORAL CEMENTED BLOCK SZ 2.5 66X65MM COBALT CHR $2,750.00

COMP FEMORAL CEMENTED SZ 1 18X43MM COBALT CHROMIUM LE $2,375.00

COMP FEMORAL CEMENTED SZ 2 COBALT CHROMIUM LEFT POSTE $2,750.00

Page 56: DESCRIPTION Price - Fairview

COMP FEMORAL CEMENTED SZ 2 COBALT CHROMIUM RIGHT POST $2,750.00

COMP FEMORAL CEMENTED SZ 2 LEFT NARROW POST STAB $2,750.00

COMP FEMORAL CEMENTED SZ 2.5 63MML/59MML COBALT CHROM $2,750.00

COMP FEMORAL CEMENTED SZ 3 20X47MM COBALT CHROMIUM LE $2,375.00

COMP FEMORAL CEMENTED SZ 3 61MMW X 6MML COBALT CHROMI $10,123.00

COMP FEMORAL CEMENTED SZ 3 COBALT CHROMIUM LEFT POSTE $2,750.00

COMP FEMORAL CEMENTED SZ 3 COBALT CHROMIUM RIGHT POST $1,625.00

COMP FEMORAL CEMENTED SZ 3 LEFT NARROW POST STAB $2,750.00

COMP FEMORAL CEMENTED SZ 4 71MML M/L 65MML A/P COBALT $2,750.00

COMP FEMORAL CEMENTED SZ 4 71MMW X 65MML COBALT CHROM $10,123.00

COMP FEMORAL CEMENTED SZ 4 COBALT CHROMIUM LEFT KNEE $2,750.00

COMP FEMORAL CEMENTED SZ 4 COBALT CHROMIUM RIGHT POST $2,750.00

COMP FEMORAL CEMENTED SZ 4 LEFT NARROW POST STAB $2,750.00

COMP FEMORAL CEMENTED SZ 4 LEFT NARROW POST STAB $2,750.00

COMP FEMORAL CEMENTED SZ 4 RIGHT NARROW POST STA $2,750.00

COMP FEMORAL CEMENTED SZ 4 RIGHT NARROW POST STA $2,750.00

COMP FEMORAL CEMENTED SZ 5 COBALT CHROMIUM LEFT POSTE $2,750.00

COMP FEMORAL CEMENTED SZ 5 LEFT NARROW POST STAB $2,719.00

COMP FEMORAL CEMENTED SZ 5 LEFT POST STABILIZED $2,750.00

COMP FEMORAL CEMENTED SZ 5 RIGHT NARROW POST STA $2,750.00

COMP FEMORAL CEMENTED SZ 5 RIGHT POST STABILIZED $2,750.00

COMP FEMORAL CEMENTED SZ 6 LEFT POST STABILIZED $2,750.00

COMP FEMORAL CEMENTED SZ 6 RIGHT NARROW POST STA $2,750.00

COMP FEMORAL CEMENTED SZ 6 RIGHT NARROW POST STA $2,750.00

COMP FEMORAL CEMENTED SZ 7 LEFT NARROW POST STAB $2,750.00

COMP FEMORAL CEMENTED SZ 7 RIGHT NARROW POST STA $2,750.00

COMP FEMORAL CEMENTED SZ 8 LEFT NARROW POST STAB $2,750.00

COMP FEMORAL CEMENTED SZ 8 RIGHT NARROW POST STA $2,750.00

COMP FEMORAL CEMENTED SZ 9 LEFT NARROW POST STAB $2,750.00

COMP FEMORAL CEMENTED SZ 9 RIGHT NARROW POST STA $2,750.00

COMP FEMORAL CEMENTED XS 66MMW X 58MML COBALT CHROMIUM $11,136.00

COMP FEMORAL KNEE CEMENTED LEFT SZ 9 STERILE $2,523.00

COMP FEMORAL LG 74MML MODULAR IMPREGNATED GENTAMICIN $5,000.00

COMP FEMORAL SM OXINIUM RIGHT PATELLOFEMORAL UNICOMP $4,505.00

COMP GLENOID CEMENTLESS ECCENTRIC SZ 1 TITANIUM HYDRO $5,018.00

COMP GLENOID CEMENTLESS ECCENTRIC SZ 1 TITANIUM HYDRO $5,018.00

COMP GLENOID CEMENTLESS ECCENTRIC SZ 2 TITANIUM HYDRO $5,018.00

COMP GLENOID FIXATION CEMENTLESS ECCENTRIC SZ 1 TITAN $3,412.00

COMP GLENOID METAGLENE HA COATED SHOULDER F/DYNAMIC TIB $2,750.00

COMP METABOLIC PROFILE $262.00

COMP PATELLAR 29MM 9MM THK TRITANIUM ASYMMETRIC MET $1,500.00

COMP PATELLAR 31MM 9MM THK TRITANIUM KNEE SYMMETRIC $750.00

COMP PATELLAR 32MM 10MM THK TRITANIUM KNEE ASYMMETR $750.00

COMP PATELLAR PEGX3 32MM KNEE MEDIALIZED DOME ANATO $750.00

COMP PATELLAR PEGX3 32MM XSM UHMWPE KNEE ROUND D $750.00

COMP PATELLAR PEGX3 35MM KNEE MEDIALIZED DOME ANATO $750.00

COMP PATELLAR PEGX3 35MM SM UHMWPE KNEE OVAL DOM $750.00

Page 57: DESCRIPTION Price - Fairview

COMP PATELLAR PEGX3 35MM SM UHMWPE KNEE ROUND DO $750.00

COMP PATELLAR PEGX3 38MM KNEE MEDIALIZED DOME ANATO $750.00

COMP PATELLAR PEGX3 41MM KNEE MEDIALIZED DOME ANATO $750.00

COMP PATELLAR PEGX3 41MM LG UHMWPE KNEE OVAL DOM $750.00

COMP PSEUDO ANEURYSM <1HR $793.00

COMP TIBIAL SPACER LG 80MML MODULAR IMPREGNATED GENT $5,000.00

COMP TIBIAL SZ 2 9MM THK POLYETHYLENE CRUCIATE SUBSTI $2,250.00

COMP TIBIAL TRAY CEMENTED MBT SZ 1 59.2MM/39MML COBAL $8,541.00

COMP TIBIAL TRAY CEMENTED MODULAR SZ 2 83MM/55MML COB $1,625.00

COMP TIBIAL TRAY CEMENTED MODULAR SZ 3 71MM/47MML COB $1,625.00

COMP TIBIAL TRAY CEMENTED SZ 1 24MM/41.5MML COBALT CH $2,625.00

COMP TIBIAL TRAY CEMENTED SZ 4 30MM/50.5MML COBALT CH $2,625.00

COMP TIBIAL TRAY MODULAR PLUS SZ 1.5 61MM/41MML TITAN $5,537.00

COMPLEMENT TOTAL $131.00

COMPLEMENT LEVEL C'3 $91.00

COMPLEMENT,EACH $207.00

COMPLEX CYSTOMETROGRAM $1,660.00

COMPLEX REPAIR, 1.1-2.5 CM $1,009.00

COMPONENT FEMORAL 66X58MM R XS W PIN $11,136.00

COMPONENT FEMORAL ANTIBIOTIC SM RKFMSM $5,000.00

COMPONENT FEMORAL ROTATING HINGE LT MED $11,136.00

COMPONENT HIP ACROS TROCH CLAW 100MM $2,745.00

COMPONENT LPS SEGMENTAL 25MM $4,324.00

COMPONENT LPS SEGMENTAL 30MM $4,324.00

COMPONENT LPS SEGMENTAL 65MM $4,324.00

COMPONENT TALAR CEMENTLESS XS L 30X31MM $13,011.00

COMPONENT TALAR CEMENTLESS XS R 30X31MM $13,011.00

COMPONENT TALAR CEMENTLESS XXS L 28X29MM $13,011.00

COMPONENT TALAR CEMENTLESS XXS R $11,585.00

COMPONENT TIBIAL CEMENTLESS LG 33X40MM $11,743.00

COMPONENT TIBIAL CEMENTLESS MD 32.5X35MM $11,743.00

COMPOUNDING VEHICLE SUGAR-FREE NO.9 ORAL LIQUID $70.00

COMPOUNDING VEHICLE SUSPENSION NO.19 ORAL $87.00

COMPOUNDING VEHICLE SUSPENSION NO.7 ORAL $264.00

COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL $87.00

COMPR FT SCR 5.0 LG 42MM $1,188.00

COMPR FT SCR 5.0 LG 44MM $1,188.00

COMPR FT SCR 5.0 LG 46MM $1,188.00

COMPR FT SCR 5.0 LG 50MM $1,188.00

COMPR FT SCR 5.0 LG 55MM $1,188.00

COMPR FT SCR 5.0 LG 60MM $1,188.00

COMPR FT SCR 5.0 LG 65MM $1,188.00

COMPR FT SCR 5.0 LG 70MM $1,188.00

COMPR FT SCR 7.0 XL 100MM $1,738.00

COMPR FT SCR 7.0 XL 65MM $1,738.00

COMPR FT SCR 7.0 XL 70MM $1,738.00

COMPR FT SCR 7.0 XL 80MM $1,738.00

Page 58: DESCRIPTION Price - Fairview

COMPR FT SCR 7.0 XL 85MM $1,738.00

COMPRESSION FT SCR 2.5 MICRO 13MM $875.00

COMPRESSION FT SCR SYS CADDY STANDARD $2,438.00

CONC FOR INFECTIOUS AGENT, SO $65.00

CONC. FOR INFECTIOUS AGENT $47.00

CONCORDE BUL PROTI360 LOR 9X9X23 5 DG $23,290.00

CONDUIT NERVE REPAIR WRAP 12MM ID 5CML TYPE 1 COLLAGEN PERIP $2,590.00

CONE BODY RECLAIM PROXIMAL 20X75MM $7,878.00

CONE BODY RECLAIM PROXIMAL 20X85MM $7,878.00

CONE BODY RECLAIM PROXIMAL 20X95MM $7,878.00

CONE BODY RECLAIM PROXIMAL 24X75MM $7,878.00

CONE BODY RECLAIM PROXIMAL 24X85MM $7,878.00

CONE BODY RECLAIM PROXIMAL 24X95MM $7,878.00

CONE BODY RECLAIM PROXIMAL 28X75MM $7,878.00

CONE BODY RECLAIM PROXIMAL 28X85MM $7,878.00

CONE BODY RECLAIM PROXIMAL 28X95MM $7,878.00

CONE WAGNER 135 DEG 17MM $7,843.00

CONE WAGNER 135 DEG 18MM $7,843.00

CONIVAPTAN 20 MG/100 ML IN 5 % DEXTROSE IV $3,239.00

CONJ ESTROGEN-MEDROXYPROGESTERONE 0.3 MG-1.5 MG TABLET $34.00

CONJ ESTROGEN-MEDROXYPROGESTERONE 0.45 MG-1.5 MG TABLET $34.00

CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-2.5 MG TABLET $34.00

CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-5 MG TABLET $34.00

CONJUGATED ESTROGENS 0.3 MG TABLET $28.00

CONJUGATED ESTROGENS 0.45 MG TABLET $19.00

CONJUGATED ESTROGENS 0.625 MG TABLET $13.00

CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM $1,847.00

CONJUGATED ESTROGENS 0.9 MG TABLET $9.00

CONJUGATED ESTROGENS 1.25 MG TABLET $7.00

CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION $1,290.00

CONN ACCU-FLO PL STR $255.00

CONNECTOR BLAKE DRAIN DBL $40.00

CONNECTOR BLAKE DRAIN SGL $659.00

CONNECTOR CLOSED END 10MM $1,388.00

CONNECTOR CLOSED LATERAL 5/6-6 25MM $2,925.00

CONNECTOR CROSS LG RADIUS MA CURVED $1,580.00

CONNECTOR CROSS LNG RADIUS MA VARIABLE $1,580.00

CONNECTOR CROSS MED RADIUS MA VARIABLE $1,580.00

CONNECTOR CROSS RADIUS 32MM $1,580.00

CONNECTOR CROSS SHT RADIUS VARIABLE $1,580.00

CONNECTOR DRAIN CHEST Y EXTENSION SET 19909 $261.00

CONNECTOR EXTENSION MAS 3.2X3.5MM $1,674.00

CONNECTOR FEMALE LL TO 1.3MM TUBING 9041 $157.00

CONNECTOR OFFSET BIASED L $1,481.00

CONNECTOR OFFSET BIASED R $1,481.00

CONNECTOR OFFSET LG $1,481.00

CONNECTOR OFFSET MED $1,481.00

Page 59: DESCRIPTION Price - Fairview

CONNECTOR OFFSET XIA LP 75DEG $1,500.00

CONNECTOR SOLID SD 5.5 CLAMP 4.5MM $1,800.00

CONNECTOR SUCTION EN0066000 $19.00

CONNECTOR TOP LAT 5/6-6X70MM $2,925.00

CONNECTOR TSRH 3DX90DEG OFFSET 8351523 $1,800.00

CONRAY $3.00

CONT INHALATION TMRT FIRST HR $336.00

CONT INHALATION TRMT EA ADD HR $162.00

CONTOURLOCK FEMORAL OSTEOTOMY PLATE RGHT S/M $2,813.00

CONTRACTION STRESS TEST $495.00

CONTRAST INJ,ABSCESS/CYST VIA CATH TUBE $515.00

CONTRAST INJECTION PERCUTANEOUOS RADIOLOGIC EVAL GI TUBE $1,012.00

CONTRAST XRAY URINARY TRACT $1,134.00

CONTROL NASAL BLEED COMPLEX $483.00

CONTROL NASAL BLEED COMPLEX $483.00

CONTROL NASAL BLEED SIMPLE $344.00

CONTROL NASAL BLEED SIMPLE $344.00

CONTROL NOSEBLEED POST INIT $681.00

CONTROL OF NOSEBLEED REPEAT $596.00

CONTROL OROPHARYNGEAL BLEEDING $686.00

CONTROL REMOTE SPECTRA SC-5532-1 $2,838.00

CONTROLLER PATIENT PROCLAIM 7 ELITE $46,250.00

CONVENIENCE PACK OSSEOFLEX SB 10GA $5,471.00

CONVERSION OF EXTERNAL BILIARY DRAINAGE CATHETER TO INTERNAL-EXTERNAL BILIARY DRAINAGE CATHETER, PERCUTANEOUS, WITH IMAGING GUIDANCE$7,789.00

CONVERT NEPHROSTOMY CATH TO NEPHROURETERAL CATH, PERCUTANEOUS, VIA PRE-EXISTING NEPHROSTOMY TRACT $1,874.00

COOK MEDICAL UNIVERSAL CURVED DRAINAGE CATHETER $190.00

COOLER KODIAK HAND COLD THERAPY $221.00

COOLING CATHETER INSERTION $2,589.00

COPANLISIB 60 MG INTRAVENOUS SOLUTION $17,827.00

COPPER URINE, SO $75.00

COPPER 380 SQUARE MM INTRAUTERINE DEVICE $1,594.00

COPPER,SERUM, SO $75.00

CORDOCENTESIS, ANY METHOD $991.00

CORE CLIP $196.00

CORE SLIDING 6MM 400-140F $2,918.00

CORKSCREW COMP THREAD 6.5 AR-1927BCF--65 $4,188.00

CORKSCREW FT BC SUTURETAPE 4.75M $888.00

CORNERSTONE PSR 14X11X6MM $2,025.00

CORNERSTONE PSR 14X14X7MM $2,100.00

CORNERSTONE PSR CURVED 14X11X9MM $2,025.00

CORNERSTONE PSR STRUT 6X14X14MM $4,160.00

CORONARY SPASM TEST $991.00

CORONARY THROMBECTOMY $6,292.00

CORT SCR (MOD T7 DRIVE) 2.7X18MM $237.00

CORTEX SCR SELF-TAPP MOD T7 DRIVE 2.4X16MM $237.00

CORTEX SCR SELF-TAPP MOD T7 DRIVE 2.4X18MM $237.00

CORTEX SCR SELF-TAPP MOD T7 DRIVE 2.4X20MM $237.00

Page 60: DESCRIPTION Price - Fairview

CORTILOC GLENOID AUGMENT MEDIUM R ANG25 $3,750.00

CORTISOL $107.00

CORTISOL FREE URINE $78.00

CORTISOL,SALIVARY, SO $139.00

COSMETIC SURGERY ADD-ON $330.00

COSMETIC SURGERY BASE $3,461.00

COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION $463.00

COUGAR LS 18X10X50 LORDOTIC $9,375.00

COUGAR LS 18X10X50 PARALLEL $9,375.00

COUNTERSINK 2.4 $625.00

COUNTERSINK ARTHREX 3.0MM CAN SCREW AR-8737-24 $438.00

COUNTERSINK CANNULATED 7.0 LG AO FITTING $763.00

COUNTERSINK SCREW CORTEX 3.5 X 4.0MM 310.89 $329.00

COUPLER LEGION OFFSET 2MM $3,693.00

COUPLING HII MRI PIN TO ROD 4-5/8MM $1,273.00

COUPLING HII MRI ROD TO ROD 8/8MM $1,367.00

COUPLING HII MRI ROD TO TUBE 4921-1-100 $1,367.00

COUPLING PIN TO ROD $1,883.00

COUPLING PIN TO ROD $2,661.00

COUPLING ROD TO ROD $1,883.00

COUPLING UNIVERSAL HINGE $891.00

COVER BUR HL 14MM FAN BLOOD TIME 015-262-14 $400.00

COVER BURR HOLE 1.5MM CONTOURED 17MM $532.00

COVER BURR HOLE 3MM 17MM 1.5MM $540.00

COVER BURR HOLE CONTOURED LOW PROFILE $551.00

COVER BURR HOLE CONTOURED LOW PROFILE $551.00

COVER BURR HOLE FLAT .6X18MM W DRA $586.00

COVER BURR HOLE ULTRA LP LG TI $679.00

COVER BURR HOLE ULTRA LP MED TI $679.00

COVER BURR HOLE ULTRA LP SM TI $679.00

COVER HUG-U-VAC DISP LARGE A-60105-A2 $700.00

COVER PRB SHEATHES 8IN US NS 10001 $102.00

COVER R3 SCREW HOLE $25.00

COVER ULTRASOUND PROBE STRL 9001C0197 $347.00

CP CONCENTR TECH SMEAR $219.00

CP LAG SCR 3.6MM L24MM (T8) $510.00

CP LAG SCR 3.6MM L28MM (T8) $510.00

C-PEPTIDE $136.00

CPR/CARDIAC ARREST $736.00

CR TIBIAL BEARING SZ 3 10MM VIT E $2,032.00

CR TIBIAL BEARING SZ 3 11MM VIT E $1,988.00

CR TIBIAL BEARING SZ 4 8MM VIT E $1,988.00

CR TIBIAL BEARING SZ 4 9MM VIT E $1,988.00

CR TIBIAL BEARING SZ 6 12MM VIT E $2,032.00

CR TIBIAL BEARING SZ 7 8MM VIT E $2,032.00

CRANIOS REINFORCED FAST SET PUTTY 10CC-STERILE $7,956.00

CREATININE $39.00

Page 61: DESCRIPTION Price - Fairview

CREATININE UR OR BF $39.00

CREATININE CLEARANCE $130.00

CREATININE, BODY FLUID (SO) $39.00

CREATININE, URINE $39.00

CRESCENT VERTEBRAL BODY 30X10MM $6,300.00

CRESCENT VERTEBRAL BODY 36X12MM $6,300.00

CR-I/P EVAL 15 $332.00

CR-IP CONSULT 15 $316.00

CR-IP RX 1ST 15 $332.00

CR-IP RX 1ST 15 CR MONITOR $332.00

CR-IP RX ADDL 15 $332.00

CRISIS PSYCHOTHRPY ADDL 30 MIN $296.00

CRISIS PSYCHOTHRPY UP TO 74MIN $593.00

CRISIS PSYCHOTHRPY UP TO 74MIN $593.00

CRIT CARE EACH ADDL 30MIN W/M $364.00

CRITICAL CARE EACH ADDL 30MIN $364.00

CRIZOTINIB 200 MG CAPSULE $1,221.00

CRIZOTINIB 250 MG CAPSULE $1,221.00

CRMP-5-IGG WESTERN BLOT, SO $818.00

CROMOLYN 4 % EYE DROPS $113.00

CROMOLYN 5.2 MG/SPRAY (4 %) NASAL SPRAY $35.00

CR-OP PHASE III 2DY/ WK MNTHLY $39.00

CR-OP PHASE III 2DY/WK 1/2 MTH $20.00

CR-OP PHASE III 3DY/WK 1/2 MTH $30.00

CR-OP PHASE III 3DY/WK MTHLY $59.00

CR-OP PHASE III CR MONITOR $34.00

CR-OP PHASE III ORIENTATION $307.00

CROSS CONNECTOR MULTI 52-70MM $1,575.00

CROSSLINK LG 7752537 $1,800.00

CROSSLINK MD 7752536 $1,800.00

CROSSLINK SM 7752535 $1,800.00

CROSSLINK XIA 3 MA 28X31MM $1,580.00

CROSSLOCK DVR E PACK LOCK REG RT $3,975.00

CROSSLOCK DVR EPACK LOCK PEG LT $3,975.00

CROSSLOCK DVR EPACK LOCK PEG RT $3,975.00

CROSSMATCH AHG 1 UNIT $244.00

CROSSMATCH AHG-REF LAB $244.00

CROSSMATCH ELECTRONIC $244.00

CROSSMATCH IMMEDIATE SPIN 1U $244.00

CRP HIGH SENSITIVITY $84.00

CRP QUANTITATIVE $38.00

CRRT/PERITONEAL DIALYSIS $884.00

CRT-D AMPLIA MRI 1D1 $41,500.00

CRT-D AMPLIA MRI QUAD $46,400.00

CRT-D CLARIA MRI DF1 $43,400.00

CRT-D CLARIA MRI QUAD 10Q $46,560.00

CRT-D CLARIA MRI QUAD 1Q1 $46,560.00

Page 62: DESCRIPTION Price - Fairview

CRT-D ILIVIA PROMRI HF-T QP DF4 $47,500.00

CRT-D INTICA PRO MRI 7HF-T-QP DF 1/IS4 $47,500.00

CRT-P PERCEPTA MRI QUAD W4TR01 $16,000.00

CRT-P SERENA QUAD MRI SURSCAN $15,600.00

CRYO PRECIP 1 UNIT $272.00

CRYOABLATION RENAL TUMOR $15,440.00

CRYOFIBRINOGEN BLD $57.00

CRYOGLOBULIN BLD $156.00

CRYOGLOBULIN IDENTIFICATION $153.00

CRYOSUPERNATENT PLASMA 1 UNIT $325.00

CRYPTOCOCCAL ANTIGEN $63.00

CRYPTOCOCCAL TITER $161.00

CRYPTOCOCCUS AGN BY EIA $74.00

CRYPTOSPORIDIUM $123.00

CSF SHUNT EVALUATION $1,363.00

CT ABD PELVIS ENTEROGRAPHY W $1,456.00

CT ABD PELVIS W $1,456.00

CT ABD PELVIS WO $1,456.00

CT ABD PELVIS WO W $1,456.00

CT ANGIO ABD/PELV WO W $1,574.00

CT ANGIO, ABD, COMBO,INCL IMAGE PROC $1,343.00

CT ANGIO, CHEST, COMBO, INCL IMAGE PROC $1,274.00

CT ANGIO, PELVIS, COMBO, INCL IMAGE PROC $1,828.00

CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS $1,170.00

CT ANGIO,NECK COMBO,INCL IMAGE PROCESS $1,170.00

CT BIOPSY OMENTUM $6,641.00

CT CAL SCORE $105.00

CT CERVICAL SPINE W $1,125.00

CT CERVICAL SPINE WO W $1,046.00

CT CHEST LTD W PULMONARY VEIN $2,976.00

CT COLONOGRAPHY SCREENING $2,026.00

CT GUIDANCE NEEDLE PLACEMENT $1,129.00

CT GUIDANCE PLACEMENT RAD THERAPY FIELDS $1,081.00

CT GUIDE FOR TISSUE ABLATION $1,042.00

CT HEAD PERFUSION ANALYSIS $871.00

CT HEAD/BRAIN W $888.00

CT IAC SELLA POST FOSSA W $1,071.00

CT LTD OR F/U STUDY $759.00

CT LUMBAR SPINE W $932.00

CT LUMBAR SPINE WO W $932.00

CT MAXILLOFACIAL W $900.00

CT MAXILLOFACIAL WO $900.00

CT MAXILLOFACIAL WO W $900.00

CT NECK TISSUE COMBO $934.00

CT NECK TISSUE CONTRAST $934.00

CT PULMONARY VEIN $2,976.00

CT RADIATION TREATMENT PLAN $1,081.00

Page 63: DESCRIPTION Price - Fairview

CT SCAN HEAD COMBO $888.00

CT SCAN OF ABDOMEN COMBO $949.00

CT SCAN OF ABDOMEN CONTRAST $949.00

CT SCAN OF ARM CONTRAST $900.00

CT SCAN OF ARM W W/O $900.00

CT SCAN OF LEG COMBO $955.00

CT SCAN OF LEG CONTRAST $955.00

CT SCAN OF PELVIS COMBO $952.00

CT SCAN OF PELVIS CONTRAST $952.00

CT SCAN SKULL W W/O $1,071.00

CT SCAN,ABDOMEN,W/O CONTRAST $949.00

CT SCAN,CERVICAL SPINE,W/O CONTRAST $891.00

CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL $888.00

CT SCAN,LOWER EXTREMITY,W/O CONTRAST $955.00

CT SCAN,LUMBAR SPINE,W/O CONTRAST $932.00

CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O $1,071.00

CT SCAN,PELVIS,W/O CONTRAST $952.00

CT SCAN,SOFT TISSUE NECK,W/O CONTRAST $934.00

CT SCAN,THORACIC SPINE,W/O CONTRAST $873.00

CT SCAN,UPPER EXTREMITY,W/O CONTRAST $900.00

CT SINUSES >10 CUTS WO $900.00

CT THORACIC SPINE W $873.00

CT THORACIC SPINE WO W $984.00

CT THORAX WO $1,016.00

CT WIRE LOCALIZATION $246.00

CTA ABD ARTERIES $1,285.00

CTA CHEST (PE RUN) $1,274.00

CTA CORONARY W CAL SCORE $2,591.00

CTA LWR EXT $1,090.00

CTA UPR EXT $1,444.00

CUFF BELT 3.5CM 800 IZ COATED 720157-01 $15,913.00

CUFF FINGER CLEARSIGHT LG CSCL $3,688.00

CUFF NEUROMATRIX COLLAGEN NERVE 2X25MM $3,360.00

CUFF TOURN 18IN STRL DISP $518.00

CUFF TOURN 30IN STRL DISP $619.00

CUFF TOURN 34IN STRL DISP $671.00

CULTURE - AFB $158.00

CULTURE - ANAEROBIC $142.00

CULTURE - CATH TIP $65.00

CULTURE - FUNGUS $96.00

CULTURE - FUNGUS BLOOD $101.00

CULTURE - MISC $87.00

CULTURE - STOOL $83.00

CULTURE BACTERIA ISO PRE ID $87.00

CULTURE SCREEN $75.00

CULTURE URINE QT COLONY $77.00

CULTURE,DIPHTHERIA $142.00

Page 64: DESCRIPTION Price - Fairview

CULTURE,DIPHTHERIA $241.00

CULTURE,LEGIONELLA $164.00

CULTURE,VIRAL $525.00

CULTURE-GROUP B STREP $293.00

CULTURE-MINI BAL $65.00

CULTURE-STOOL ADD'L PATH/PLATE $62.00

CUP ACETABULAR 62MM OD LEFT HIP MOBILE BEARING RESTORATION A $2,000.00

CUP ACETABULAR CEMENTED 32MM ID 50MM OD POLYETHYLENE HIP TRI $2,500.00

CUP ACETABULAR CEMENTED 32MM ID 54MM OD POLYETHYLENE HIP TRI $2,500.00

CUP ACETABULAR L 56MM $2,000.00

CUP ACETABULAR R 58MM $2,000.00

CUP BIPOLAR UNIVERSAL 40X28MM RUST $1,125.00

CUP CAP COATED 42/NEUTRAL $4,463.00

CUP COATED 36MM NEUTRAL REVERSE $3,347.00

CUP COATED 36MM X 2MM R OFFSET $4,463.00

CUP COATED 39MM REVERSE $4,463.00

CUP COATED 42MM +2MM L OFFSET $4,463.00

CUP FUSION 10H FC 10 $2,613.00

CUP HUMERAL 38MM STANDARD 3MM THK POLYETHYLENE DELTA XTE $1,875.00

CUP HUMERAL 38MM STANDARD 6MM THK POLYETHYLENE DELTA XTE $1,875.00

CUP HUMERAL 38MM STANDARD 9MM THK POLYETHYLENE DELTA XTE $1,875.00

CUP HUMERAL 42MM STANDARD 3MM THK POLYETHYLENE DELTA XTE $1,875.00

CUP SUTURE REVERSE 36MM + 2 L $4,463.00

CUP SUTURE REVERSE 39 + 2 L $4,463.00

CUP TRITANIUM HEMI SOLIDBAC 62MM $2,000.00

CUP TRITANIUM PRIMARY HEMI CLUSTER 46MM $2,000.00

CUP TRITANIUM PRIMARY HEMISOLIDBACK 46MM $2,000.00

CUP TRITANIUM PRIME HEMI SOLIDBACK 48MM $2,000.00

CUP TRITANIUM PRIME HEMI SOLIDBACK 52MM $2,000.00

CUP TRITANIUM PRIME HEMI SOLIDBACK 60MM $2,000.00

CURTT 10 BN DBL END 09-0225 $205.00

CURTT 2 7IN MOLT 09-0233 $163.00

CURTT 4 6.5IN MOLT 09-0232 $213.00

CUSHION INSERT LG PRONE VIEW JACKSON TABLE $563.00

CUSTOM PACK CORONARY SCV5BCRHEA $683.00

CUSTOM PACK PACER ICD SAN5BPCHEA $373.00

CUSTOM PACK PORT INSERTION SCV5BPIHEA $667.00

CUTTER ENDO ARTICULATING 45MM ATS45 $1,548.00

CUTTER ENDO ECHELON 45 FLEX PWR PSE45A $2,105.00

CUTTER MEDT ACD 15MM 6474525 $1,125.00

CUTTER MEDT ACD 16MM 6474526 $1,125.00

CUTTER MEDT ACD 17MM 6474527 $1,125.00

CUTTING BALLOON WOLVERINE 2.25X10MM $1,863.00

CUVETTE HMCUE HB201 ANLY MIC 111716 $696.00

CV-ABD AORTA/1ST ORDER $1,186.00

CV-ABD AORTA/2ND ORDER $1,179.00

CV-ABD AORTA/3RD ORDER $1,360.00

Page 65: DESCRIPTION Price - Fairview

CV-ARTERIAL/AORTA $1,100.00

CV-VENOUS/1ST ORDER $1,256.00

CV-VENOUS/INJ EACH EXTREMITY $544.00

CV-VENOUS/IVC OR SVC $1,098.00

CYANOCOBALAMIN (VIT B-12) 1,000 MCG SUBLINGUAL TABLET $5.00

CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET $5.00

CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION $50.00

CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET $5.00

CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET $5.00

CYANOCOBALAMIN (VIT B-12) 5,000 MCG SUBLINGUAL TABLET $5.00

CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET $5.00

CYCLOBENZAPRINE 10 MG TABLET $5.00

CYCLOBENZAPRINE 5 MG TABLET $5.00

CYCLOPENTOLATE 0.5 % EYE DROPS $376.00

CYCLOPENTOLATE 1 % EYE DROPS $58.00

CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS $138.00

CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS SOLUTION $3,184.00

CYCLOPHOSPHAMIDE 25 MG CAPSULE $37.00

CYCLOPHOSPHAMIDE 50 MG CAPSULE $68.00

CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS SOLUTION $1,592.00

CYCLOSERINE 250 MG CAPSULE $303.00

CYCLOSPORINE $117.00

CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE $46.00

CYCLOSPORINE 100 MG CAPSULE $55.00

CYCLOSPORINE 100 MG/ML ORAL SOLUTION $3,514.00

CYCLOSPORINE 25 MG CAPSULE $18.00

CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION $193.00

CYCLOSPORINE MODIFIED 100 MG CAPSULE $22.00

CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION $1,166.00

CYCLOSPORINE MODIFIED 25 MG CAPSULE $11.00

CYP2C19 $662.00

CYP2C9 GENOTYPING, SO $1,484.00

CYP2D6 GENOTYPE CASCADE, SO $745.00

CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP $5.00

CYPROHEPTADINE 4 MG TABLET $5.00

CYST SYNOVIAL/GANGLION/INJ/ASP $805.00

CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION $111.00

CYSTIC FIBROSIS NEONATE $101.00

CYSTO W/ CALIB &/OR DILATION $4,539.00

CYSTO CONRAY (PER ML) $2.00

CYSTO W REM FB/STNT URETH/BLDR $5,136.00

CYSTO WITH FB REMOVAL COMPLEX $6,123.00

CYSTO WITH FB REMOVAL SIMPLE $5,136.00

CYSTO WITH URETHRAL DILATION $4,539.00

CYSTOGRAM (SURGICAL) $712.00

CYSTOMETROGRAM W/VP $1,474.00

CYSTOMETROGRAM W/VP&UP $1,535.00

Page 66: DESCRIPTION Price - Fairview

CYSTOURETHROSCOPY $2,550.00

CYSTOURETHROSCOPY $2,550.00

CYSTOURETHROSCOPY, WITH BIOPSY $4,660.00

CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION $155.00

CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION $155.00

CYTARABINE LIPOSOME (PF) 50 MG/5 ML (10 MG/ML) INTRATHECAL SUSPENSION $12,883.00

CYTOGENOMIC MICROARRAY SNP FETAL $1,190.00

CYTOLOGY BODY FLUID $281.00

CYTOLOGY CSF $281.00

CYTOLOGY CYST FLUID $281.00

CYTOLOGY SMEAR $155.00

CYTOLOGY SPUTUM $281.00

CYTOLOGY SUREPATH PAP $123.00

CYTOLOGY URINE $281.00

CYTOLOGY WASH 1 SPECIMEN $281.00

CYTOMEGALOVIRUS (CMV) IGG $85.00

CYTOMEGALOVIRUS (CMV) IGM $85.00

CYTP URINE 3-5 PROBES CMPTR $799.00

DABIGATRAN ETEXILATE 150 MG CAPSULE $17.00

DABIGATRAN ETEXILATE 75 MG CAPSULE $33.00

DACARBAZINE 200 MG INTRAVENOUS SOLUTION $155.00

DALBAVANCIN 500 MG INTRAVENOUS SOLUTION $11,729.00

DANAZOL 100 MG CAPSULE $9.00

DANAZOL 200 MG CAPSULE $9.00

DANTROLENE 100 MG CAPSULE $5.00

DANTROLENE 20 MG INTRAVENOUS SOLUTION $304.00

DANTROLENE 25 MG CAPSULE $5.00

DAPSONE 100 MG TABLET $5.00

DAPSONE 25 MG TABLET $11.00

DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION $1,204.00

DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION $1,936.00

DAPTOMYCIN SOLUTION FOR IV PUSH $1,936.00

DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION $2,302.00

DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE $2,958.00

DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE $4,437.00

DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE $5,915.00

DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE $8,873.00

DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE $1,346.00

DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE $4,437.00

DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE $1,775.00

DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR $63.00

DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET $280.00

DARUNAVIR ETHANOLATE 600 MG TABLET $122.00

DARUNAVIR ETHANOLATE 800 MG TABLET $245.00

DAT/EACH ANTISERUM/REF LAB $91.00

DAT/EACH ANTISERUM-REF LA $91.00

DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION $583.00

Page 67: DESCRIPTION Price - Fairview

DAVINCI CANNULA SEAL 8MM 400077 $375.00

DAVINCI ENDOWRIST STAPLER 45 SHEATH 410370 $500.00

DAVINCI HOT SHEARS TIP COVER 400180 $500.00

DAVINCI OBTURATOR 8MM BLADELESS 420023 $1,500.00

DAVINCI S DRAPE ARM INSTRUMENT 420015 $2,250.00

DAVINCI SEAL CANNULA AND STPL 12MM 470380 $500.00

DAVINCI SEAL UNIVERSAL 5-8MM 470361 $450.00

DAVINCI SI DRAPE ARM CAMERA 420279 $2,100.00

DAVINCI SI DRAPE CAMERA HEAD 420273 $2,050.00

DAVINCI SI ENDOWRIST ONE VESSEL SEALER 410322 $8,925.00

DAVINCI XI DRAPE ARM 470015 $2,600.00

DAVINCI XI HANDPIECE ESU VESSEL SEALER EXTEND 480422 $9,375.00

DAVINCI XI REDUCER 8-12MM 470381 $375.00

DAVINCI XI STAPLER RELOAD BLUE 48645B $5,400.00

DAVINCI XI STAPLER RELOAD GREEN 48445G $5,400.00

DAVINCI XI STAPLER RELOAD WHITE 48645W $5,400.00

DAVINCI XII OBTURATOR 8MM BLADELESS 470359 $450.00

DBL LOADED 4.75MM BC SWVLK $1,063.00

DBL LOADED 4.75MM PEEK SWVLK $988.00

DBL LOADED 5.5MM BC SWVLK $1,063.00

DBMT NAIL ANY METHOD $345.00

DBMT SKIN & SUBQ OPEN FX & DLC $2,383.00

DBMT SKIN TO BONE OF OPEN FX $3,292.00

DBMT SKIN TO MUSCLE OPEN FX $1,064.00

DBMT SKIN/SUBQ/MUSCLE $1,141.00

DBMT SKIN/SUBQ/MUSCLE/BONE $2,887.00

DBRMT ECZEMA OR INFECTED SKIN $896.00

DBS ANALYSIS ONLY $1,113.00

D-DIMER ASSAY $94.00

D-DIMER, QUALITATIVE $94.00

DEBRIDE DERM EA ADDL 20 SQ CM $336.00

DEBRIDE MUSC/FAS EA ADL 20SQCM $975.00

DEBRIDE SUBQ EA ADDL 20 SQ CM $725.00

DEBRIDEMENT BONE 1ST 20 SQ CM $2,887.00

DEBRIDEMENT BONE EA ADL 20SQCM $2,429.00

DEBRIDEMENT DERM 1ST 20 SQ CM $512.00

DEBRIDEMENT MUSCLE 1ST 20SQCM $1,141.00

DEBRIDEMENT OF NAIL 1-5 $345.00

DEBRIDEMENT OF NAIL-SIX OR MOR $417.00

DEBRIDEMENT SKIN & SUBQ $973.00

DEBRIDEMENT SUBQ 1ST 20 SQ CM $973.00

DECALCIFICATION $103.00

DECITABINE 50 MG INTRAVENOUS SOLUTION $6,538.00

DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH $716.00

DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH $716.00

DECLOT/LYSIS/VASCULAR CATH $716.00

DEFERASIROX 250 MG DISPERSIBLE TABLET $367.00

Page 68: DESCRIPTION Price - Fairview

DEFERASIROX 500 MG DISPERSIBLE TABLET $734.00

DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION $137.00

DEFEROXAMINE 500 MG SOLUTION FOR INJECTION $50.00

DEFIB CRT ACTICOR 7 DX DF4 PROMRI AUTODETECT ATRIAL DIAG SYS $34,250.00

DEFIB CRT ACTICOR 7 HF-T DF4 IS4 PROMRI AUTODETECT SYS $50,500.00

DEFIB CRT ACTICOR 7 HF-T DF4 IS4 PROMRI AUTODETECT SYS $59,638.00

DEFIB CRT ACTICOR 7 HF-T DX QP DF4 IS4 PROMRI AUTODETECT SYS $50,500.00

DEFIB CRT ACTICOR 7 HF-T DX QP DF4 IS4 PROMRI AUTODETECT SYS $59,638.00

DEFIB CRT CACTICOR 7 DX DF4 PROMRI AUTODETECT ATRIAL DIAG $39,525.00

DEFIB CRT REVICOR 7 HF-T QP DF4 IS4 PROMRI AUTODETECT $50,500.00

DEFIB CRT REVICOR 7 HF-T QP DF4 IS4 PROMRI AUTODETECT SYSTEM $59,638.00

DEFIB CRT RIVACOR 7 DR-T DF4 PROMRI AUTODETECT WITH CLS $36,788.00

DEFIB CRT RIVACOR 7 DR-T DF4 PROMRI AUTODETECT WITH CLS SYS $42,313.00

DEFIB INOGEN MINI DF4 DR $34,808.00

DEGARELIX 120 MG SUBCUTANEOUS SOLUTION $2,208.00

DEGLYCEROLIZED APHERESIS IRRADIATED RED BLOOD CELLS $1,661.00

DEGLYCEROLIZED APHERESIS RED BLOOD CELLS $1,084.00

DEGLYCEROLIZED IRRADIATED RED BLOOD CELLS $1,661.00

DEGLYCEROLIZED RED BLOOD CELLS $1,084.00

DELIVERY OF PLACENTA $3,009.00

DELIVERY SYSTEM ENVEOR $5,275.00

DELIVERY SYSTEM ENVEOR 34MM $5,275.00

DEMECLOCYCLINE 150 MG TABLET $31.00

DEMO &/OR EVAL,PT USE,AEROSOL DEVICE $325.00

DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION $8,727.00

DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE $4,658.00

DEPRESSOR 5.5IN RETR TNG 09-0103 $125.00

DEPTH GAUGE KLS UNIV TRANSBUCCAL TROCAR SYS $544.00

DEPTH GAUGE MEASURING 62-00016 $1,185.00

DERMACLOSE EXTRA-LARGE TISSUE EXPANDER $4,014.00

DERMACLOSE STANDARD TISSUE EXPANDER $3,087.00

DES ACUTE/SUBACUTE OCCL AMI $42,755.00

DES ATH EA ADDL BRANCH $27,183.00

DES ATH MAJ COR ART/BRANCH $42,956.00

DES CTO 1 VESSEL $42,956.00

DES CTO EA ADDL BRANCH $25,463.00

DES EA ADDL BRANCH $27,183.00

DES MAJ COR VESSEL/BRANCH $30,751.00

DES OF OR VIA BYPASS GFT 1 VSL $30,751.00

DES OF OR VIA BYPASS GFT EA AD $27,183.00

DESIGN MLC DEVICE FOR IMRT $1,542.00

DESIPRAMINE 10 MG TABLET $12.00

DESIPRAMINE 25 MG TABLET $6.00

DESIPRAMINE 50 MG TABLET $5.00

DESMOPRESSIN 0.1 MG TABLET $9.00

DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY $856.00

DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED) $856.00

Page 69: DESCRIPTION Price - Fairview

DESMOPRESSIN 150 MCG/SPRAY (0.1 ML) NASAL SPRAY $3,182.00

DESMOPRESSIN 25 MCG ORAL QUARTER-TABLET $5.00

DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION $2,587.00

DESMOPRESSIN 50 MCG ORAL HALF-TABLET $5.00

DESONIDE 0.05 % LOTION $1,171.00

DESONIDE 0.05 % TOPICAL CREAM $318.00

DESONIDE 0.05 % TOPICAL OINTMENT $96.00

DESOXIMETASONE 0.25 % TOPICAL OINTMENT $365.00

DESPRAMINE LEVEL, SO $116.00

DESTR W NEUROLYTIC CELIAC PLEXUS $3,843.00

DESTROY L/S FACET JNT ADDL $1,507.00

DESTROY LUMB/SAC FACET JNT $5,202.00

DESVENLAFAXINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR $23.00

DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR $7.00

DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR,DESVENLAFAXINE ER 50 MG TABLET, EXTENDED RELEASE 24 HR$66.00

DEVICE APPLICATOR ANCHOR NEEDLE A-SURE $1,188.00

DEVICE ART RELIATACK RELOAD 8 DEEP PURC TACKS $3,342.00

DEVICE ART RELIATACK RELOAD┬Á 5 DEEP PURC TACKS $2,040.00

DEVICE CERVICAL 14X16X10 10DEG $2,250.00

DEVICE CLOSURE DERMACLOSE 3MM PRECISE VISTA STPL 20410-K $2,498.00

DEVICE CLOSURE FG WATCHMAN LAA 21MM $42,500.00

DEVICE CLOSURE FG WATCHMAN LAA 24MM $42,500.00

DEVICE CLOSURE FG WATCHMAN LAA 27MM $42,500.00

DEVICE CLOSURE FG WATCHMAN LAA 30MM $42,500.00

DEVICE CLOSURE FG WATCHMAN LAA 33MM $42,500.00

DEVICE C-SNORKEL DELIVERY ASSI $338.00

DEVICE ENDO STITCH APPLIER 10MM 173016 $2,912.00

DEVICE ENDOBUTTON 04X12MM 013186 $481.00

DEVICE EXCHANGE TRAPPER $750.00

DEVICE FALL PRV POSEY SITTER $219.00

DEVICE FEMOSTOP COMPRESSION 11165 $1,975.00

DEVICE FIXATION HERNIA OPTIFIX X30 0113126 $9,938.00

DEVICE FIXATION SECURESTRAP TACKER 5MM ABSORB STRAP25 $7,545.00

DEVICE HEARTSTRING III PROX SEAL HSK-3038 $1,396.00

DEVICE INFLATION ENCORE 26 6670 $235.00

DEVICE INSERTION ARTERIAL $676.00

DEVICE LABRALTAPE WHITE/BLACK 1.5MM 36IN $175.00

DEVICE LLD E LEAD LOCKING STYLET SPECTRANETICS 518-039 $4,250.00

DEVICE LLD EZ LEAD LOCKING STYLET SPECTRANETICS 518-062 $4,250.00

DEVICE LUMB TAPERED FUSION 16X19.5X23MM $8,775.00

DEVICE LUMBAR TAPERED FUSION 16X20X26MM $8,775.00

DEVICE OSTEOGEN BGS 20 DUAL STR CAT $17,930.00

DEVICE PASSER LASSO 25DEG CVD LT AR-6068-25TL $400.00

DEVICE PASSER LASSO 90DEG AR-4068-90 $350.00

DEVICE PASSER LASSO 90DEG AR-6068-90 $400.00

DEVICE PASSER LASSO MICRO LG CURVE AR-8702 $350.00

DEVICE PASSER LASSO MICRO MINOR BEND AR-8701 $350.00

Page 70: DESCRIPTION Price - Fairview

DEVICE PASSER LASSO MICRO STR AR-8703 $350.00

DEVICE PASSER SU FIBERTAPE ARTHREX 54" 2MM BLUE AR-7237 $1,575.00

DEVICE PSTN CIRCUM CIRCUM BRD 50100 $1,091.00

DEVICE REPOSITION SUBSQ SESS $2,524.00

DEVICE RETRIEVAL STENT SOEHENDRA 07FRX180CM SSR-7 $288.00

DEVICE RETRIEVAL STENT SOEHENDRA 08.5FRX180CM SSR-8.5 $288.00

DEVICE RETRIEVAL STENT SOEHENDRA 10FRX180CM SSR-10 $288.00

DEVICE RETRIEVER HEWSON 71111579 $993.00

DEVICE RUMI II KOH-EFFICIENT 2.5CM KC-RUMI-25 $1,181.00

DEVICE RUMI II KOH-EFFICIENT 3.0CM KC-RUMI-30 $1,181.00

DEVICE RUMI II KOH-EFFICIENT 3.5CM KC-RUMI-35 $1,181.00

DEVICE RUMI II KOH-EFFICIENT 4.0CM KC-RUMI-40 $1,181.00

DEVICE SECURE IAB STATLOCK 0684-00-0472 $1,010.00

DEVICE SHEATH MENISCAL DART 15 AR-3007-15 $223.00

DEVICE SPF-PLUS MINI MESH CATHODE 60 $15,578.00

DEVICE SU ENDO COR KNOT KIT 030800 $6,000.00

DEVICE SU ENDO COR KNOT QUICK LOAD 030850 $1,260.00

DEVICE SU ENDO COR KNOT QUICK LOAD RELOAD 030874 $7,560.00

DEVICE SUTURE CAPTURING CAPIO SLIM $1,421.00

DEVICE SUTURE ENDO 2-0 CURVED CINCH W/2-0 FIBERWIRE NEEDLEX2 $988.00

DEVICE TACKER ENDO RELIATACK ARTIC HNDL 3X8 RELTACK4XDPTSW $12,566.00

DEVICE TI KNOT TK5 030404 $2,925.00

DEVICE TIGERTAPE LOOP $175.00

DEVICE TISSUE REMOVAL HYSTEROSCOPIC MYOSURE XLG 50-501XL $9,840.00

DEVICE TISSUE REMOVAL MYOSURE REACH 10-401FC $9,588.00

DEVICE TISSUE STABILIZATION OCTOBASE 28707 $1,150.00

DEVICE TROCH REATTCHMENT W CABLES STRL $3,971.00

DEVICE WATCHMAN LAA PROCEDURE BUNDLE $42,500.00

DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION $373.00

DEXAMETHASONE 0.5 MG TABLET $5.00

DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION $79.00

DEXAMETHASONE 1 MG TABLET $5.00

DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE) $118.00

DEXAMETHASONE 2 MG TABLET $5.00

DEXAMETHASONE 4 MG TABLET $5.00

DEXAMETHASONE 4 MG/ML INJECTION SOLUTION $5.00

DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION $50.00

DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS $83.00

DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION $58.00

DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION $50.00

DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION $183.00

DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV $396.00

DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION $1,021.00

DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION $2,042.00

DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION $136.00

DEXTRAN 40 10 % IN 5 % DEXTROSE INTRAVENOUS $131.00

DEXTRAN 70-HYPROMELLOSE 0.1 %-0.3 % EYE DROPS $30.00

Page 71: DESCRIPTION Price - Fairview

DEXTROAMPHETAMINE 5 MG TABLET $12.00

DEXTROAMPHETAMINE ER 10 MG CAPSULE,EXTENDED RELEASE $12.00

DEXTROAMPHETAMINE ER 5 MG CAPSULE,EXTENDED RELEASE $14.00

DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET $12.00

DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET $24.00

DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE $12.00

DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE $12.00

DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE $24.00

DEXTROMETHORPHAN 20 MG-QUINIDINE 10 MG CAPSULE $97.00

DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR $5.00

DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID $21.00

DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP $10.00

DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR $5.00

DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION $70.00

DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION $70.00

DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE $50.00

DEXTROSE 40 % IN WATER (D40W) INTRAVENOUS SOLUTION $59.00

DEXTROSE 40 % ORAL GEL $16.00

DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION $70.00

DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION $70.00

DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION $70.00

DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION $70.00

DEXTROSE 5 % IN RINGER'S INTRAVENOUS SOLUTION $70.00

DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION $70.00

DEXTROSE 5% AND 0.3 % SODIUM CHLORIDE INTRAVENOUS SOLUTION $70.00

DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION $50.00

DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE $50.00

DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION $89.00

DHEA $382.00

DHEA-S $134.00

DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS $3,403.00

DIALATOR MEDT NIM STIM 945NSD2750 $1,596.00

DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I $15,481.00

DIALYSIS ONE EVALUATION $1,316.00

DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION $32.00

DIAZEPAM 10 MG TABLET $5.00

DIAZEPAM 2 MG TABLET $5.00

DIAZEPAM 5 MG TABLET $5.00

DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION $287.00

DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION $19.00

DIAZEPAM 5 MG/ML INJECTION SOLUTION $180.00

DIAZEPAM 5 MG/ML INJECTION SYRINGE $50.00

DIAZEPAM 5 MG/ML ORAL CONCENTRATE $12.00

DIBUCAINE 1 % RECTAL OINTMENT $30.00

DIBUCAINE 1 % TOPICAL OINTMENT $31.00

DICLOFENAC 0.1 % EYE DROPS $69.00

DICLOFENAC 1 % TOPICAL GEL $267.00

Page 72: DESCRIPTION Price - Fairview

DICLOFENAC 75 MG-MISOPROSTOL 200 MCG TABLET,IMMEDIATE,DELAYED RELEASE $41.00

DICLOFENAC EPOLAMINE 1.3 % TRANSDERMAL 12 HOUR PATCH $61.00

DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE $5.00

DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE $5.00

DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE $5.00

DICLOXACILLIN 250 MG CAPSULE $5.00

DICYCLOMINE 10 MG CAPSULE $5.00

DICYCLOMINE 10 MG/5 ML ORAL SOLUTION $6.00

DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION $183.00

DICYCLOMINE 20 MG TABLET $5.00

DIFFERENTIAL AUTOMATED $63.00

DIFFUSION CAPACITY $213.00

DIFLORASONE 0.05 % TOPICAL CREAM $1,659.00

DIFLUNISAL 250 MG ORAL HALF-TABLET $5.00

DIFLUNISAL 500 MG TABLET $5.00

DIFLUPREDNATE 0.05 % EYE DROPS $811.00

DIGIT REMOVAL; SOFT TISSUE $470.00

DIGITAL BLOCK $1,387.00

DIGITAL BREAST TOMOSYNTHESIS, BILATERAL $40.00

DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL $40.00

DIGITAL MAMMO DIAGNOSTIC, BILATERAL $536.00

DIGITAL MAMMO DIAGNOSTIC, UNILATERAL $466.00

DIGITAL MAMMO-SCREENING $422.00

DIGOXIN 125 MCG (0.125 MG) TABLET $6.00

DIGOXIN 250 MCG (0.25 MG) TABLET $6.00

DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION $50.00

DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION $14.00

DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION $14,601.00

DIGOXIN LEVEL $90.00

DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION $542.00

DILATOR ARTHREX UNIV CANNULATED AR-1377M $775.00

DILATOR BILIARY BALLOON 4MM 000347 $345.00

DILATOR BILIARY BALLOON 8MM 000349 $345.00

DILATOR DILATERIA X-THICK 60CM 6MM CRVC 240 $28.00

DILATOR ESOPHAGEAL BALLOON #15 $913.00

DILATOR ESOPHAGEAL BALLOON #18 BX/5 $913.00

DILATOR RENAL RDS 260-100 $512.00

DILATOR SHEATH SET 8F-10F 260120 $107.00

DILATOR SIL GRAD VAG PED 23 $397.00

DILATOR SPINAL METRX MICRODISECTOMY LG NIM DISP 8675424 $460.00

DILTIAZEM 30 MG TABLET $5.00

DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION $50.00

DILTIAZEM 60 MG TABLET $5.00

DILTIAZEM 90 MG TABLET $5.00

DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR $5.00

DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR $5.00

DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR $5.00

Page 73: DESCRIPTION Price - Fairview

DILTIAZEM ER (XR/XT) 120 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED $5.00

DILTIAZEM ER (XR/XT) 180 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED $5.00

DILTIAZEM ER (XR/XT) 240 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED $5.00

DILTIAZEM ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE $5.00

DILTIAZEM ER 120 MG CAPSULE,EXTENDED RELEASE 12 HR $9.00

DILTIAZEM ER 180 MG CAPSULE,24 HR,EXTENDED RELEASE $5.00

DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR $13.00

DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR $10.00

DILTIAZEM HCL (BULK) POWDER $82.00

DILUENT FOR EPOPROSTENOL (GLYCINE) INTRAVENOUS SOLUTION $87.00

DIMENHYDRINATE 50 MG CHEWABLE TABLET $5.00

DIMENHYDRINATE 50 MG TABLET $5.00

DIMENHYDRINATE 50 MG/ML INJECTION SOLUTION $50.00

DIMETHICONE 1.2 %-COLLOIDAL OATMEAL LOTION $22.00

DINOPROSTONE 0.5 MG/3 G VAGINAL GEL $410.00

DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE $1,785.00

DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE $22.00

DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP $52.00

DIPH,PERTUS(ACEL),TET PEDI (PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SUSP $40.00

DIPH,PERTUS(ACEL),TET,POLIO(PF) 25 LF-58 MCG-10 LF/0.5 ML IM SUSP $89.00

DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE $89.00

DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR $1.00

DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID $1.00

DIPHENHYDRAMINE 12.5 MG/5 ML ORAL SYRUP $14.00

DIPHENHYDRAMINE 25 MG TABLET $1.00

DIPHENHYDRAMINE 25 MG-ACETAMINOPHEN 500 MG TABLET $1.00

DIPHENHYDRAMINE 50 MG CAPSULE $1.00

DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION $50.00

DIPHENHYDRAMINE 50 MG/ML INJECTION SYRINGE $50.00

DIPHENHYDRAMINE-ZINC ACETATE 1 %-0.1 % TOPICAL CREAM $16.00

DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM $11.00

DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET $5.00

DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID $5.00

DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP $43.00

DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE $70.00

DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP $39.00

DIPHTHERIA ABY $134.00

DIPYRIDAMOLE 25 MG TABLET $5.00

DIPYRIDAMOLE 50 MG TABLET $5.00

DIRECT ADMIT - OBS $1.00

DIRECT COOMBS $89.00

DISC ARTIFICIAL 6X14MM $10,125.00

DISC ARTIFICIAL 6X16MM $10,125.00

DISC ASPIRATION/DIAGNOSTIC $2,102.00

DISC LP PRESTIGE 5X14MM $10,125.00

DISC LP PRESTIGE 6X14MM $10,125.00

DISC LP PRESTIGE 6X16MM $10,350.00

Page 74: DESCRIPTION Price - Fairview

DISC MOBI-C CERVICAL 15X17X5MM $11,250.00

DISCOGRAPHY LUMBAR SPINE $7,650.00

DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE $10.00

DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE $7.00

DISOPYRAMIDE PHOSPHATE ER 100 MG CAPSULE,EXTENDED RELEASE $20.00

DISOPYRAMIDE PHOSPHATE ER 150 MG CAPSULE,EXTENDED RELEASE $16.00

DISOPYRAMIDE, SO $92.00

DISSECTOR ENDOSCOPIC DISPOSABLE 5X400MM $2,235.00

DIST FIBULAR PLATES $2,113.00

DISTAL FEMORAL AUG BLOCK XS/SM/MED 10MM 623810 $1,368.00

DISTAL FEMORAL AUG BLOCK XS/SM/MED 5MM 623805 $1,368.00

DISTAL FEMORAL COMPONENT XXS R $23,242.00

DISTAL FEMORAL REPLACEMENT COMPONENTS L $23,242.00

DISTAL FEMORAL REPLACEMENT COMPONENTS S $23,242.00

DISTAL FIBULAR PLATES $1,938.00

DISTAL MEL HUMERUS PLATE - EXTENDED LEFT / RIGHT HUMERUS $2,364.00

DISTAL MEL HUMERUS PLATE LEFT / RIGHT HUMERUS 3 HOLE / L7 $2,364.00

DISTAL POSTERIOR LATERAL HUMERUS PLATE FOR LEFT HUMERUS 3 HO $2,364.00

DISTAL POSTERIOR LATERAL HUMERUS PLATE FOR RIGHT HUMERUS 3 H $2,364.00

DISTAL TAPERED RECLAIM 14X140MM $6,587.00

DISTAL TAPERED RECLAIM 15X140MM $6,587.00

DISTAL TAPERED RECLAIM 16X140MM $6,587.00

DISTAL TAPERED RECLAIM 17X140MM $6,587.00

DISTAL TAPERED RECLAIM 18X140MM $6,587.00

DISTAL TAPERED RECLAIM 18X190MM $6,900.00

DISTAL TAPERED RECLAIM 19X140MM $6,587.00

DISTAL TAPERED RECLAIM 19X190MM $6,900.00

DISTAL TAPERED RECLAIM 20X140MM $6,587.00

DISTAL TAPERED RECLAIM 20X190MM $6,900.00

DISTAL TAPERED RECLAIM 21X140MM $6,587.00

DISTAL TAPERED RECLAIM 22X190MM $6,587.00

DISTAL TAPERED RECLAIM 23X190MM $6,587.00

DISTRACTOR STRAP ANKLE ARTHRO AR-1712 $563.00

DISULFIRAM 250 MG TABLET $10.00

DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE $5.00

DIVALPROEX 125 MG TABLET,DELAYED RELEASE $5.00

DIVALPROEX 250 MG TABLET,DELAYED RELEASE $5.00

DIVALPROEX 500 MG TABLET,DELAYED RELEASE $5.00

DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR $7.00

DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR $6.00

DLT TS CER HD 12/14 40MM +1.5 $2,750.00

DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION $50.00

DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS $50.00

DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION $299.00

DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION $2,502.00

DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION $10,007.00

DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION $1,079.00

Page 75: DESCRIPTION Price - Fairview

DOCOSANOL 10 % TOPICAL CREAM $76.00

DOCUSATE SODIUM 100 MG CAPSULE $1.00

DOCUSATE SODIUM 100 MG/10 ML ORAL LIQUID $5.00

DOCUSATE SODIUM 283 MG ENEMA $51.00

DOCUSATE SODIUM 283 MG/5 ML ENEMA $9.00

DOCUSATE SODIUM 50 MG CAPSULE $1.00

DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID $1.00

DOFETILIDE 125 MCG CAPSULE $21.00

DOFETILIDE 250 MCG CAPSULE $5.00

DOFETILIDE 500 MCG CAPSULE $5.00

DOLUTEGRAVIR 50 MG TABLET $252.00

DONATED -EPIFIX OR EPICORD $473.00

DONEPEZIL 10 MG TABLET $5.00

DONEPEZIL 23 MG TABLET $75.00

DONEPEZIL 5 MG DISINTEGRATING TABLET $5.00

DONEPEZIL 5 MG TABLET $5.00

DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION $50.00

DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION $50.00

DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN $64.00

DOPPLER COLOR FLOW VELOCITY MAP $464.00

DOPPLER ECHO FETAL COMPLETE $495.00

DOPPLER ECHO FETAL COMPLETE, EA ADDTL FETUS $495.00

DOPPLER ECHO FETAL COMPLETE, NOT COMPLETED $495.00

DOPPLER VELOCIMETRY UMB ARTERY, EA ADDTL FETUS $518.00

DOPPLER VELOCIMETRY, MID CEREB ART EA ADDTL FETUS $518.00

DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION $500.00

DORZOLAMIDE 2 % EYE DROPS $375.00

DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS $247.00

DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION $239.00

DOXAZOSIN 1 MG TABLET $5.00

DOXAZOSIN 2 MG TABLET $5.00

DOXAZOSIN 4 MG TABLET $5.00

DOXEPIN 10 MG CAPSULE $5.00

DOXEPIN 10 MG/ML ORAL CONCENTRATE $5.00

DOXEPIN 100 MG CAPSULE $5.00

DOXEPIN 25 MG CAPSULE $5.00

DOXEPIN 5 % TOPICAL CREAM $2,976.00

DOXEPIN 50 MG CAPSULE $5.00

DOXEPIN 75 MG CAPSULE $5.00

DOXEPIN, SO $109.00

DOXERCALCIFEROL 0.5 MCG CAPSULE $65.00

DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION $50.00

DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION $318.00

DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION $155.00

DOXORUBICIN 50 MG INTRAVENOUS SOLUTION $1,143.00

DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION $165.00

DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION $5,429.00

Page 76: DESCRIPTION Price - Fairview

DOXYCYCLINE 50 MG/5 ML ORAL SYRUP $2,484.00

DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION $114.00

DOXYCYCLINE HYCLATE 20 MG TABLET $5.00

DOXYCYCLINE HYCLATE 50 MG CAPSULE $6.00

DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE $5.00

DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION $15.00

DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE $5.00

DOXYLAMINE SUCCINATE 25 MG TABLET $5.00

DP(A)T-POLIO-HIB CONJ-TET (PF) 15 LF UNIT-20 MCG-5 LF /0.5 ML IM KIT $92.00

DPPX AB CBS, REFLEX $625.00

DPPX AB IFA TITER, REFLEX $188.00

DPPX AB IFA, REFLEX $188.00

DRAIN ABSCESS DENTOALVEOLAR $489.00

DRAIN ABSCESS MOUTH LESION SIM $768.00

DRAIN ABSCESS PALATE UVULA $908.00

DRAIN BAG SURESTEP 2000ML DRAIN BAG ADD-A-FOLEY LF A399400A $249.00

DRAIN BAG SURESTEP 350ML URINE METER ADD-A-FOLEY LF A304400A $304.00

DRAIN BLAKE 15FR SIL 2229 $1,686.00

DRAIN BLAKE 19FR SIL 2231 $1,686.00

DRAIN BLAKE 24FR ROUND SIL 2234 $1,412.00

DRAIN CHEST TUBE HEIMLICH VALVE SIL $972.00

DRAIN PENROSE 1X36 LF GR304 $530.00

DRAIN SCROTAL WALL ABSCESS $3,242.00

DRAIN SUMP ABRAHAMSEN TL W/ANTIOBIOTIC FILTER 0080450 $638.00

DRAIN SURGIDYNE 10FR ROUND 332186 $590.00

DRAIN T TUBE DEAVER 12FR 5" LATEX 0099810 $300.00

DRAIN T TUBE DEAVER 14FR 5" LATEX 0099820 $300.00

DRAIN/INJ INTERM JNT/BURSA $832.00

DRAIN/INJECT LARGE JOINT/BURSA $973.00

DRAIN/INJECT LARGE JOINT/BURSA W/O US GUIDANCE $973.00

DRAIN/INJECT SM JNT/BURSA W/O US GUIDANCE $832.00

DRAIN/INJECT/ASPIRATE INTERMEDIATE JOINT/BURSA W/O GUIDANCE $832.00

DRAIN/INJECT/ASPIRATE SMALL JOINT/BURSA W/O US GUIDANCE $832.00

DRAINAGE ABSC/SEROMA/HEM VISC $4,082.00

DRAINAGE ABSCESS OR HEMATOMA, NASAL, INTERNAL APPROACH $663.00

DRAINAGE EXTERNAL EAR SIMPLE $826.00

DRAINAGE FINGER ABSCESS COMPLI $3,229.00

DRAINAGE FINGER ABSCESS SIMPLE $660.00

DRAINAGE OF ARM BURSA $3,829.00

DRAINAGE PERI/RETROPERI $4,203.00

DRAINAGE-HEMATOMA $3,300.00

DRAPE C-ARMOR 5 SIDED 5523 $1,247.00

DRAPE IOBAN 2 C-SECTION 3M 6697 $298.00

DRAPE LAP/PELVIC W/ATTACH LEGGINGS 89224 $404.00

DRAPE MICROSCOPE EQUIP 48X120" 6130VL2 $749.00

DRAPE MICROSCOPE ZEISS 48X120 $613.00

DRAPE NEURO W/POUCH 89062 $372.00

Page 77: DESCRIPTION Price - Fairview

DRAPE SLEEVE ARTHREX STAR SHOULDER TRACTION AR-1606 $1,050.00

DRAPE STERI CESEAREAN W/POUCH 7966 $265.00

DRAPE TUBE O-ARM 9732722 $2,633.00

DRAPE TUR XLONG LINGEMAN 13-11131* $821.00

DRAPE WARMER 66X44" ORS-300 $2,488.00

DRESSING FOAM MEPILEX AG 6X6 287300 $207.00

DRESSING STICK $5.00

DRESSING WND JUMPSTART 1.5"X10" ANTIMICROBIAL $59.00

DRESSING WND JUMPSTART 2"X 5" ANTIMICROBIAL $40.00

DRESSING/DBRMT BURN LARGE $775.00

DRESSING/DBRMT BURN LARGE $775.00

DRESSING/DBRMT BURN MEDIUM $681.00

DRESSING/DBRMT BURN MEDIUM $681.00

DRESSING/DBRMT BURN SMALL $506.00

DRESSING/DBRMT BURN SMALL $506.00

DRILL 3.6MM $533.00

DRILL ANCHOR AO CONNECTION ARTHREX HTO IBALANCE AR-13434-02 $223.00

DRILL AO PILOT LONG 4.0MM 71631121 $182.00

DRILL AO PILOT SHORT 4.0MM 71631123 $348.00

DRILL ARTHREX BIO-SUTURE TAK STEP 2.4MM AR-1934D-24 $200.00

DRILL BIT 1.8MM 310.509 $319.00

DRILL BIT 2.0MM CALIBRATED LONG $238.00

DRILL BIT 2.0MMX5" QUICK RELEASE MS-DC5020 $160.00

DRILL BIT 2.5X95MM GOLD 310.24 $155.00

DRILL BIT 2.8MM QUICK RELEASE MS-DC28 $245.00

DRILL BIT 3.2X125MM 315.29 $288.00

DRILL BIT 3.2X130MM 310.32 $147.00

DRILL BIT 3.2X145MM 310.31 $150.00

DRILL BIT 3.5MM QUICK CONNECT DEPUY 8290-32-070 $348.00

DRILL BIT 4.5X195MM 315.48 $288.00

DRILL BIT ACE SOLID TWIST 3.8MMX7" 14545 $315.00

DRILL BIT ACUMED QUICK COUPLER 2.0MM 80-0318 $345.00

DRILL BIT ACUMED QUICK RELEASE 2.8MM 80-0387 $345.00

DRILL BIT AO 2.0X135MM SCALED $372.00

DRILL BIT AO SCALED 2.6X220MM $420.00

DRILL BIT ARTHREX 1.7MM AR-1201.7D $198.00

DRILL BIT ARTHREX 1.7MM AR-8916-14 $198.00

DRILL BIT ARTHREX 2.0MM AR-8943-16 $238.00

DRILL BIT ARTHREX 2.5MM AR-8943-30 $213.00

DRILL BIT ARTHREX 2.5MM AR-8943-42 $213.00

DRILL BIT ARTHREX 3.0MM AR-8943-36 $288.00

DRILL BIT ARTHREX BB TAK MTP AR-13226 $125.00

DRILL BIT ARTHREX BB TAK MTP THREADED AR-13226T $213.00

DRILL BIT ARTHREX BIOSUTURE 3.0MM AR-1250LT $200.00

DRILL BIT ARTHREX CALIBRATED 2.5MM AR-8943-13 $213.00

DRILL BIT ARTHREX CAN 1.7MM AR-8737-17 $438.00

DRILL BIT ARTHREX CAN 2.5MM AR-8737-09 $438.00

Page 78: DESCRIPTION Price - Fairview

DRILL BIT ARTHREX CAN 2.6MM AR-8943-02 $438.00

DRILL BIT ARTHREX CAN 3.0MM AR-8945-30C $438.00

DRILL BIT ARTHREX CAN 3.5MM AR-8956C-35PD $438.00

DRILL BIT ARTHREX CAN COUNTERSINK 2.6MM AR-8943-05 $375.00

DRILL BIT ARTHREX LPS CAN 2.0MM AR-8933-20C $438.00

DRILL BIT ARTHREX LPS CAN 2.4MM AR-4160-24 $198.00

DRILL BIT ARTHREX LPS CAN 3.5MM AR-4160-35 $198.00

DRILL BIT ARTHREX LPS CAN 4.0MM AR-4160-40 $313.00

DRILL BIT ARTHREX MTP 2.2MM AR-8944-22 $213.00

DRILL BIT ARTHREX MTP CAN 3.0MM AR-8933-30C $438.00

DRILL BIT BIOM QUICK CONNECTING RING LOCK 3.2X20MM 31-323220 $200.00

DRILL BIT BIOM QUICK CONNECTING RING LOCK 3.2X30MM 31-323230 $200.00

DRILL BIT BIOM QUICK CONNECTING RING LOCK 3.2X40MM 31-323240 $200.00

DRILL BIT CAN 4.0MM 44180010 $188.00

DRILL BIT CAN W/DEPTH STP 2.4MM 07-40230 $988.00

DRILL BIT CANN 11X280MM QC 357.404 $1,026.00

DRILL BIT CANN 13X300MM 351.27 $1,150.00

DRILL BIT CANN 2.0MM 310.221 $885.00

DRILL BIT CANN 4.3X200MM 310.634 $737.00

DRILL BIT CANN 5.0X200MM 310.632 $737.00

DRILL BIT CANN 7.3X300MM LG QC 310.495 $936.00

DRILL BIT CIRC ZEPHR 11MM 8796910 $385.00

DRILL BIT COMP REV 3.2MM $220.00

DRILL BIT DEPUY CALIBRATED 2.7MM 2142-27-070 $425.00

DRILL BIT DEPUY CAN 5.0MM DISP 14629 $925.00

DRILL BIT DRPUY DXTEND LONG 2.5X120MM 230790005 $25.00

DRILL BIT FLEXIBLE REFLECTION 25MM 71362925 $25.00

DRILL BIT FLEXIBLE REFLECTION 35MM 71362935 $25.00

DRILL BIT HANDINN 2.5MM DB2.5 $315.00

DRILL BIT HANDINN 3.3MM DB3.3 $328.00

DRILL BIT HANDINN LONG FAST 4.0MM FDB40L $303.00

DRILL BIT HANDINN SHORT FAST 4.0MM FDB40S $303.00

DRILL BIT HANDINN STEP FAST 4.0MM FDS40 $303.00

DRILL BIT JACOBS CHUCK CAN 4.5MMX135/165MM W/STOP03.010.089 $712.00

DRILL BIT J-LATCH 1.0MM 60MM 316.236 $140.00

DRILL BIT J-LATCH 1.1MM 310.113 $155.00

DRILL BIT J-LATCH 1.3MM 316.403 $155.00

DRILL BIT J-LATCH 1.5MM 310.143 $155.00

DRILL BIT J-LATCH 1.8MMX90MM 317.867 $155.00

DRILL BIT J-LATCH 2.4MMX90MM 317.872 $155.00

DRILL BIT J-LATCH 20.MM 310.203 $155.00

DRILL BIT KLS 1.5MM 1.1X50MM W/NOTCH 25-452-00 $305.00

DRILL BIT KLS 2MM 1.5X105MM W/NOTCH 25-469-11 $318.00

DRILL BIT KLS 2MM 1.5X50MM W/NOTCH 25-449-16 $305.00

DRILL BIT KLS 5MM 1.1MMX50MM W/ NOTCH 25-452-05 $305.00

DRILL BIT KLS 7MM 1.5X50MM W/ NOTCH 25-449-07 $305.00

DRILL BIT MEDT 13MM SGL USE 7080513 $459.00

Page 79: DESCRIPTION Price - Fairview

DRILL BIT MEDT ATLANTIS 2.4MM 7756010 $550.00

DRILL BIT MEDT ELITE 11MM SS 7080510 $418.00

DRILL BIT MEDT STERILE 6474176 $438.00

DRILL BIT MINI 100MM QC 2.7MM 310.26 $155.00

DRILL BIT MINI 110MM QC 2.0MM 310.19 $164.00

DRILL BIT MINI 170MM QC 3.2MM 310.65 $918.00

DRILL BIT MINI 170MM QC 4.5MM 310.66 $918.00

DRILL BIT MINI 60MM QC 1.1MM 310.11 $155.00

DRILL BIT MINI 85MM QC 1.5MM 310.15 $155.00

DRILL BIT MINI QUICK COUPLING 2.4X100MM 310.530 $383.00

DRILL BIT PERIPHERAL SCREW 2.7MM $290.00

DRILL BIT QUICK CONNECT ZIM 2.5X110MM $181.00

DRILL BIT QUICK CONNECT ZIM 3.5X110MM $181.00

DRILL BIT QUICK COUPLING 1.0MM 316.396 $155.00

DRILL BIT QUICK COUPLING 1.1MM 310.111 $155.00

DRILL BIT QUICK COUPLING 1.3MM 316.402 $155.00

DRILL BIT QUICK COUPLING 1.5MM 310.141 $155.00

DRILL BIT QUICK COUPLING 1.8MM 317.861 $155.00

DRILL BIT QUICK COUPLING 17X300MM 357.394 $1,559.00

DRILL BIT QUICK COUPLING 2.0MM 310.201 $155.00

DRILL BIT QUICK COUPLING 2.0X125MM 310.21 $173.00

DRILL BIT QUICK COUPLING 2.4MM 317.871 $155.00

DRILL BIT QUICK COUPLING 2.5X110MM GOLD 310.25 $155.00

DRILL BIT QUICK COUPLING 2.7X125MM 310.28 $173.00

DRILL BIT QUICK COUPLING 3 FLUTE 2.8MM 03.122.002 $338.00

DRILL BIT QUICK COUPLING 3 FLUTE 4.2MM NDL POINT 03.010.101 $471.00

DRILL BIT QUICK COUPLING 3 FLUTE 4.2MMX145MM NDL POINT $338.00

DRILL BIT QUICK COUPLING 3 FLUTE 4.2MMX330/100MM CALIBRATE $475.00

DRILL BIT QUICK COUPLING 3 FLUTE 5.0MMX145MM NDL 03.010.105 $338.00

DRILL BIT QUICK COUPLING 3 FLUTE 5.0MMX330MM/100 03.010.062 $475.00

DRILL BIT QUICK COUPLING 4.5X233MM 310.69 $918.00

DRILL BIT QUICK COUPLING CALIBRATED 3.2MM 315.330 $350.00

DRILL BIT QUICK COUPLING CAN 5.0X300MM 310.63 $923.00

DRILL BIT QUICK COUPLING CAN LG 12MMX190MM 03.010.036 $1,057.00

DRILL BIT QUICK COUPLING CAN LG 13.0MMX465MM 03.010.034 $1,403.00

DRILL BIT QUICK COUPLING CANN 2.7MM 310.67 $934.00

DRILL BIT QUICK COUPLING CANN 3.5MM 310.68 $934.00

DRILL BIT QUICK COUPLING W/STOP 06MM 316.286 $310.00

DRILL BIT QUICK COUPLING W/STOP 08MM 316.288 $310.00

DRILL BIT QUICK COUPLING W/STOP 10MM 316.290 $310.00

DRILL BIT QUICK COUPLING W/STOP 12MM 316.292 $310.00

DRILL BIT QUICK COUPLING W/STOP 14MM 316.294 $310.00

DRILL BIT S COUPLING CAN 2.9MM 8290-30-070 $825.00

DRILL BIT SHORT 4.0MM 71631117 $281.00

DRILL BIT STRK 2.5X125MM GOLD 700347 $303.00

DRILL BIT STRK 4.2X103MM FULL THRD 1806-4280S $429.00

DRILL BIT STRK GAMMA 4.2X300MM 1320-3042S $447.00

Page 80: DESCRIPTION Price - Fairview

DRILL BIT STRK OASYS 2.5X5" FOR 3.5MM SCR 48560323 $378.00

DRILL BIT STRK SHORT 4.2X180MM 1806-4270S $459.00

DRILL BIT SYN 0.70X44.5 W/3MM STOP J LATCH 316.13 $385.00

DRILL BIT SYN 0.76X44.5 W/5MM STOP J LATCH 316.15 $385.00

DRILL BIT SYN 0.76X44.5 W/8MM STOP J LATCH 316.18 $385.00

DRILL BIT SYN 1.1X44.5 W/4MM STOP J LATCH 317.14 $385.00

DRILL BIT SYN 1.5X110MM 310.16 $155.00

DRILL BIT SYN 1.5X110MM J LATCH 317.835 $382.00

DRILL BIT SYN 1.5X44.5 W/12MM STOP J LATCH 317.72 $382.00

DRILL BIT SYN 1.5X44.5 W/4MM STOP J LATCH 317.64 $382.00

DRILL BIT SYN 1.5X44.5 W/6MM STOP J LATCH 317.66 $382.00

DRILL BIT SYN 1.5X44.5 W/8MM STOP J LATCH 317.68 $382.00

DRILL BIT SYN 1.5X6X91MM 388.175 $215.00

DRILL BIT SYN 1.8X125MM QC 301.520 $383.00

DRILL BIT SYN 1X44.5 W/4MM STOP J LATCH 316.446 $385.00

DRILL BIT SYN 1X44.5 W/6MM STOP J LATCH 316.447 $385.00

DRILL BIT SYN 1X44.5 W/8MM STOP J LATCH 316.448 $385.00

DRILL BIT SYN 2.5X195MM QUICK COUPLING 3 FLUTED 315.92 $402.00

DRILL BIT SYN 2.8MM CALIBRATED 324.214 $365.00

DRILL BIT SYN 3.2X150MM THREE FLUTED 511.414 $516.00

DRILL BIT SYN 3.2X320MM THREE FLUTED 315.93 $485.00

DRILL BIT SYN 4.0X150MM THREE FLUTED 511.417 $516.00

DRILL BIT SYN 4.0X195MM THREE FLUTED 315.40 $294.00

DRILL BIT SYN 4.0X260MM THREE FLUTED 357.407 $402.00

DRILL BIT SYN 4.0X270MM THREE FLUTED 356.98 $489.00

DRILL BIT SYN 4.3X180MM 310.431 $257.00

DRILL BIT SYN 6.0X43.5MM TAPERED 357.403 $1,163.00

DRILL BIT SYN 8.0MM FOR DHS/DCS TRIPLE REAMER 338.10 $1,170.00

DRILL BIT SYN CAN QUICK COUPLING 1.7X100MM 310.215 $953.00

DRILL BIT SYN JACOBS CHUCK 1.5MM 310.14 $155.00

DRILL BIT SYN JACOBS CHUCK 6.0X195MM 310.60J $350.00

DRILL BIT SYN QUICK COUPLING 2.0X140MM 323.062 $319.00

DRILL BIT SYN QUICK COUPLING 2.5X180MM GOLD 310.23 $173.00

DRILL BIT SYN QUICK COUPLING 2.7X125MM 315.28 $246.00

DRILL BIT SYN QUICK COUPLING 2.8X165MM 310.288 $192.00

DRILL BIT SYN QUICK COUPLING 2.9MM 310.229 $192.00

DRILL BIT SYN QUICK COUPLING 3.2X180MM 310.30 $188.00

DRILL BIT SYN QUICK COUPLING 3.2X195MM 310.29 $248.00

DRILL BIT SYN QUICK COUPLING 3.5X110MM 310.35 $164.00

DRILL BIT SYN QUICK COUPLING 3.5X195MM 310.37 $173.00

DRILL BIT SYN QUICK COUPLING 3.5X95MM 310.36 $155.00

DRILL BIT SYN QUICK COUPLING 4.0X160MM 310.401 $183.00

DRILL BIT SYN QUICK COUPLING 4.5X145MM 310.44 $150.00

DRILL BIT SYN QUICK COUPLING 4.5X195MM 310.48 $248.00

DRILL BIT TRILLIANT CAN 2.0/2.4MM 210-24-001 $563.00

DRILL BIT TWIST 1.9X105MM SHAFT END 60-19340 $249.00

DRILL BIT TWIST 2.0X105MM SHAFT END 60-20385 $249.00

Page 81: DESCRIPTION Price - Fairview

DRILL BIT TWIST STRK 2.3MM QUICK COUPLING 60-23341 $249.00

DRILL BIT TWIST STRK CAN 2.7MM W/AO COUPLING 702449 $732.00

DRILL BIT TWIST WRIGHT INBONE 6MM 200134 $695.00

DRILL BIT W/STOP 3.0X14MM 324.14 $1,250.00

DRILL BIT WRIGHT INBONE ANTI-ROTATION NOTCH SZ 2 200178002 $370.00

DRILL BIT WRIGHT INBONE ANTI-ROTATION NOTCH SZ 4 200178004 $370.00

DRILL CANN 4.5MM AR-1204.5L $460.00

DRILL CANN BIOTNDS 4MM STRL AR-1204L $460.00

DRILL COUNTERSINK TRILLIANT CAN 2.0/2.4MM 210-24-002 $563.00

DRILL COUNTERSINK TRILLIANT CAN 3.0/4.0MM 210-40-002 $563.00

DRILL CRKSCR 3.9MM KNOTLESS W/V-SHAPED CUT EDGE AR-1941D $738.00

DRILL ENDOSCOPIC F/MICRO COMPRESSION $375.00

DRILL EXTENDER TIP 180MM 423842 $1,138.00

DRILL GUIDE 2.3MM OVERDRILL AND K-WIRE 56-01260 $1,068.00

DRILL GUIDE DEPTH GAUGE FOR 2.0MM & 2.4MM SCR 319.006 $1,276.00

DRILL GUIDE FIXED ANGLE 2.3/2.7MM 56-01255 $1,068.00

DRILL GUIDE FOR 3.2MM 4.0MM SCREWS 324.176 $327.00

DRILL GUIDE LC-DCP 3.5MM 323.35 $1,287.00

DRILL GUIDE POLYAXIAL 2.3/2.7MM 56-01250 $1,068.00

DRILL GUIDE SYN THRD 2.8MM 312.648 $234.00

DRILL GUIDE SYN THREADED DEPTH GAUGE 2.0MM 323.061 $1,166.00

DRILL GUIDE THREADED 1.8MM SHORT 323.035 $241.00

DRILL GUIDE UNIVERSAL 2.4MM 323.202 $830.00

DRILL POINT STRK 4.2X340MM 1806-4260S $429.00

DRILL ROD FIBULA 2.8MM $380.00

DRILL ROD FIBULA INTRAMEDULLARY $1,275.00

DRILL STEP ARTHREX FOR 3.0MM KNOTLESS SUTURE TAK AR-1938D $263.00

DRILL STEP ARTHREX PUSHLOCK 3.5MM AR-1912 $238.00

DRILL STRK 1.9X29MMX18MM 90DEG 6019918 $271.00

DRILL STRK 2.0X102MM W/50MM AO SHAFT 45-27010 $281.00

DRILL STRK ASNIS MICRO CAN 2.0X1.7MM AO COUPLING 45-20005S $540.00

DRILL SURGICAL 3.5MM AO CONNECTION F/3.5MM SCR LOCKING $345.00

DRILL SURGICAL TWIST 1.35MM 50MML 1.8INL THK CRANIOMAXIL $290.00

DRILL TAP 4.0MM CANC 311.34 $246.00

DRILL TARGET DEVICE RADIOLUCENT 3815-2-100 $479.00

DRILL TWIST 11G 7.75" IVAS STERILE 0306-811-000 $1,577.00

DRILL TWIST KLS 1.1X50MM 5MM STOP W/NOTCH 25-452-05-91 $318.00

DRILL TWIST KLS 1.1X50MM W/NOTCH 25-452-00-91 $318.00

DRILL TWIST KLS 1.5X20MM 7MM STOP DENTAL LATCH 50-924-07-07 $336.00

DRILL TWIST KLS 1.9X70MM W/NOTCH 25-460-19-07 $318.00

DRILL TWIST STRK 1.35X50MM 5MM STOP 6013505 $330.00

DRILL TWIST STRK 1.4 X27MM AO END 60-14326 $252.00

DRILL TWIST STRK 1.9 X108MM STRK END 60-19140 $249.00

DRILL TWIST STRK 1.9 X27MM AO END 60-19326 $252.00

DRILL TWIST STRK 1.9 X27MM DENTAL END 60-19426 $252.00

DRILL TWIST STRK 2.5 X26MM LAG FOR 2.3MM SCR AO END $252.00

DRIVER AU ACL HNDL FEM SCKT AR-1415T $2,350.00

Page 82: DESCRIPTION Price - Fairview

DRIVER INST COMPOSITE AR-1966CD-1 $1,250.00

DRIVER SURG F/12MM BIO- AR-1670DB $2,125.00

DRIVER XTN ROD STPL XTRCT 11-1129 $728.00

DRONABINOL 2.5 MG CAPSULE $23.00

DRONEDARONE 400 MG TABLET $54.00

DROPERIDOL 2.5 MG/ML INJECTION SOLUTION $50.00

DROSPIRENONE 3 MG-ETHINYL ESTRADIOL 0.03 MG TABLET $10.00

DRSG AQUACEL AG 3.5X12" HYDROFIBER 420670 $909.00

DRSG AQUACEL AG 3.5X13.75" HYDROFIBER 412012 $909.00

DRSG AQUACEL AG 3.5X6.0" HYDROFIBER 412010 $653.00

DRSG AQUACEL AG 3.5X9.75" HYDROFIBER 412011 $816.00

DRSG D-STAT DRY HEMOSTATIC THROMBIN 3000 $975.00

DRSG D-STAT DRY HEMOSTATIC THROMBIN 4"X4" 4000 $1,700.00

DRSG INTEGRA MATRIX MESH BILAYER 2X2" MWM2021 PER SQ CM= 26 $10,703.00

DRSG INTEGRA MATRIX MESH BILAYER 4X10" MWM4101 PER SQ CM=258 $27,525.00

DRSG INTEGRA MATRIX MESH BILAYER 4X5" MWM4051 PER SQ CM= 129 $17,088.00

DRSG JAWBRA 95 $53.00

DRSG JUMPSTART ANTIMICROBIAL 1.5X8" ABS-4005 $475.00

DRSG KIT PREVENA NEG PRESSURE WND 125 THERAPY PRE4001US.S $1,562.00

DRSG MATRIX BILAYER 2X2" BMW2021 CHRG PER SQ CM= 25 UNITS $9,538.00

DRSG NASOPORE FRAG FIRM 8CM 5400-020-008 $4,362.00

DRSG PREVENA NEGATIVE PRESSURE WND 13CM SGL LF PRE1101US $1,213.00

DRSG WOUND VAC GRANUFOAM SM M8275051/10 $807.00

DRSG WOUND VAC WHITEFOAM M6275034/10 $300.00

DRUG ABUSE 11, MECONIUM $434.00

DRUG ABUSE, CONFIRM, URINE $355.00

DRUG ADMIN & HEMODYNMIC MEAS $483.00

DRUG ASSESSMENT UPDATE 15-30 MIN $326.00

DRUG GROUP 60 MINUTES $329.00

DRUG INDIVIDUAL 60 MINUTES $362.00

DRUG SCREEN RX/OTC, UR $304.00

DRUG SCREEN, COMP $176.00

DRUG SCREEN, UMBILICAL CORD TISSUE, QUAL $355.00

DRUGS OF ABUSE 1, URINE $357.00

DRUGS OF ABUSE 1+, URINE $357.00

DRUGS OF ABUSE 2, URINE $304.00

DRUGS OF ABUSE 3, URINE $119.00

DRVVT $89.00

DRVVT CONFIRMATION $92.00

DRVVT MIX $87.00

DRVVT SCREEN $89.00

DRY SUCTION WATER SEAL CHEST DRAIN $100.00

DSTR OTHR PERIPH NRV NEUROLYTC $2,406.00

DTPA (PER DOSE) $321.00

DULOXETINE 20 MG CAPSULE,DELAYED RELEASE $37.00

DULOXETINE 30 MG CAPSULE,DELAYED RELEASE $27.00

DULOXETINE 60 MG CAPSULE,DELAYED RELEASE $14.00

Page 83: DESCRIPTION Price - Fairview

DUPLEX ABD/PEL VASC STUDY,COMPLETE $952.00

DUPLEX ABD/PEL VASC STUDY,LIMITD $489.00

DUPLEX EXTREM VENOUS,BILAT $740.00

DUPLEX EXTREM VENOUS,UNI OR LTD $496.00

DUPLEX HEMODIALYSIS ACCESS $503.00

DUPLEX LARGE VESSEL(S),COMPLETE $724.00

DUPLEX LARGE VESSEL(S),LIMITED $568.00

DUPLEX LO EXTREM ART BILAT $915.00

DUPLEX LO EXTREM ART UNILAT/LTD $530.00

DUPLEX PENILE VESSELS $453.00

DUPLEX SCAN ARTL INFL&VEN O/F HEMO, BILAT COMLETE STUDY $823.00

DUPLEX SCAN ARTL INFL&VEN O/F HEMO, UNILAT COMPLETE STUDY $823.00

DUPLEX SCAN EXTRACRANIAL,BILAT $718.00

DUPLEX SCAN EXTRACRANIAL,LIMITED $452.00

DUPLEX UP EXTREM ART BILAT $720.00

DUPLEX UP EXTREM ART UNILAT/LTD $448.00

DURASEAL DURAL SEALANT SYS 5ML 202050 $10,105.00

DURASEAL SPINE SEALANT SYSTEM 3ML $9,093.00

DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION $3,767.00

DUTASTERIDE 0.5 MG CAPSULE $27.00

DX NASAL ENDOSCOPY $1,007.00

DX OPHTHAL B-SCAN US $534.00

DXA BONE DENSITY STUDY, I OR MORE SITES; AXIAL SKELETON INCLUDING VERTEBRAL FRACTURE ASSESSMENT $464.00

DXA/BONE DENSITY AXIAL $464.00

DXA/BONE DENSITY-APPENDICULAR $538.00

DYNAMIC PHARNYGEAL SWALLOW EVA $549.00

DYNANITE NITI STAPLE W/INSTRS 13WX10L $4,738.00

DYNANITE NITI STAPLE W/INSTRS 18WX18L $5,738.00

DYNANITE NITI STAPLE W/INSTRS 20WX20L $5,738.00

E COLI SHIGA TOXIN $78.00

E TEST (ET) $66.00

E.M. COMPLETE $2,087.00

E/M W/ PSYCHOTHERAPY 30 MIN $353.00

E1 44-36 RTNV +3 HMRL BRG $4,250.00

E1 44-36 STD +3 HMRL BRG $4,250.00

E1 44-41 RTNV +3 HMRL BRG $4,250.00

E1 44-41 STD +3 HMRL BRG $4,250.00

E1 44-41 STD HMRL BRNG $4,250.00

EACH ADD'L VESSEL (SELECTIVE) $1,038.00

EAR IMP COCHLEAR FREEDOM W/ADV ELEC Z60353 $33,375.00

EAR IMP COCHLEAR MID-SCALA HIRES HIFOCUS CI-1600-04 $38,498.00

EAR IMP COCHLEAR MID-SCALA INTERNAL ELEC CI-1500-04 $62,972.00

EAR IMP COCHLEAR NUCLEUS- 5 WITH SOUND PROCESSOR $36,250.00

EAR IMP COCHLEAR NUCLEUS CI522 W/SLIM STR ELEC Z382660 $36,250.00

EAR IMP COCHLEAR NUCLEUS SLIM STR ELECTRODE CI422 $33,375.00

EAR IMP DORNHOFFER FOOTPLATE SHOE 0.8MM TI 636-080 $332.00

EAR IMP KRAUS K-HELIX CROWN 756-300 $1,114.00

Page 84: DESCRIPTION Price - Fairview

EAR IMP OSS CENTERED ALTO PROSTHESIS PARTIAL TI 655 $907.00

EAR IMP OSS CENTERED ALTO PROSTHESIS TOTAL TI 605 $907.00

EAR IMP OWENS ASSURE ALTO PARTIAL TI 652 $949.00

EAR IMP OWENS ASSURE ALTO TOTAL TI SILICONE 602R $949.00

EAR IMP SMART STAPES PISTON 4.25X0.6MM 70145927 $655.00

EAR IMP SMART STAPES PISTON 4.50X0.6MM 70145928 $655.00

EAR IMP SMART STAPES PISTON 4.75X0.6MM 70145929 $662.00

EARPIECE STETH 4FT LP SEAL LF 6-1030-25 $150.00

EASTERN EQUINE ABY, CSF $38.00

EASTERN EQUINE ABY, SO $38.00

EBV ABY, EARLY $101.00

EBV NUCLEAR AGN ABY $114.00

EBV VCA-IGG ABY $117.00

EBV VCA-IGM ABY $117.00

ECG-RHYTHM STRIP $209.00

ECHO FETAL CV 2D $1,317.00

ECHO FETAL CV 2D NOT COMPLETED $1,317.00

ECHO HEART XTHORACIC, STRESS/REST $1,348.00

ECHO HEART XTHORACIC,COMPLETE W DOPPLER $1,348.00

ECHO HEART XTHORACIC,LIMITED $895.00

ECHO SPECTRAL DOPPLER LTD $420.00

ECHO TEE GUIDANCE OF A TRANSCATH INTRACARDIAC OR GREAT VESSEL/S STRUCTURAL INTERVENTION/S $1,975.00

ECHO,SCROTUM & CONTENTS $436.00

ECHO-CONGENITAL ANOMALIES/COMP $2,091.00

ECHO-TEE $2,017.00

ECHO-TEE INTRAOPERATIVE $3,067.00

ECHOVIRUS ABYS $280.00

ECMO/ECLS INITIATION VENO-ARTERIAL $9,248.00

ECMO/ECLS INSRT PERIPH CANNULA PERCT, 6YRS & > (GUIDE INCL) $1,554.00

ECONAZOLE 1 % TOPICAL CREAM $86.00

ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION $28,353.00

ED PROC-SIMPL REP UP TO 2.5CM $395.00

EDARAVONE 30 MG/100 ML INTRAVENOUS PIGGYBACK $5,586.00

EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM $5,013.00

EDROPHONIUM CHLORIDE 10 MG/ML INJECTION SOLUTION $50.00

EEG - ECS CEREBRAL DEATH EVAL. $1,274.00

EEG AWAKE AND ASLEEP $793.00

EEG EXT TO GREATER THAN 1 HOUR $990.00

EEG EXTENDED TO 1 HOUR $850.00

EFAVIRENZ 600 MG TABLET $71.00

EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET $414.00

EFLORNITHINE 13.9 % TOPICAL CREAM $821.00

EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE $3,737.00

EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM $3,280.00

EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES $3,280.00

EGD DILATION GASTRIC/DUODENAL STRICTURE $3,280.00

EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION $11,450.00

Page 85: DESCRIPTION Price - Fairview

EGD FLEXIBLE FOREIGN BODY REMOVAL $2,918.00

EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS $2,148.00

EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY $5,359.00

EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS $3,079.00

EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE $3,280.00

EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH $3,280.00

EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $2,431.00

EGD TRANSORAL CONTROL BLEEDING ANY METHOD $3,280.00

EGD US GUIDED TRANSMURAL INJECTION/FIDUCIAL MARKER $3,751.00

EHRLICHIA CHAFFEENSIS ANTIBODIES, IGG & IGM $96.00

EHRLICHIA/ANAPLASMA PCR, SO $237.00

ELASTIC SHOE LACES $3.00

ELASTOPLAST $62.00

ELBOW HUMERAL ASSY 4 IN REG $12,500.00

ELBOW PIN REPLACEMENT KIT SM 32810502501 $2,178.00

ELCTRD SHRT ABBREVIATION NEO 2000 $1,175.00

ELEC ALYS IMPLT BRN NPGT PRGRMG, 1ST 15 MIN $100.00

ELEC ALYS IMPLT BRN NPGT PRGRMG, EA ADDL 15 MIN $1,732.00

ELECTRICAL STIM UNATTENDED OT $283.00

ELECTRICAL STIM UNATTENDED PT $283.00

ELECTRICAL STIM, UNATTENDED $130.00

ELECTRICAL STIMULATION GUIDANCE WITH CHEMODENERVATION $163.00

ELECTROCARDIOGRAM, TRACING $198.00

ELECTROCONVULSIVE THERAPY,1 SEIZ $1,435.00

ELECTRODE 90 DEG 24-28FR A22253C $3,525.00

ELECTRODE HF RESECTOR 24 FR MED 12DEG $5,933.00

ELECTRODE LOOP HF .35 ANG WIRE WA47051C $3,169.00

ELECTRODE LOOP HF .35 WIRE 3MM 12DEG $3,825.00

ELECTRODE ROLLER 24-28FR 12DEG A22251C $3,525.00

ELECTROLYTE PROFILE $76.00

ELECTROLYTE-48 IN D5W INTRAVENOUS SOLUTION $70.00

ELECTROLYTE-A INTRAVENOUS SOLUTION $59.00

ELECTROPHYSIOLOGIC EVALUATION OF SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR $1,595.00

ELETRIPTAN 20 MG TABLET $271.00

ELETRIPTAN 40 MG TABLET $135.00

ELEVATOR PASSING SC-4230 $150.00

ELEVATOR PERISOSTEAL 2 SIDED STRONG/SLIGHT CURVE 07-10021 $751.00

ELEVR 7.25IN 9 MOLT PERIO 09-0394 $158.00

ELEVR 7.75IN FREER S/B DBL END RH750 $65.00

ELEVR 7INX7MM OBWGSR FLT PERIO 01-0083 $508.00

ELEVR 8.25IN OBWGSR-FREER CRV 01-0091 $433.00

ELEVR 8.25IN OBWGSR-FREER CRV 01-0092 $433.00

ELEVR 8INX5MM OBWGSR ANG PERIO 01-0087 $355.00

ELEVR 8INX8MM OBWGSR ANG PERIO 01-0088 $555.00

ELITE COMPRESSION IMP KIT 15X15X15MM 2 LEGS $4,980.00

ELITE COMPRESSION IMP KIT 20X20X20MM 2 LEGS $5,447.00

ELITE COMPRESSION IMP KIT 30X20X20X20X20MM 4 LEGS $5,551.00

Page 86: DESCRIPTION Price - Fairview

ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION $7,311.00

ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION $9,748.00

ELTROMBOPAG 25 MG TABLET $249.00

ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET $448.00

ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET $470.00

EMBOLIZATION $2,504.00

EMBOLIZE AVM/ANEURSM NONNEURO $30,626.00

EMBOLIZE ART/VEIN HEM/NON NEURO $30,751.00

EMBOLIZE TUMOR NON NEURO $30,751.00

EMBOLIZE VENOUS NON NEURO $30,751.00

EMG 1 LIMB $433.00

EMG 2 LIMBS $548.00

EMOLLIENT COMBINATION NO.66 TOPICAL CREAM $25.00

EMOLLIENT COMBINATION NO.71 LOTION $26.00

EMOLLIENT TOPICAL CREAM $20.00

EMPTY CONTAINER, PLASTIC BAG 100 ML $50.00

EMPTY CONTAINER, PLASTIC BAG 500 ML $14.00

EMTRICITABINE 200 MG CAPSULE $88.00

EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR ALAFENAM 25 MG TABLET $407.00

EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET $255.00

EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET $255.00

ENA ABY/EACH ABY $133.00

ENALAPRIL MALEATE 10 MG TABLET $5.00

ENALAPRIL MALEATE 2.5 MG TABLET $5.00

ENALAPRIL MALEATE 20 MG TABLET $5.00

ENALAPRIL MALEATE 5 MG TABLET $5.00

ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION $50.00

ENCAP SM ROUND 12MM $499.00

END CAP TI 12MM 10MM STRDR EXT $343.00

END CAP TI 12MM 15MM T40 STRDR $343.00

END CAP TI 12MM 20MM T40 STRDR $343.00

END CAP TI 12MM 5MM STRDR EXT $343.00

ENDCAP 0DEG 18MM $482.00

ENDCAP 0DEG 22MM $482.00

ENDCAP 22MM 15DEG $482.00

ENDCAP 3DEG 18MM $482.00

ENDCAP 3DEG 22MM $482.00

ENDCAP 8DEG 18MM $482.00

ENDCAP 8DEG 22MM $482.00

ENDCAP CLOSED 20DEG 22MM $482.00

ENDCAP CLOSED 30DEG 22MM $482.00

ENDCAP FOR MULTILOC NAIL EXTENSION 2MM $456.00

ENDCAP LG ROUND 14MM $499.00

ENDCAP LG ROUND 5DEG 12MM $499.00

ENDCAP LG ROUND 5DEG 14MM $499.00

ENDCAP ORTHOPEDIC 12MM 10MML TI T2 $492.00

ENDCAP ORTHOPEDIC 5MM EXT TI HUMERAL F/INTRAMEDU $408.00

Page 87: DESCRIPTION Price - Fairview

ENDCAP ORTHOPEDIC CANNULATED PROTECTIVE 0MML TITANIUM FEMORA $343.00

ENDCAP ORTHOPEDIC PROTECTIVE 0MML TITANIUM FEMORAL RETROGRAD $343.00

ENDCAP ORTHOPEDIC TI HUMERAL 0MM EXT T25 STARDRI $456.00

ENDCAP PLUS 0MM $403.00

ENDCAP SM ROUND 14MM $499.00

ENDCAP SM ROUND 5DEG 12MM $499.00

ENDCAP SM ROUND 5DEG 14MM $499.00

ENDCAP T25 HINDFOOT ARTHRODES NAIL STRL $451.00

ENDCAP T25 HINDFOOT ARTHRODESIS NAIL $360.00

ENDCAP T25 HINDFOOT ARTHRODESIS NAIL $360.00

ENDCAP T25 HINDFOOT ARTHRODESIS STRL $451.00

ENDO ACCESS PLATFORM GELPOINT MINI CNGL3 $1,688.00

ENDO ACCESS PLATFORM GELPOINT SGL INCISION CNGL2 $1,688.00

ENDO APPLICATOR ARISTA FLEX TIP AM0005 $500.00

ENDO AVITENE 1GR 1010120 $2,700.00

ENDO BASKET RETRIEVAL 3-WIRE 0.6X600MM FOR SIALO 11575K $786.00

ENDO BASKET RETRIEVAL TRAPEZOID 3.0CM 1089 $915.00

ENDO CATH BALLOON DILATATION ELIMINATOR 8MMX8X180CM 000341 $185.00

ENDO CATH BALLOON DILATATION ELMNTR 10MMX8X180CM 000342 $185.00

ENDO CATH BALLOON DILATATION ELMNTR 15MMX8X180CM 000344 $185.00

ENDO CATH BALLOON DILATATION ELMNTR 6MMX2X180CM 000348 $345.00

ENDO CATH BALLOON DILATION HURRICANE 04MMX4X180CM 4590 $985.00

ENDO CATH BALLOON DILATION HURRICANE 06MMX4X180CM 4592 $985.00

ENDO CATH BALLOON DILATION HURRICANE 08MMX4X180CM 4594 $985.00

ENDO CATH BALLOON DILATION HURRICANE 10MMX4X180CM 4596 $985.00

ENDO CATH BALLOON EXTRACTOR PRO RX 09-12MM 4700 $561.00

ENDO CATH BALLOON EXTRACTOR PRO RX 12-15MM 4701 $561.00

ENDO CATH BALLOON EXTRACTOR PRO RX 15-18MM 4702 $561.00

ENDO CATH BALLOON HERCULES W/GW 8-9-10MM G51799 $475.00

ENDO CATH BALLOON HERCULES WGW 10-11-12MM G51795 $475.00

ENDO CATH BALLOON HERCULES WGW 12-13.5-15MM G51796 $475.00

ENDO CATH BALLOON HERCULES WGW 15-16.5-18MM G51797 $475.00

ENDO CATH COMBO RX CYTOLOGY BRUSH 8FRX200CM 4500 $380.00

ENDO CATH ESOPHAGEAL BALLOON PET 182MM 000343 $185.00

ENDO CATH ESOPHAGEAL BALLOON PET 18MM 000345 $185.00

ENDO CATH PUSHING 05FRX170CM PC-5 $95.00

ENDO CLIP CARTIRDGE K2 MED/LG 10 1112 $1,530.00

ENDO DEVICE LOCKING AND BIOPSY CAP M00545261 $426.00

ENDO DISSECTOR BLUNT 05MM BTD05 $350.00

ENDO DISSECTOR BLUNT 10MM CHERRY BCD10 $334.00

ENDO FORCEP BIOPSY STD JAW FEMORAL 5.5FRX104CM 504300 $405.00

ENDO GELPORT 100/120MM C8XX2 $1,438.00

ENDO GRASPER ROTICULATING 05MM 174233 $4,725.00

ENDO INSERT ESU BIPOLAR FCP STORZ VERTICAL CLOSING 28164FGL $1,992.00

ENDO INTRODUCER MINI PORT 2MM 171313 $3,612.00

ENDO MORCELLATOR OLYMPUS PNEUMOLINER WA90500US $6,875.00

ENDO NDL BX ASPIRATION EBUS 21GA VIZISHOT NA-201SX-4021 $1,375.00

Page 88: DESCRIPTION Price - Fairview

ENDO OBTURATOR ACCESS PORT BLADELESS 12X120MM IAS12-120LPI $1,313.00

ENDO OBTURATOR ACCESS PORT BLADELESS 12X150MM IAS12-150 $1,352.00

ENDO OBTURATOR ACCESS PORT BLADELESS 8X100MM IAS8-100LP $1,255.00

ENDO OBTURATOR ACCESS PORT BLADELESS 8X120MM IAS8-120LP $1,267.00

ENDO OVERTUBE APOLLO 10-16X27CM OVT-027-160 $1,230.00

ENDO POUCH UNIV RETRIEVAL SYSTEM INZII 10MM CD001 $900.00

ENDO POUCH UNIVERSAL RETRIEVAL SYSTEM INZII 12/15MM CD004 $1,250.00

ENDO POUCH UNIVERSAL RETRIEVAL SYSTEM INZII 5MM CD003 $900.00

ENDO RETRACTOR II FAN 10MM 176647 $919.00

ENDO RETRACTOR PADDLE 12MM 173046 $3,150.00

ENDO SHEARS RENEW LAP ENDOCUT SCISSOR TIP 16.5MM 3142 $963.00

ENDO SHEATH URETERAL 09.5FRX35CM G19174 FUS-095035 $412.00

ENDO SHEATH URETERAL 12FRX35CM G19168 FUS-120035 $412.00

ENDO SHEATH URETERAL 12FRX55CM G19169 FUS-120055 $412.00

ENDO TROCAR 05.5MM PEDI 24055 $1,009.00

ENDO TROCAR 12MM VERSASTEP VS101012P $1,060.00

ENDO TROCAR BALLOON TIP 10MM OMS-T10SB $3,530.00

ENDO TROCAR BLADELESS 05X100MM B5LT $1,791.00

ENDO TROCAR BLADELESS 12X100MM B12LT $2,370.00

ENDO TROCAR BLADELESS 5X150MM EXCEL B5XT $2,078.00

ENDO TROCAR BLUNT TIP KII BALLOON 12X100MM C0R47 $315.00

ENDO TROCAR BLUNT TIP KII BALLOON 12X130MM C0R50 $315.00

ENDO TROCAR CANNULA SLV 12X100MM CB12LT $1,347.00

ENDO TROCAR DISSECTING BALLOON OMS-PDBS2 $5,699.00

ENDO TROCAR DISSECTING BALLOON RND OMS-PDB1000 $5,699.00

ENDO TROCAR FIRST ENTRY KII FIOS ADV FIX 05X100MM CFF03 $255.00

ENDO TROCAR FIRST ENTRY KII FIOS ADV FIX 11X100MM CFF33 $315.00

ENDO TROCAR FIRST ENTRY KII FIOS ADV FIX 12X150MM CFF71 $315.00

ENDO TROCAR FIRST ENTRY KII FIOS Z-THRD 05X100MM CTF03 $255.00

ENDO TROCAR FIRST ENTRY KII FIOS Z-THRD 05X150MM CTF01 $255.00

ENDO TROCAR FIRST ENTRY KII FIOS Z-THRD 11X100MM CTF33 $315.00

ENDO TROCAR FIRST ENTRY KII FIOS Z-THRD 12X100MM CTF73 $315.00

ENDO TROCAR FIRST ENTRY KII FIOS Z-THRD 12X150MM CTF71 $315.00

ENDO TROCAR OPTICAL ACCESS KII Z-THRD 08X100MM C0Q19 $270.00

ENDO TROCAR OPTICAL ACCESS KII Z-THRD 15X100MM C0R37 $713.00

ENDO TROCAR OPTICAL ACCESS KII Z-THRD 15X150MM C0R39 $713.00

ENDO TROCAR SHIELDED BLADED KII Z-THRD 05X100MM CTB03 $270.00

ENDO TROCAR SHIELDED BLADED KII Z-THRD 11X100MM CTB33 $420.00

ENDO TROCAR SHIELDED BLADED KII Z-THRD 12X100MM CTB73 $420.00

ENDO TROCAR SLEEVE KII ADV FIXATION 05X100MM CFS02 $240.00

ENDO TROCAR SLEEVE KII ADV FIXATION 11X100MM CFS12 $413.00

ENDO TROCAR SLEEVE KII Z-THREADED 05X100MM CTS02 $240.00

ENDO TROCAR SLEEVE KII Z-THREADED 11X100MM CTS12 $413.00

ENDO TROCAR SLEEVE KII Z-THREADED 12X100MM CTS22 $413.00

ENDO VENOUS ABL SUB VEIN $4,450.00

ENDO VENOUS ABL THER 1ST VEIN $6,870.00

ENDOGRAFT EXCLUDER 26MMX14.5MMX16CM $26,475.00

Page 89: DESCRIPTION Price - Fairview

ENDOGRAFT EXCLUDER AAA 20MMX11.5CM $10,668.00

ENDOLUMINAL BIOPSY OF BILIARY TREE, PERCUTANEOUS, ANY METHOD SINGLE OR MULTIPLE $7,676.00

ENDOLUMINAL BIOPSY OF URETER AND/OR RENAL PELVIS, NON-ENDOSCOPIC $3,480.00

ENDOMYOCARDIAL BIOPSY $6,102.00

ENDOMYSIAL ANTIBODY IGA $48.00

ENDOMYSIAL IGA ABY, SO $48.00

ENDOSCOPE ASCOPE 4 BRONCO REGULAR 477001000 $3,463.00

ENDOSCOPY OF BOWEL POUCH $2,274.00

ENDOSCOPY UPPER SMALL INTESTINE $3,079.00

ENDOSCOPY, BOWEL POUCH, BIOPSY $3,093.00

ENDOVASC RPR ILIO-ILIAC NDGFT $26,283.00

ENDOVASCULAR INTRACRANIAL PROLONGED ADMINISTRATION OF PHARMACOLOGIC AGENT INTL VASC TERRITORY $4,373.00

ENDOVASCULAR INTRACRANIAL PROLONGED ADMINISTRATION OF PHARMACOLOGIC AGENT INTL VASC TERRITORY $4,373.00

ENDOVEN ABLAT VEIN THER, CHEM ADHESIVE; 1ST VEIN $9,200.00

ENDOVEN ABLAT VEIN THER, CHEM ADHESIVE; SUBQ VEINS $5,705.00

ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE $74.00

ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE $78.00

ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE $98.00

ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE $50.00

ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION $882.00

ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE $50.00

ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE $50.00

ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE $59.00

ENTACAPONE 200 MG TABLET $5.00

ENTECAVIR 0.5 MG TABLET $199.00

ENTEROVIRUS PCR $345.00

EOSINOPHIL COUNT BLD-AUTO $32.00

EOSINOPHIL SMEAR $232.00

EP EVALUATION OF ICD/IMPLANT $3,112.00

EP-3D MAPPING $3,658.00

EP-ABLATION AV NODE $15,578.00

EP-COMPLETE W/INDUCTION $17,051.00

EP-DRUG STUDY (INITIAL) $4,216.00

EP-F/U EVAL OF ICD $3,051.00

EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE $121.00

EPHEDRINE SULFATE 50 MG/ML INJECTION SOLUTION $191.00

EPHEDRINE SULFATE 50 MG/ML INJECTION SOLUTION,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION $191.00

EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION $121.00

EP-HIS RECORDING ONLY $8,988.00

EPIDURAL $2,157.00

EPIDURAL / ECT ANES BASE $657.00

EPIDURAL ANES 15 MINS $217.00

EPIDURAL BLOOD PATCH $1,759.00

EPIFIX (14MM DISK) $473.00

EPIFIX 18MM DISK $473.00

EPIFIX MESH PER 1 SQ CM (3.5 X 3.5) $473.00

EPIFIX MESH PER 1 SQ CM (4 X 4.5) $473.00

Page 90: DESCRIPTION Price - Fairview

EPIFIX PER 1 SQ CM (2X2) $473.00

EPIFIX PER 1 SQ CM (2X4) $473.00

EPIFIX PER SQ 1 CM (2X3 OR 4X4) $473.00

EPINASTINE 0.05 % EYE DROPS $1,038.00

EP-INDUCTION OF ARRYTHMIA ONLY $3,472.00

EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR $652.00

EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE $50.00

EPINEPHRINE 0.15 MG/0.15 ML AUTO-INJECTOR (FOR 33 TO 66 LB PATIENTS) $356.00

EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR $859.00

EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION $50.00

EPINEPHRINE 1 MG/ML INJECTION SOLUTION $50.00

EPINEPHRINE 1 MG/ML NASAL SOLUTION $1,239.00

EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION $54.00

EP-INTRA-ATRIAL PACING ONLY $8,988.00

EP-INTRA-ATRIAL RECORDING ONLY $8,988.00

EP-INTRACARDIAC ECHO $3,446.00

EP-INTRAVENT PACING ONLY $8,988.00

EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION $297.00

EPISIOTOMY REPAIR $5,873.00

EPLERENONE 25 MG TABLET $17.00

EP-LT ATR PAC & REC $7,954.00

EP-LT VENT PAC & REC $6,065.00

EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION $482.00

EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION $4,647.00

EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION $1,927.00

EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION $1,918.00

EPOPROSTENOL (ARGININE) 0.5 MG INTRAVENOUS SOLUTION $102.00

EPOPROSTENOL (ARGININE) 1.5 MG INTRAVENOUS SOLUTION $204.00

EP-RIGHT VENT RECORDING ONLY $3,293.00

EPSTEIN-BARR VIRUS CAPSID ABY, IGM $117.00

EPSTEIN-BARR VIRUS, PCR, QUANT $275.00

EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION $2,321.00

EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION $971.00

EP-TILT TABLE STUDY $2,002.00

ER FACIL FEE CRIT CARE W/MOD $2,016.00

ER FACILITY FEE LEV 1 W/MOD $201.00

ER FACILITY FEE LEV 3 W/MOD $587.00

ER FACILITY FEE LEV 4 W/MOD $990.00

ER FACILITY FEE LEV 5 W/MOD $1,377.00

ER FACILITY FEE LEV 2 W/MOD $332.00

ER FACILITY FEE/LEVEL 2 $332.00

ER FACILITY FEE/LEVEL 3 $587.00

ER FACILITY FEE/LEVEL 4 $990.00

ER FACILITY FEE/LEVEL 5 $1,377.00

ER FACILITY FEE-CRITICAL CARE $2,016.00

ER TRIAGE SERVICES $201.00

ERC/RADIOGRAPHIC-BILIARY+PANC. $1,138.00

Page 91: DESCRIPTION Price - Fairview

ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING $6,749.00

ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT $6,749.00

ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT $6,750.00

ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT $10,359.00

ERCP W/BIOPSY SINGLE/MULTIPLE $6,749.00

ERCP W/SPHINCTEROTOMY/PAPILLOTOMY $6,722.00

ERCP/BILIARY ONLY $1,138.00

ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE $5.00

ERGOCALCIFEROL (VITAMIN D2) 8,000 UNIT/ML ORAL DROPS $5.00

ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION $5,077.00

ERTAPENEM 1 GRAM SOLUTION FOR INJECTION $559.00

ERTAPENEM 1 GRAM SOLUTION FOR IV PUSH $559.00

ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE $48.00

ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE $46.00

ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT $40.00

ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION $1,860.00

ERYTHROMYCIN ETHYLSUCCINATE 400 MG TABLET $15.00

ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION $323.00

ERYTHROMYCIN WITH ETHANOL 2 % TOPICAL SOLUTION $198.00

ERYTHROMYCIN-BENZOYL PEROXIDE 3 %-5 % TOPICAL GEL $820.00

ERYTHROPOIETIN $129.00

ESCITALOPRAM 10 MG TABLET $28.00

ESCITALOPRAM 20 MG TABLET $5.00

ESCITALOPRAM 5 MG TABLET $54.00

ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION $51.00

ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION $57.00

ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV $2,313.00

ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE $41.00

ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE $21.00

ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION $2,671.00

ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $2,284.00

ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS $3,079.00

ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM $3,280.00

ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION $3,280.00

ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY $3,280.00

ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC $2,312.00

ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY $3,055.00

ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX $3,448.00

ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT $10,511.00

ESOPHAGOSCOPY W/ REMOVAL FB $3,280.00

ESOPHAGRAM $544.00

ESTAZOLAM 1 MG TABLET $5.00

ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET $15.00

ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET $14.00

ESTRADIOL $190.00

ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM $1,704.00

ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH $45.00

Page 92: DESCRIPTION Price - Fairview

ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH $82.00

ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH $92.00

ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH $70.00

ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH $92.00

ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH $92.00

ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH $73.00

ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH $82.00

ESTRADIOL 0.5 MG TABLET $5.00

ESTRADIOL 1 MG TABLET $5.00

ESTRADIOL 10 MCG VAGINAL TABLET $92.00

ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL $92.00

ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL $81.00

ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL $28.00

ESTRADIOL-NORETHINDRONE ACET 0.5 MG-0.1 MG TABLET $18.00

ESTRIOL $55.00

ESTROPIPATE 0.75 MG TABLET $5.00

ESTROPIPATE 1.5 MG TABLET $5.00

ESU ABLATION SET HTA GENESYS PROCERVA M006580211 $21,046.00

ESU ARTHROWAND 50DEG RF AMBIENT SUPER MULTIVAC ASHA4830-01 $413.00

ESU BIOPOLAR SEALER AQUAMANTIS 2.3MM 23-113-1 $1,274.00

ESU BIPOLAR SEALER AQUAMANTIS 6.0 23-112-1 $1,274.00

ESU BLADE PEAK PLASMA 3.0S PS210-030S $882.00

ESU CATH ABLATION DEVICE NOVASURE NS2000US $8,650.00

ESU COBLATION WAND EZ MICORDERIDER TOPAZ IFS ACH4041-01 $1,448.00

ESU COBLATOR EVAC 10" 70DEG XTRA W/CABLE EICA5872-01 $668.00

ESU COBLATOR EVAC 70 PROCISE MAX 70DEG W/CABLE EICA8898-01 $720.00

ESU ELEC BUTTON VAPORIZATION FOR 12&30DEG WA22657C $6,176.00

ESU ELEC COAG POINTED EXTEND LENGTH 24FR 27050LP $2,682.00

ESU ELEC COAGULATE 24FR POINTED 27050L $2,022.00

ESU ELEC CUTTING LOOP 24/26FR .35MM BIPOLAR 27040GP1-S $6,176.00

ESU ELEC LEEP BALL 5MM DBL-511 $375.00

ESU ELEC LEEP EXTENDER DLP-X10 $288.00

ESU ELEC LEEP LOOP 10X10MM YELLOW DLP-S11 $375.00

ESU ELEC LEEP LOOP 15X12MM GREEN DLP-M11 $375.00

ESU ELEC LEEP LOOP 20X12MM WHITE DLP-W11 $375.00

ESU ELEC LEEP LOOP 20X15MM BLUE DLP-L11 $375.00

ESU ELEC LOOP 27FR 27050F $2,022.00

ESU ELEC LOOP ENDOSCOPIC PK 5MMX33CM OLYMPUS SGL WA90300A $4,250.00

ESU ELEC LOOP HF-RESECTION 24FR MED 30 W/CABLE WA22606S $5,933.00

ESU ELEC ROLLERBALL 24FR 3MM 27050N $2,148.00

ESU ELEC ROLLERBALL 27FR 3MM 27050M $2,022.00

ESU ELECTRODE SERFAS ENERGY 90S CRUISE 0279401200 $370.00

ESU EYE HIGH TEMP 8443000 $284.00

ESU FCP OLYMPUS PK CUTTING 5MMX33CM PK-CF0533 $5,500.00

ESU GYRUS PKS PLASMA J HOOK 33CMX5MM 956010PC $4,938.00

ESU HANDPIECE BIPOLAR THUNDERBEAT FC 5MMX35CM TB-0535FC $5,000.00

ESU HARMONIC ACE LAP SHEARS STRYKER ACE+ 7 5MMX36CM HARH36 $4,538.00

Page 93: DESCRIPTION Price - Fairview

ESU HARMONIC ACE LAP SHEARS STRYKER ACE+ 7 5MMX45CM HARH45 $4,650.00

ESU HARMONIC FOCUS SHEARS STRYKER CVD 9CM HAR9F $4,925.00

ESU LIGASURE ATLAS 10MM LS1037 $909.00

ESU LIGASURE ATLAS 20CM LS1020 $896.00

ESU LIGASURE IMPACT OPEN SEALER/DVDR CVD LG JAW LF4418 $1,544.00

ESU LIGASURE LAPAROSCOPIC BLUNT TIP SEALER 5MMX37CM LF1837 $1,128.00

ESU LIGASURE MARYLAND JAW OPEN VESSEL 23CM LF1923 $1,241.00

ESU LIGASURE MARYLAND LAPAROSCOPIC SLR/DVDR 5MMX37CM LF1937 $1,241.00

ESU LIGASURE OPEN SEALER/DIVIDER SM JAW 16.5MM LF1212A $6,150.00

ESU LIGASURE SEALER/DIVIDER RETRACT L-HOOK 37CM LF5637 $9,548.00

ESU LIGASURE TRIVERSE 3MM FT3000 $1,878.00

ESU PENCIL SMOKE EVAC W/ROCKER SWITCH 0703-047-000 $650.00

ESU PENCIL W/SMOKE EVAC CVPLP2000 $323.00

ESU TISSUE SEALER ENSEAL X1 LG JAW NSLX120L $12,431.00

ESU VULCAN PROBE EFLEX ABLATOR 72200683 $1,417.00

ESZOPICLONE 1 MG TABLET $78.00

ESZOPICLONE 3 MG TABLET $5.00

ET VISIT STATISTIC $2.00

ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE $2,471.00

ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE $4,943.00

ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION $19,163.00

ETHACRYNIC ACID 25 MG TABLET $106.00

ETHAMBUTOL 100 MG TABLET $5.00

ETHAMBUTOL 400 MG TABLET $5.00

ETHANOL (ETHYL ALCOHOL) 98 % INJECTION SOLUTION $233.00

ETHANOL, URINE SO (ETOH) $90.00

ETHIODIZED OIL 48 % INJECTION SOLUTION $4,624.00

ETHIONAMIDE 250 MG TABLET $27.00

ETHOSUXAMIDE (ZARONTIN) $107.00

ETHOSUXIMIDE 250 MG CAPSULE $9.00

ETHOTOIN 250 MG TABLET $11.00

ETHYL CHLORIDE 100 % TOPICAL SPRAY $158.00

ETHYL GLUCURONIDE AND ETHYL SULFATE, URINE $55.00

ETODOLAC 200 MG CAPSULE $5.00

ETOH GROUP 60 MINUTES $329.00

ETOH INDIVIDUAL 60 MINUTES $362.00

ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION $50.00

ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION $155.00

ETRAVIRINE 100 MG TABLET $56.00

ETRAVIRINE 200 MG TABLET $98.00

EVACUATE SUBUNG HEMATOMA $246.00

EVACUATOR BLADDER 730-125 $581.00

EVAL SPEECH GENER DEV 60 MIN $816.00

EVAL VOICE PROSTH DEVICE $455.00

EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION $413.00

EVAL,SWALLOW FUNCTION,CINE/VIDEO RECORD $639.00

EVALUATE SPEECH PRODUCTION $451.00

Page 94: DESCRIPTION Price - Fairview

EVEROLIMUS (ANTINEOPLASTIC) 10 MG TABLET $2,438.00

EXAM OF VAGINA WITH SCOPE $1,245.00

EXC TR-EXT B9+MARG 3.1-4 CM $3,564.00

EXC TR-EXT MAL+MARG 1.1-2 CM $1,287.00

EXCHANGE CYSTOSTOMY TUBE/COMP $1,484.00

EXCHANGE CYSTOSTOMY TUBE/SIMP $646.00

EXCHANGE NEPHROSTOMY CATH, PERCUTANEOUS $1,874.00

EXCHANGE OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS, WITH IMAGING GUIDANCE $7,789.00

EXCHANGE/URETEROSTOMY $4,151.00

EXCISION ELBOW BURSA $4,288.00

EXCISION OF NAIL $1,102.00

EXCISION OF NAIL $1,102.00

EXCISION OF NAIL FOLD TOE $460.00

EXCISION SEBACEOUS CYST $1,339.00

EXCISION WRIST LESION $4,288.00

EXCISION, BENIGN LESION 2.1-3 CM TRANK, ARM, LEG $2,871.00

EXCISION, FOREARM, LESION, SUBCUTANEOUS; 3 CM OR GREATER $4,579.00

EXEMESTANE 25 MG TABLET $48.00

EXPANDER BREAST DBL CHAMBER 310CC 20799-310ACX $3,000.00

EXPANDER BREAST DBL CHAMBER 390CC 20799-390ACX $3,000.00

EXPANDER BREAST DBL CHAMBER 470CC 20799-470ACX $3,000.00

EXPANDER BREAST DBL CHAMBER 570CC 20799-570ACX $3,000.00

EXPANDER TISSUE 250CC CPX4 W/SUTURE TABS $4,113.00

EXPANDER TISSUE 350CC 354-8211 $3,800.00

EXPANDER TISSUE 350CC 354-8212 $3,800.00

EXPANDER TISSUE 350CC W SUTURE TABS $4,113.00

EXPANDER TISSUE 375CC $5,313.00

EXPANDER TISSUE 450CC $3,800.00

EXPANDER TISSUE 450CC CPX4 W/SUTURE TABS $4,113.00

EXPANDER TISSUE 550CC $3,800.00

EXPANDER TISSUE 550CC LOW PROFILE $4,113.00

EXPANDER TISSUE 650CC 354-8215 $3,800.00

EXPANDER TISSUE 800CC $3,800.00

EXPANDER TISSUE ARTOURA 300CC HIGH PRO $5,313.00

EXPANDER TISSUE ARTOURA 350CC ULTRA HIGH $5,313.00

EXPANDER TISSUE ARTOURA 455CC ULTRA HIGH $5,313.00

EXPANDER TISSUE ARTOURA 475CC $5,313.00

EXPANDER TISSUE ARTOURA 500CC $5,313.00

EXPANDER TISSUE ARTOURA 600CC HIGH PRO $5,313.00

EXPANDER TISSUE ARTOURA 750CC HIGH PRO $5,313.00

EXPANDER TISSUE ATROURA 225CC HIGH PRO $5,313.00

EXPANDER TISSUE STYLE 133MV 133MV-12T $3,938.00

EXPANDER TISSUE STYLE 133MV 133MV-13T $3,938.00

EXPANDER TISSUE STYLE 133MX 500CC MOD HT $3,938.00

EXPL PENETRATING WD EXTREMITY $3,072.00

EXPL PENETRATING WOUND CHEST $5,201.00

EXPL PENETRATING WOUND TRUNK $3,828.00

Page 95: DESCRIPTION Price - Fairview

EXPLANT SET SHELL REMOVAL TRUNC BLADE 54MM HEMISPHERE $1,969.00

EXPLORATN PENETRATING WOUND NK $1,720.00

EXT FIX CLAMP SYN LG COMBINATION 390.005 $1,509.00

EXT FIX CLAMP SYN LG MULTI PIN 4 POSITION 390.004 $1,602.00

EXT FIX CLAMP SYN LG MULTI PIN 6 POSITION 390.002 $1,716.00

EXT FIX CLAMP SYN LG OPEN ADJUSTABLE 390.008 $1,243.00

EXT FIX CLAMP SYN LG PIN 6 POSITION 390.010 $1,066.00

EXT FIX CLAMP SYN SM COMBINATION 390.041 $790.00

EXT FIX CLAMP SYN TUBE-TO-TUBE 390.007 $1,549.00

EXT FIX CLIP DYNAMIZATION SYN FOR LG COMBO CLAMP 390.006 $223.00

EXT FIX POST SYN OUTRIGGER 30DEG 11MM 390.012 $279.00

EXT FIX ROD ATTACHMENT SYN FOR LG MULTI PIN CLAMP 390.003 $960.00

EXT FIX ROD SYN CARBON FIBER 11.0X100MM 394.80 $513.00

EXT FIX ROD SYN CARBON FIBER 11.0X150MM 394.82 $513.00

EXT FIX ROD SYN CARBON FIBER 11.0X200MM 394.83 $513.00

EXT FIX ROD SYN CARBON FIBER 11.0X250MM 394.84 $549.00

EXT FIX ROD SYN CARBON FIBER 11.0X300MM 394.85 $549.00

EXT FIX ROD SYN CARBON FIBER 11.0X350MM 394.86 $549.00

EXT FIX ROD SYN CARBON FIBER 11.0X400MM 394.87 $604.00

EXTENDER RETRACTOR PANNICULUS PRS-1050 $999.00

EXTENSION STEM 50MM 150MML COBALT CHROMIUM FEMORAL KNEE $2,607.00

EXTENSION STEM CEMENTED 14MM UNIV 115MML COBALT CHR $2,688.00

EXTENSION STEM CEMENTED 16MM UNIV 75MML COBALT CHRO $2,688.00

EXTENSION STEM CEMENTED 20MM UNIV 75MML COBALT CHRO $2,688.00

EXTENSION STEM CEMENTLESS 11MM 150MML TITANIUM FEMORAL K $3,112.00

EXTENSION STEM CEMENTLESS 18MM 150MML TITANIUM FEMORAL K $3,112.00

EXTERNAL FIXATOR BAR CONNECTING 08X200MM 395.782 $345.00

EXTERNAL FIXATOR BAR CONNECTING 08X220MM 395.784 $345.00

EXTERNAL FIXATOR BAR CONNECTING 08X240MM 395.786 $345.00

EXTERNAL FIXATOR BIOSYMMETRIC 200103 $3,619.00

EXTERNAL FIXATOR CAP PROTECTOR 2.5MM 392.24 $37.00

EXTERNAL FIXATOR CAP PROTECTOR 4.0MM 394.991 $88.00

EXTERNAL FIXATOR CAP PROTECTOR 5.0MM BLUE 394.993 $88.00

EXTERNAL FIXATOR CLAMP ADJ 4.0MM 390.051 $1,776.00

EXTERNAL FIXATOR CLAMP ADJUSTABLE 393.64 $925.00

EXTERNAL FIXATOR CLAMP OPEN 4.0X2.5MM 395.56 $699.00

EXTERNAL FIXATOR CLAMP OPEN 4.0X4.0MM 395.57 $699.00

EXTERNAL FIXATOR KIRSCHNER WIRE 2MM 292.79 $360.00

EXTERNAL FIXATOR ROD SYN CARBON 4.0X100MM 395.62 $88.00

EXTERNAL FIXATOR ROD SYN CARBON 4.0X120MM 395.63 $88.00

EXTERNAL FIXATOR ROD SYN CARBON 4.0X140MM 395.64 $120.00

EXTERNAL FIXATOR ROD SYN CARBON 4.0X160MM 395.65 $120.00

EXTERNAL FIXATOR ROD SYN CARBON 4.0X180MM 395.66 $120.00

EXTERNAL FIXATOR ROD SYN CARBON 4.0X200MM 395.67 $120.00

EXTERNAL FIXATOR ROD SYN CARBON 4.0X60MM 395.60 $88.00

EXTERNAL FIXATOR ROD SYN CARBON 4.0X80MM 395.61 $88.00

EXTRACTOR TISSUE MORCELLATOR ROTOCUT $7,400.00

Page 96: DESCRIPTION Price - Fairview

EYE BLADE KNIFE BEAVER SCLEROTOME 375700 $76.00

EZETIMIBE 10 MG TABLET $5.00

EZETIMIBE 10 MG-SIMVASTATIN 40 MG TABLET $56.00

F-18 FDG PER DOSE UP TO 45 MCI $288.00

F-18 SODIUM FLUORIDE UP TO 30 $310.00

FACET INJ/CERV/THOR/SGL LEVEL $2,406.00

FACET INJ/LBR/BILAT $2,406.00

FACET INJ/LBR/SACRAL/2ND LEVEL $644.00

FACET INJ/LBR/SACRAL/SGL LEVEL $2,406.00

FACIAL BONES COMPLETE MIN 3V $380.00

FACTOR 2 ASSAY $155.00

FACTOR 5 LEIDEN MUT $398.00

FACTOR 5 LEIDEN MUT $398.00

FACTOR IX $236.00

FACTOR IX CPLX(PCC)NO.4, 3FACTOR 1,000 (+/-) UNIT INTRAVENOUS SOLUTION $50.00

FACTOR V $183.00

FACTOR VII $202.00

FACTOR VIII $216.00

FALLOPIAN TUBE CATH $1,085.00

FAMCICLOVIR 125 MG TABLET $7.00

FAMCICLOVIR 500 MG TABLET $6.00

FAMILY THER W/O PT-CLINIC $575.00

FAMILY THERAPY 30 MIN CLINIC $575.00

FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION $50.00

FAMOTIDINE 10 MG TABLET $5.00

FAMOTIDINE 20 MG TABLET $5.00

FAMOTIDINE 40 MG TABLET $5.00

FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION $35.00

FAT EMULSION 20 % INTRAVENOUS $172.00

FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS $109.00

FAT QUAL STOOL $66.00

FAT QUAL URINE $125.00

FAT QUANT STOOL $163.00

FATTY ACID NO.6-FISH OIL-GLYCERIN-PHOSPHOLIPIDS, EGG 10 % IV EMULSION $356.00

FCP BX BACKLOADING BIGOPSY 2.4FRX115CM G48240 $950.00

FEATL HGB, REFLEX $88.00

FEBUXOSTAT 40 MG TABLET $54.00

FECAL WBC'S $40.00

FELBAMATE $146.00

FELBAMATE 600 MG TABLET $16.00

FELBAMATE 600 MG/5 ML ORAL SUSPENSION $2,512.00

FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR $5.00

FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR $5.00

FELT TEFLON 2X2 007977 $173.00

FELT TEFLON PLEDGET 4.5 X 6 007970 $688.00

FELT TEFLON PTFE 4X4 STRL 007958 $3,725.00

FEMORAL AUG 360 67.5X5MM $2,735.00

Page 97: DESCRIPTION Price - Fairview

FEMORAL AUGEMENT UNIV POST 75X5MM $2,735.00

FEMORAL AUGEMENT UNIV POST 75X5MM LL/RM $2,735.00

FEMORAL AUGMENT 65X5MM RL $2,735.00

FEMORAL AUGMENT DISTAL L SZ 2.5 16MM $1,719.00

FEMORAL AUGMENT DISTAL L SZ 4 4MM $1,719.00

FEMORAL AUGMENT DISTAL L SZ 4 8MM $1,719.00

FEMORAL AUGMENT DISTAL R SZ 2 4 $1,719.00

FEMORAL AUGMENT DISTAL R SZ 2.5 4M $1,719.00

FEMORAL AUGMENT DISTAL R SZ 3 8MM $1,719.00

FEMORAL AUGMENT DISTAL SZ 2 8 L $1,719.00

FEMORAL AUGMENT DISTAL SZ 3 8MM L $1,719.00

FEMORAL AUGMENT POST COMBO SZ 2.5 12MM $1,719.00

FEMORAL AUGMENT POSTERIOR COMBO SZ 2 8MM $1,719.00

FEMORAL AUGMENT POSTERIOR COMBO SZ4 16MM $1,719.00

FEMORAL AUGMENT R 72.5 $16,305.00

FEMORAL AUGMENT UNIV POST 70X5MM $2,735.00

FEMORAL COMP CEMENT F2R AS VEGAS PS $5,717.00

FEMORAL COMPONENT 66X58MM L XS W PIN $11,136.00

FEMORAL COMPONENT 66X62MM L SM W PIN $11,136.00

FEMORAL COMPONENT 66X62MM R SM W PIN 623411R $11,136.00

FEMORAL COMPONENT CS TC3 SZ 2 60/56 $10,123.00

FEMORAL COMPONENT CS TC3 SZ 2 60/56 $10,123.00

FEMORAL COMPONENT CS TC3 SZ 2.5 63/59 $10,123.00

FEMORAL COMPONENT CS TC3 SZ 4 71/65 $10,123.00

FEMORAL CONE AUGMENT SZ 1&2 R $13,976.00

FEMORAL CONE AUGMENT SZ 6L $13,976.00

FEMORAL CR NP L AP 65MM ML 66MM $2,750.00

FEMORAL CR R CEMENT SZ 2 $2,750.00

FEMORAL HEAD 28MM +0 14/16 LG TAPER $1,542.00

FEMORAL N BLOCK SGL $1,505.00

FEMORAL PS L CEMENT SZ 2 $2,750.00

FEMORAL PS R CEMENT SZ 2 $2,750.00

FEMORAL SHAFT WHOLE 200MM 450450 $5,795.00

FEMORAL UNI GCK CEMENT SZ 2 LM/RL $2,375.00

FEMORAL UNI GCK CEMENT SZ 3 LM/RL $2,375.00

FEMORAL UNI GCK CEMENT SZ 4 LM/RL $2,375.00

FEMORAL UNI GCK CEMENT SZ 4 RM/LL $2,375.00

FEMORAL UNI GCK CEMENT SZ 5 LM/RL $2,375.00

FEMORAL UNI GCK CEMENT SZ 6 LM/RL $2,375.00

FEMORAL UNI GCK CEMENT SZ 6 RM/LL $2,375.00

FEMORAL UNI SIGMA HP AP SZ 6 9MM LM/RL $4,250.00

FEMORAL UNI SIGMA HP CEMENT SZ 4 R $6,250.00

FEMORAL UNI SIGMA HP SZ 2 RM/LL $2,375.00

FEMORAL UNI SIGMA HP SZ 3 RM/LL $2,375.00

FEMORAL UNI SIGMA HP SZ 5 RM/LL $2,375.00

FEMORIAL VANGUARD DSTL 67.5X10MM $2,735.00

FEMORIAL VANGUARD PST 65X10MM $2,735.00

Page 98: DESCRIPTION Price - Fairview

FEMUR DISTAL AXLE SM $2,307.00

FEMUR DISTAL SM R 65MM $16,185.00

FEMUR EVOLUTION MP SZ 6 $3,000.00

FEMUR II BCS FEMORAL OS L SZ 3 $4,125.00

FEMUR II BCS FEMORAL OX L SZ 5 $4,125.00

FEMUR II BCS FEMORAL OX L SZ 6 $4,125.00

FEMUR II BCS FEMORAL OX L SZ 7 $4,125.00

FEMUR II BCS FEMORAL OX L SZ 8 $4,125.00

FEMUR II BCS FEMORAL OX R SZ 4 $4,125.00

FEMUR II BCS FEMORAL OX R SZ 5 $4,125.00

FEMUR II BCS FEMORAL OX R SZ 6 $4,125.00

FEMUR II BCS FEMORAL OX R SZ 8 $4,125.00

FEMUR LEFT WITH SCREW 70MM CEMENTED $16,305.00

FEMUR LEFT WITH SCREW 75MM $16,305.00

FEMUR LEGION OX CONST 5 R $19,469.00

FEMUR SIGMA CR POROCOAT L SZ 3 $7,862.00

FEMUR SIGMA CR POROCOAT L SZ 4 $7,862.00

FEMUR SIGMA CR POROCOAT L SZ 5 $7,862.00

FEMUR SIGMA CR POROCOAT R SZ 4N $7,862.00

FEMUR SIGMA CR POROCOAT R SZ 5 $7,862.00

FEMUR SIGMA PS SZ 1.5 L $2,750.00

FEMUR SIGMA PS SZ 1.5 R $2,750.00

FEMUR SIGMA PS SZ 6 L $2,750.00

FEMUR SIGMA PS SZ 6 R $2,750.00

FEMUR TRIATHLON PKR #1 RM/LL $2,750.00

FEMUR TRIATHLON PKR #2 LM/RL $2,750.00

FEMUR TRIATHLON PKR #3 RM/LL $2,750.00

FEMUR TRIATHLON PKR #5 RM/LL $2,750.00

FEMUR TRIATHLON PKR #6 LM/RL $2,750.00

FEMUR TRIATHLON TS SZ 1 R $15,714.00

FEMUR TRIATHLON TS SZ 2 R $15,714.00

FEMUR TRIATHLON TS SZ 3 R $15,714.00

FEMUR TRIATHLON TS SZ 6 L $15,714.00

FEMUR TRIATHLON TS SZ 7 L $15,714.00

FEMUR TRIATHLON TS SZ 8 L $15,714.00

FEMUR UNI COCR FIXED BEARING SZ 3 RM/L $4,125.00

FEMUR UNI OX FIXED BEARING SZ 5 RM/LL $4,500.00

FENOFIBRATE 160 MG TABLET $5.00

FENOFIBRATE 54 MG TABLET $5.00

FENOFIBRATE MICRONIZED 67 MG CAPSULE $5.00

FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET $5.00

FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET $6.00

FENOFIBRIC ACID 105 MG TABLET $12.00

FENTANYL (PF) 2,500 MCG/50 ML (50 MCG/ML) INTRAVENOUS PCA SYRINGE $109.00

FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION $50.00

FENTANYL 100 MCG/HR TRANSDERMAL PATCH $120.00

FENTANYL 12 MCG/HR TRANSDERMAL PATCH $80.00

Page 99: DESCRIPTION Price - Fairview

FENTANYL 25 MCG/HR TRANSDERMAL PATCH $35.00

FENTANYL 50 MCG/HR TRANSDERMAL PATCH $63.00

FENTANYL 75 MCG/HR TRANSDERMAL PATCH $87.00

FENTANYL AND METABOLIT, UR $120.00

FENTANYL CONFIRMATION, SO $129.00

FENTANYL(PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL EPIDURAL PUMP RESERVOIR $189.00

FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION $4,669.00

FERRIC SUBSULFATE (BULK) 20 TO 22 GRAM/100 ML SOLUTION $8.00

FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR $19.00

FERRIC SUBSULFATE 259 MG/G TOPICAL SOLUTION $67.00

FERRITIN $106.00

FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET $5.00

FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS $1.00

FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL SOLUTION $1.00

FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID $13.00

FERROUS SULFATE 325 MG (65 MG IRON) TABLET $1.00

FERROUS SULFATE ER 142 MG (45 MG IRON) TABLET,EXTENDED RELEASE $5.00

FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION $4,478.00

FESOTERODINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR $55.00

FETAL BIOPHYSICAL PROFILE W NON STRESS TEST EA ADDTL $2,028.00

FETAL BIOPHYSICAL PROFILE W/O NON STRESS TEST EA ADDTL $857.00

FETAL BLEED SCREEN $164.00

FETAL FIBRONECTIN $943.00

FETAL FLUID DRAINAGE W US GUIDE $1,826.00

FETAL INJ INCLUDING US GUIDE $2,066.00

FETAL SHUNT PLACEMENT W US GUIDE $1,883.00

FEXOFENADINE 180 MG TABLET $5.00

FEXOFENADINE 60 MG TABLET $5.00

FEXOFENADINE 60 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXT.RELEASE,12 HR $5.00

FEXOFENADINE-PSEUDOEPHEDRINE ER 180 MG-240 MG TABLET,EXT.RELEASE 24 HR $6.00

FIBERGLASS ARM LONG $318.00

FIBERGLASS ARM SHORT $283.00

FIBERGLASS LEG LONG $422.00

FIBERGLASS LEG SHORT $374.00

FIBERLOOP 2-0 LOOPED W/ CURVED NDLE $125.00

FIBEROPTIC BRONCHOSCOPY $2,610.00

FIBERTAK BICEPS IMP SET $1,563.00

FIBERTAK RC DOUBLOAD TAPE BL/W BLK/W $925.00

FIBERTAPE 17IN W/ STR NDL $125.00

FIBERTAPE BLU W NDLS 17INCH $190.00

FIBERTAPE CERCLAGE SUTURE $1,125.00

FIBRINOGEN QUANT $75.00

FIDAXOMICIN 200 MG TABLET $840.00

FIDUCIAL INSERTION ABDOMEN $2,915.00

FIDUCIAL INSERTION LUNG $2,682.00

FIDUCIAL MARKER (EACH) $15.00

FIDUCIAL MARKER VISICOIL (EACH $534.00

Page 100: DESCRIPTION Price - Fairview

FIDUCIAL PLACEMENT FOR BRONCHS $6,898.00

FIDUCIAL PLACEMENT OTHER $2,769.00

FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE $1,450.00

FILGRASTIM 300 MCG/ML INJECTION SOLUTION $1,368.00

FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE $2,310.00

FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION $2,179.00

FILLER WOUND FLOWABLE INTERFYL 1.5ML $5,750.00

FILLER WOUND PARTICULATE INTERFYL 100MG $3,438.00

FILLER WOUND PARTICULATE INTERFYL 50MG $1,750.00

FILTER WIRE SPIDERFX 3.0 320CM $2,958.00

FILTER WIRE SPIDERFX 7.0 320CM $2,958.00

FINASTERIDE 1 MG TABLET $15.00

FINASTERIDE 5 MG TABLET $5.00

FINE NEEDLE ASPIRATION BX W/ FLUORO 1ST LESION $1,784.00

FINE NEEDLE ASPIRATION BX W/ FLUORO EA ADDL $1,348.00

FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL $1,348.00

FINE NEEDLE ASPIRATION BX W/US GDN; 1ST LESION $1,622.00

FINGER SPLINTS $10.00

FINGER/THUMB AMPUT W/LOCAL ADV $4,073.00

FINGER/THUMB AMPUTAT W/DIR CLS $5,531.00

FIRST DEGREE BURN TREATMENT $398.00

FIT/INSERT INTRAVAG SUPPORT DEVICE/PESSARY $465.00

FIXATION DEVICE KNOTLESS SPEEDLOCK HIP $3,436.00

FIXATOR WRIST WRISTJACK AGEE $3,750.00

FIXED ANGLE LOCKING SCR 2.4X22MM $400.00

FIXED CORE GUIDE WIRE STRAIGHT $84.00

FLAVOXATE 100 MG TABLET $5.00

FLECAINIDE 100 MG TABLET $5.00

FLECAINIDE 50 MG TABLET $5.00

FLECAINIDE, SO $132.00

FLEX SIGMOIDOSCOPY W/US GUIDE BX $2,859.00

FLOW CYTO 1ST MARKER $356.00

FLOW CYTO EACH ADD'L MARKER $159.00

FLOW CYTO EACH ADD'L MARKER $159.00

FLOW CYTO FIRST MARKER $356.00

FLOW CYTO INTRP;9-15 MARK, SO $793.00

FLOW CYTO;1ST MARKER, SO $356.00

FLOW CYTO;EACH ADDL MARKR, SO $159.00

FLOW CYTOMETRY INTERP 9-15 MKR $793.00

FLU VACC QV LIVE 2019-20(2-49YRS)10E6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY $41.00

FLU VACCINE QS 2019-20(6 MOS UP)(PF)60 MCG(15 MCGX4)/0.5 ML IM SYRINGE $18.00

FLU VACCINE QS2017-18 (36 MOS UP)(PF)60 MCG (15 MCG X4)/0.5 ML IM SUSP $17.00

FLU VACCINE QUAD 2019-20 (6 MOS UP) 60 MCG (15 MCG X 4)/0.5 ML IM SUSP $29.00

FLU VACCINE QV2019(18YR UP)RCMB(PF)180 MCG(45 MCGX4)/0.5 ML IM SYRINGE $49.00

FLU VACCINE TS2019-20(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE $49.00

FLUCONAZOLE 10 MG/ML ORAL SUSPENSION $11.00

FLUCONAZOLE 100 MG TABLET $5.00

Page 101: DESCRIPTION Price - Fairview

FLUCONAZOLE 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK $50.00

FLUCONAZOLE 150 MG TABLET $5.00

FLUCONAZOLE 200 MG TABLET $5.00

FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK $92.00

FLUCONAZOLE 40 MG/ML ORAL SUSPENSION $291.00

FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK $103.00

FLUCONAZOLE 50 MG TABLET $5.00

FLUCYTOSINE 250 MG CAPSULE $285.00

FLUCYTOSINE 500 MG CAPSULE $681.00

FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION $945.00

FLUDROCORTISONE 0.1 MG TABLET $5.00

FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION $50.00

FLUOCINOLONE 0.01 % SCALP OIL AND SHOWER CAP $882.00

FLUOCINOLONE 0.01 % TOPICAL SOLUTION $395.00

FLUOCINOLONE ACETONIDE OIL 0.01 % EAR DROPS $864.00

FLUOCINONIDE 0.05 % TOPICAL CREAM $180.00

FLUOCINONIDE 0.05 % TOPICAL GEL $942.00

FLUOCINONIDE 0.05 % TOPICAL OINTMENT $406.00

FLUOCINONIDE 0.05 % TOPICAL SOLUTION $400.00

FLUOCINONIDE-EMOLLIENT 0.05 % TOPICAL CREAM $139.00

FLUORESCEIN 1 MG EYE STRIPS $5.00

FLUORESCEIN 1 MG EYE STRIPS,FLUORESCEIN 0.6 MG EYE STRIPS $5.00

FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION $230.00

FLUORESCENT ANTIBODY; SCREEN $614.00

FLUORESCENT ANTIBODY; TITER $167.00

FLUORO FOR HIP INJECTION $636.00

FLUORO GUIDANCE (NEED/ASPIRAT) $636.00

FLUORO GUIDANCE FOR NDL PLCMNT $636.00

FLUORO GUIDANCE/ SPINAL $669.00

FLUORO/UNLISTED PROCEDURE $313.00

FLUOROGUIDE CNTRL VEN ACCESS,PLACE,REPLACE,REMOVE $534.00

FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION $664.00

FLUOROMETHOLONE 0.1 % EYE OINTMENT $664.00

FLUOROMETHOLONE 0.25 % EYE DROPS,SUSPENSION $664.00

FLUOROMETHOLONE ACETATE 0.1 % EYE DROPS,SUSPENSION $445.00

FLUOROSCOPY SPX >1 HOUR PHYS/QHP TIME $1,309.00

FLUOROSCOPY SPX UP TO 1 HOUR PHYS/QHP TIME $594.00

FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION $155.00

FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION $155.00

FLUOROURACIL 5 % TOPICAL CREAM $1,094.00

FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION $165.00

FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION $155.00

FLUOXETINE 10 MG CAPSULE $5.00

FLUOXETINE 20 MG CAPSULE $5.00

FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION $5.00

FLUOXETINE, SO $124.00

FLUPHENAZINE 1 MG TABLET $5.00

Page 102: DESCRIPTION Price - Fairview

FLUPHENAZINE 10 MG TABLET $5.00

FLUPHENAZINE 2.5 MG HALF-TABLET $7.00

FLUPHENAZINE 2.5 MG TABLET $5.00

FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION $50.00

FLUPHENAZINE 5 MG TABLET $5.00

FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE $12.00

FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION $50.00

FLURBIPROFEN 0.03 % EYE DROPS $35.00

FLURBIPROFEN 100 MG TABLET $5.00

FLURO GUIDANCE EPI STEROID INJ/LUMBAR $669.00

FLUTE TIP GUIDE WIRE LENGTH 400MM $500.00

FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION $750.00

FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION $750.00

FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION $1,223.00

FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER $24.00

FLUTICASONE PROPIONATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION $15.00

FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER $1,089.00

FLUTICASONE PROPIONATE 115 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER $924.00

FLUTICASONE PROPIONATE 230 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER $1,370.00

FLUTICASONE PROPIONATE 250 MCG/ACTUATION BLISTER POWDER FOR INHALATION $26.00

FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER $925.00

FLUTICASONE PROPIONATE 45 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER $924.00

FLUTICASONE PROPIONATE 50 MCG/ACTUATION BLISTER POWDER FOR INHALATION $15.00

FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION $109.00

FLUVASTATIN 20 MG CAPSULE $20.00

FLUVASTATIN ER 80 MG TABLET,EXTENDED RELEASE 24 HR $53.00

FLUVOXAMINE 100 MG TABLET $5.00

FLUVOXAMINE 25 MG TABLET $5.00

FLUVOXAMINE 50 MG TABLET $5.00

FNA-ADEQUACY CHECK $320.00

FNA-ADEQUACY CHECK ADDL $158.00

FNA-EVALUATION $383.00

FNA-SUPERFICIAL SPECIMEN $649.00

FO STATIC CUSTOM $697.00

FO STATIC PRE-FAB $161.00

FOLATE SERUM $89.00

FOLATE,RBC, SO $66.00

FOLIC ACID 1 MG TABLET $5.00

FOLIC ACID 400 MCG TABLET $5.00

FOLIC ACID 5 MG/ML INJECTION SOLUTION $50.00

FOLIC ACID-VIT B6-VIT B12 2.2 MG-25 MG-1 MG TABLET $5.00

FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-2 MG TABLET $5.00

FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION $4,673.00

FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE $472.00

FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE $201.00

FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE $472.00

FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE $472.00

Page 103: DESCRIPTION Price - Fairview

FOOT RING CARBON FIGER LONG 180MM $4,869.00

FOOT RING EXTERNAL FIXATION 210MM LONG HOFFMANN II PVC-F $4,869.00

FORCE FIBER WHITE/BLACK CO-BRAID SZ 2 36IN HC-5 NEEDLE TOR $118.00

FORCEP BIPOLAR NEURO SPETZLER-MALIS 7" 1MM TIP DISP 801270 $4,948.00

FORCEPS HLD 135MM SM PLT 398.99 $659.00

FORCEPS LEWIN BONE W/SHARP TIP 07-30111 $1,580.00

FORCEPS LOBSTER BONE 07-30600 $1,423.00

FORCEPS SERR ALGTR 3.5IN 380-150 $246.00

FORCEPS SYN TERMITE 90MM 398.95 $564.00

FORCEPS W/GRASPING LIPS 64-20129 $460.00

FOREIGN BODY / SUB-Q COMPLEX $4,138.00

FOREIGN BODY REM DURING BRONCH $3,421.00

FOREIGN BODY REMOVAL/SUB-Q $839.00

FORMALIN BUFFERED 10% NEUT 60M $89.00

FORMALIN BUFFERED PREFILL 90ML $142.00

FORMALIN PREFILLED 180ML 53180 $174.00

FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION $84.00

FOSAMPRENAVIR 700 MG TABLET $95.00

FOSAPREPITANT 150 MG INTRAVENOUS SOLUTION $1,392.00

FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION $2,337.00

FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET $378.00

FOSINOPRIL 10 MG TABLET $5.00

FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION $50.00

FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION $50.00

FRAC FLOW ADDL VESSEL $2,493.00

FRAC FLOW INITIAL VESSEL $3,081.00

FRAGILE X MOLECULR ANALYS $426.00

FRAGILE X, FOLLOW UP ANALYSIS $394.00

FRAME SALVATION 200MM $17,443.00

FREE TESTOSTERONE $166.00

FRENECTOMY $2,412.00

FRENOTOMY $2,701.00

FROZEN ADDITIONAL $129.00

FROZEN PLASMA 1 UNIT $243.00

FROZEN PLASMA 8-24 HRS $275.00

FROZEN PLASMA THAW 1 UNIT $383.00

FROZEN SECTION $317.00

FRUCTOSAMINE $170.00

FSH $139.00

FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE $8,428.00

FUNCT MAINT GRP 15 MIN OT $0.01

FUNGAL $74.00

FUNGUS ABY, SO $57.00

FUNGUS CULTURE $96.00

FUNGUS ID $120.00

FUNGUS PREP KOH $39.00

FUROSEMIDE 10 MG/ML INJECTION SOLUTION $50.00

Page 104: DESCRIPTION Price - Fairview

FUROSEMIDE 10 MG/ML ORAL SOLUTION $33.00

FUROSEMIDE 20 MG TABLET $5.00

FUROSEMIDE 40 MG TABLET $5.00

FUROSEMIDE 80 MG TABLET $5.00

G TUBE CONVERSION TO GJ $3,280.00

G-1-PURIDYLTRANS NEONATE, SO $60.00

G6PD-SCREEN $245.00

GA-67 PER MCI $193.00

GABAPENTIN 100 MG CAPSULE $5.00

GABAPENTIN 125 MG/2.5 ML ORAL SOLUTION $5.00

GABAPENTIN 250 MG/5 ML ORAL SOLUTION $551.00

GABAPENTIN 300 MG CAPSULE $5.00

GABAPENTIN 300 MG/6 ML ORAL SOLUTION $7.00

GABAPENTIN 400 MG CAPSULE $5.00

GABAPENTIN 400 MG/8 ML ORAL SOLUTION $9.00

GABAPENTIN 600 MG/12 ML ORAL SOLUTION $14.00

GABAPENTIN 900 MG/18 ML ORAL SOLUTION $21.00

GABAPENTIN, SO $119.00

GAD65 ANTIBODY $212.00

GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION $30.00

GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION $75.00

GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION $42.00

GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN $75.00

GADOPENTETATE DIMEGLUMINE 7.5 MMOL/15 ML (469.01 MG/ML) INTRAVENOUS $76.00

GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION $105.00

GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION $142.00

GAIT TRAINING THERAPY $149.00

GALACTOSE,TOTAL NEONATE, SO $54.00

GALANTAMINE 4 MG TABLET $13.00

GALANTAMINE 8 MG TABLET $6.00

GALANTAMINE ER 8 MG 24 HR CAPSULE,EXTENDED RELEASE $23.00

GANCICLOVIR 0.15 % EYE GEL $1,527.00

GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION $423.00

GANGLIOSIDE ABY, SO $75.00

GASTRIC EMPTYING $1,288.00

GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE $643.00

GASTRIN $113.00

GASTROESOPHAGEAL REFLEX CONSUL $1,793.00

GASTROGRFIN LQUD PER ML $2.00

GASTROSTOMY TUBE INSERT (NEW) $3,079.00

GATED HEART, PLANAR SINGLE $1,062.00

GATIFLOXACIN 0.5 % EYE DROPS $760.00

GAUZE TUBE #01 5/8 X 50YD 58200 $29.00

GAUZE TUBE #12 1 X 50YD 58201 $36.00

GBM ANTIBODY, SO $77.00

GC SCREEN $62.00

GEL DRESSING TOPICAL $74.00

Page 105: DESCRIPTION Price - Fairview

GELATIN ABSORBABLE 8 CM X 3 CM TOPICAL SPONGE $119.00

GELATIN ABSORBABLE EYE FILM $973.00

GELATIN ABSORBABLE IMPLANT FILM $7,738.00

GELATIN ABSORBABLE MUCOSAL POWDER $329.00

GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE $181.00

GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE $42.00

GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION $609.00

GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION $221.00

GEMCITABINE 200 MG INTRAVENOUS SOLUTION $155.00

GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION $155.00

GEMFIBROZIL 600 MG TABLET $5.00

GENERATOR CYBERONICS VNS 102 $42,043.00

GENERATOR INTERSTIM 3023 $22,000.00

GENERATOR NEUROSTIM INTELLIS MRI SURESCAN 97715 $39,738.00

GENERATOR NEUROSTIM PT PRIME ADV MRI SURESCAN 97702 $30,375.00

GENERATOR PROTEGE RECHARGEABLE IPG $41,250.00

GENERATOR PULSE SPECTRA SC-1132 $46,128.00

GENETIC COUNSELING, EACH 30 MINUTES $215.00

GENOTYPING COMMON PANEL - REF LAB $977.00

GENTAMICIN 0.1 % TOPICAL CREAM $195.00

GENTAMICIN 0.1 % TOPICAL OINTMENT $195.00

GENTAMICIN 0.3 % (3 MG/GRAM) EYE OINTMENT $140.00

GENTAMICIN 0.3 % EYE DROPS $76.00

GENTAMICIN 1 $106.00

GENTAMICIN 20 MG/2 ML INJECTION SOLUTION $50.00

GENTAMICIN 40 MG/ML INJECTION SOLUTION $2.00

GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION $50.00

GENTIAN VIOLET 1 % TOPICAL SOLUTION $35.00

GGT (GAMMA GT) $52.00

GI BLEED $1,372.00

GI TRACT CAPSULE ENDOSCOPY $3,631.00

GIARDIA SPECIFIC ANTIGEN $119.00

GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE $1,031.00

GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRINGE $2,112.00

GLENOID CORTILOC LG 40MM $2,500.00

GLENOID CORTILOC LG 50MM $2,500.00

GLENOID CORTILOC MD 30MM $2,500.00

GLENOID CORTILOC MD 35MM $2,500.00

GLENOID CORTILOC MD 40MM $2,500.00

GLENOID CORTILOC SM 30MM $2,500.00

GLENOID CORTILOC SM 35MM $2,500.00

GLENOID CORTILOC SM 40MM $2,500.00

GLENOID CORTILOC XL 40MM $2,500.00

GLENOID CROSSLINK FIN 40 $1,500.00

GLENOID CROSSLINK FIN 40XS $1,500.00

GLENOID CROSSLINK FIN 44 $1,500.00

GLENOID CROSSLINK FIN 48 $1,500.00

Page 106: DESCRIPTION Price - Fairview

GLENOID CROSSLINK FIN 52 $1,500.00

GLENOID CROSSLINK FIN 56 $1,500.00

GLENOID ECCENTER TITANIUM STERILE STD $1,221.00

GLENOID SPERE FOR BASEPLATE 42MM $3,075.00

GLENOID SPHERE FOR BASEPLATE 29MM $3,075.00

GLENOSPHERE $5,250.00

GLEOSPHERE LATERALIZED AP REVERSED 36MM $3,075.00

GLEOSPHERE LATERALIZED STANDARD 36MM $3,075.00

GLIADIN ABY,EACH $91.00

GLIDEWIRE SHAFT STIFF 150CM $453.00

GLIDEWIRE STRAIGHT .035X180CM $453.00

GLIDEWIRE TERUMO .035X180 ANG STIFF GS3508 $453.00

GLIMEPIRIDE 1 MG TABLET $5.00

GLIMEPIRIDE 2 MG TABLET $5.00

GLIPIZIDE 10 MG TABLET $5.00

GLIPIZIDE 5 MG TABLET $5.00

GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR $5.00

GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR $5.00

GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR $5.00

GLOVE PROT WHT LISLE INSPECT 97-500 $36.00

GLOVE RADIATION STRL SZ 8 M001201121 $444.00

GLUCAGON (HUMAN RECOMBINANT) 1 MG SOLUTION FOR INJECTION $253.00

GLUCAGON (HUMAN RECOMBINANT) 1 MG/ML SOLUTION FOR INJECTION $373.00

GLUCAGON HCL 1 MG SOLUTION FOR INJECTION $307.00

GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION $120,975.00

GLUCOSAMINE 500 MG-CHONDROIT 400 MG-VIT C 2 MG-MANGAN 0.33 MG CAPSULE $5.00

GLUCOSAMINE SULFATE 500 MG CAPSULE $5.00

GLUCOSAMINE SULFATE DIPOTASSIUM CL 500 MG-CHONDROITIN 400 MG CAPSULE $5.00

GLUCOSAMINE-CHONDROITIN 500 MG-400 MG CAPSULE $5.00

GLUCOSAMINE-CHONDROITIN 500 MG-400 MG TABLET $5.00

GLUCOSE BLOOD $38.00

GLUCOSE CSF $60.00

GLUCOSE 1 HR PP $38.00

GLUCOSE 2 HR PP $38.00

GLUCOSE 4 GRAM CHEWABLE TABLET $5.00

GLUCOSE 6-PD $90.00

GLUCOSE BODY FL $60.00

GLUCOSE CHALLENGE TEST $41.00

GLYBURIDE 1.25 MG TABLET $5.00

GLYBURIDE 2.5 MG TABLET $5.00

GLYBURIDE 5 MG TABLET $5.00

GLYBURIDE MICRONIZED 1.5 MG TABLET $5.00

GLYCERIN (CHILD) RECTAL SUPPOSITORY $5.00

GLYCERIN 99.5 % TOPICAL SOLUTION $5.00

GLYCERIN-MINERAL OIL-LANOLIN TOPICAL CREAM $28.00

GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION $64.00

GLYCOPYRROLATE 1 MG TABLET $5.00

Page 107: DESCRIPTION Price - Fairview

GLYCOSYLATED HGB A1C $79.00

GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION $7,904.00

GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT $6,936.00

GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT $2,630.00

GRAFT ACHILLES TENDON W/CALCANEUS 19.5CM 430200 $5,000.00

GRAFT ALLODERM 16X20CM 1519320P CHARGE PER SQ CM= 320 UNITS $23,975.00

GRAFT ALLODERM 16X20CM CHARGE PER SQ CM= 320 UNITS $23,278.00

GRAFT ALLODERM 2X4CM 102012 CHARGE PER SQ CM= 8 UNITS $1,140.00

GRAFT ALLODERM 2X4CM CHARGE PER SQ CM= 8 UNITS 102009 $575.00

GRAFT ALLODERM 2X4CM THIN CHARGE PER SQ CM= 8 UNITS $1,140.00

GRAFT ALLODERM 5X10CM CHARGE PER SQ CM= 50 UNITS 102062 $3,440.00

GRAFT ALLODERM 6X12CM RTU THICK CHARGE PER SQ CM= 72 UNITS $4,955.00

GRAFT ALLODERM 8X12CM X-THICK CHARGE PER SQ CM= 96 UNITS $6,983.00

GRAFT ALLODERM LG 10.7X21.5CM THICK CHG PER SQ CM= 164 UNITS $11,925.00

GRAFT ALLODERM LG PERFORATED 10.7X21.5CM CHG PER SQ CM= 164 $12,280.00

GRAFT ALLODERM MED COUNTOUR 15X20CM CHG PER SQ CM= 300 UNITS $9,598.00

GRAFT ALLODERM MED COUNTOUR 9.6X19.3CM CHG PER SQ CM= 132 $9,885.00

GRAFT ALLOGRAFT ARTHREX ALLOSYNC DBM PASTE 1ML ABS-2015-01 $525.00

GRAFT ALLOGRAFT ARTHREX ARTHROCELL 2.5ML ABS-2009-02 $4,750.00

GRAFT ALLOGRAFT NUCEL XL 2.5ML NC-1003 $10,375.00

GRAFT AORTIC STRETCH 16X200MM SA1602 $970.00

GRAFT BIFURCATED 14 X 7 020952080 $1,928.00

GRAFT BIFURCATED STRETCH 18X9X40 000000D $2,098.00

GRAFT BONE BLOCK CORNERSTONE 08X14X11MM 345841 $2,000.00

GRAFT BONE BLOCK CORTICAL CANC 14X11X07MM 345741 $2,000.00

GRAFT BONE CHIPS CANC 15ML 400145 $525.00

GRAFT BONE CHIPS CANC 30ML 400150 $893.00

GRAFT BONE CORT CANC SPACER 6MM 017406 $2,669.00

GRAFT BONE CORT CANC SPACER 7MM 017407 $2,669.00

GRAFT BONE CORT CANC SPACER 8MM 017408 $2,669.00

GRAFT BONE CORTICAL BLOCK 10X14X11MM 331041 $2,638.00

GRAFT BONE FEM CONDYLE HEMI RT MED FRESH $28,232.00

GRAFT BONE FEMORAL CONDYLE HEMI LT FRESH $27,600.00

GRAFT BONE FOAM PACK VITOSS 2.5ML BIO ACTIVE 2102-1602 $1,440.00

GRAFT BONE FOAM STIP VITOSS 25X50X4MM 2102-1105 $1,775.00

GRAFT BONE FOAM STRIP VITOSS 25X100X8MM 2102-1120 $5,890.00

GRAFT BONE FOAM STRIP VITOSS BIO ACTIVE 25X100X8MM 2102-1520 $9,055.00

GRAFT BONE FOAM STRIP VITOSS BIO ACTIVE 25X50X4MM 2102-1505 $3,018.00

GRAFT BONE FOAM VITOSS 1.2ML 2102-1401 $460.00

GRAFT BONE FOAM VITOSS 10ML 2102-1410 $3,248.00

GRAFT BONE FOAM VITOSS 5ML 2102-1405 $1,625.00

GRAFT BONE HEAD FEMORAL 44MM 450100 $3,268.00

GRAFT BONE INFUSE BMP LG 7510600 $14,775.00

GRAFT BONE INFUSE BMP MED 7510400 $13,250.00

GRAFT BONE INFUSE BMP SM 7510200 $9,513.00

GRAFT BONE INFUSE BMP XSM 7510100 $4,763.00

GRAFT BONE INFUSE BMP XXSM 7510050 $2,388.00

Page 108: DESCRIPTION Price - Fairview

GRAFT BONE INTERGRO DBM 5ML DBMW05 $2,323.00

GRAFT BONE INTERGRO DBM PLUS DBMW10 $3,578.00

GRAFT BONE MAGNIFUSE 1.75CMX10CM 7509141 $9,500.00

GRAFT BONE NUCEL MEDIUM 2CC $4,500.00

GRAFT BONE PASTE GRAFTON 5ML T45005 $1,734.00

GRAFT BONE PLUG 13-17MM 6215-5-011 $242.00

GRAFT BONE PLUG 18-22MM 6215-5-021 $242.00

GRAFT BONE PLUG 9-12MM 6215-5-001 $242.00

GRAFT BONE PLUG CORTICAL LOK 45-6040 $2,593.00

GRAFT BONE PUTTY ARTHREX DBM STIMUBLAST 3ML ABS-2004-03 $1,250.00

GRAFT BONE PUTTY DBX 0.5ML 038005 $228.00

GRAFT BONE PUTTY DBX 01ML 038010 $404.00

GRAFT BONE PUTTY DBX 05ML 038050 $1,662.00

GRAFT BONE PUTTY I-FACTOR PEPTIDE ENHANCED 1ML 700-010 $1,595.00

GRAFT BONE PUTTY I-FACTOR PEPTIDE ENHANCED 2.5ML 700-025 $2,868.00

GRAFT BONE PUTTY I-FACTOR PEPTIDE ENHANCED 5ML 700-050 $4,463.00

GRAFT BONE PUTTY PROGENIX 1ML 005001 $409.00

GRAFT BONE PUTTY PROGENIX 5ML 005005 $1,427.00

GRAFT BONE RING PRECISION 16MM 439016 $9,678.00

GRAFT BONE SHAFT FIBULAR 100MM 400750 $1,817.00

GRAFT BONE SPACER ALIF 11MM 010611 $10,613.00

GRAFT BONE SPACER ALIF 13MM 010613 $10,613.00

GRAFT BONE SPACER ALIF 15MM 010615 $10,613.00

GRAFT BONE SPACER ALIF 17MM 010617 $10,613.00

GRAFT BONE SPACER ALIF 9MM 010609 $10,613.00

GRAFT BONE SPACER ANT LUM CC-ALIF 15MM 016815 $11,439.00

GRAFT BONE SPACER LORDOTIC 06MM 017706 $2,375.00

GRAFT BONE SPACER LORDOTIC 07MM 017707 $2,375.00

GRAFT BONE SPACER LORDOTIC 08MM 017708 $2,375.00

GRAFT BONE SPACER PARALLEL 08MM $2,555.00

GRAFT BONE STIMULAN MATRIX KIT RAPID CURE 10ML 620-010 $3,125.00

GRAFT BONE STIMULAN MATRIX KIT RAPID CURE 20ML 620-020 $5,738.00

GRAFT BONE STIMULAN MATRIX KIT RAPID CURE 5ML 620-005 $2,125.00

GRAFT BONE STRUT CORTICAL 10CMX20MM 400610 $803.00

GRAFT BONE STRUT FEMUR HALVED 20CM 450495 $2,655.00

GRAFT BONE WEDGE TRICORTICAL 1.4-1.6CM 30715016 $1,500.00

GRAFT BONE WEDGE TRICORTICAL 2.3CM 400413 $2,500.00

GRAFT CARTIFORM 12X19MM $15,625.00

GRAFT CORNERSTONE 2MM X 8MM X 8MM $1,238.00

GRAFT CORNERSTONE 4MM X 8MM X 8MM $1,463.00

GRAFT DBM ORTHOBLEND LG DEFECT 15CC $3,222.00

GRAFT DBM ORTHOBLEND LG DEFECT 5CC $1,903.00

GRAFT DBM ORTHOBLEND SM DEFECT 10CC $2,756.00

GRAFT DBM ORTHOBLEND SM DEFECT 5CC $1,903.00

GRAFT DERMACELL SFT TISS 16X20CM 1.25-2.0MM PER SQ CM= 320 $22,595.00

GRAFT DERMACELL SFT TISS 6X16CM 0.75-1.50MM PER SQ CM= 96 $6,778.00

GRAFT DERMACELL SFT TISS 8X16CM 0.75-1.50MM PER SQ CM= 128 $9,038.00

Page 109: DESCRIPTION Price - Fairview

GRAFT DERMAL MATRIX XENMATRIX AB 19X35CM 1151935 $50,650.00

GRAFT DIALYSIS STD WALL RINGED $1,848.00

GRAFT DURAL INTEGRA BP SUTURABLE 2X7CM BP10207 $760.00

GRAFT DURAL INTEGRA BP SUTURABLE 4X5CM BP10405 $839.00

GRAFT DURAL INTEGRA BP SUTURABLE 6X8CM BP10608 $1,083.00

GRAFT DURAL INTEGRA BP SUTURABLE 8X12CM BP10812 $1,787.00

GRAFT EPIFIX 14MM DISK GS-5140 $749.00

GRAFT FILTER FOR RIA $655.00

GRAFT GORTEX 06MMX10CM STR V06010L $295.00

GRAFT GORTEX 06MMX40CM STR V06040L $910.00

GRAFT GORTEX 20MMX20CM STRETCH SA2002 $970.00

GRAFT GORTEX 4-7MMX45CM STRETCH S47045 $1,423.00

GRAFT GORTEX 8MMX40CM V08040L $910.00

GRAFT HEAD HUMERAL LEFT FRESH 41247002 $18,603.00

GRAFT HEMASHIELD 0.3X3" M002000195090 $278.00

GRAFT HEMASHIELD 1X3 PATCH 000195140 $334.00

GRAFT HEMASHIELD 28MMX30MM PLATINUM $1,567.00

GRAFT HEMASHIELD 8X16" 085168 $1,928.00

GRAFT HEMASHIELD CV GOLD 06MMX60CM M002020952060 $1,424.00

GRAFT HEMASHIELD CV GOLD 10MMX60CM M002020952100 $1,424.00

GRAFT HEMASHIELD GOLD 08MMX60CM KNITTED 095208 $1,424.00

GRAFT HEMASHIELD GOLD 14MMX30CM M002020952140 $1,350.00

GRAFT HEMASHIELD GOLD 16MMX30CM M002020952160 $1,350.00

GRAFT HEMASHIELD GOLD 18MMX30CM M002020952180 $1,350.00

GRAFT HEMASHIELD GOLD 22MMX30CM M002020952220 $1,349.00

GRAFT HEMASHIELD GOLD 24MMX30CM M002020952240 $1,349.00

GRAFT HEMASHIELD GOLD BIFURCATED 16MMX8X40CM 085241 $1,929.00

GRAFT HEMASHIELD GOLD BIFURCATED 18MMX9X40CM 085189 $1,929.00

GRAFT HEMASHIELD GOLD BIFURCATED 20MMX10X40CM 085201 $1,928.00

GRAFT HEMASHIELD GOLD BIFURCATED 22X11MMX40CM M002020852210 $1,928.00

GRAFT HEMASHIELD PATCH 1X6 000195170 $404.00

GRAFT HEMASHIELD PLATINUM 10X30 $1,410.00

GRAFT HEMASHIELD PLATINUM 26X60 $1,741.00

GRAFT HEMASHIELD PLATINUM 32X30 $1,567.00

GRAFT HEMASHIELD PLATINUM 34X30CM $1,567.00

GRAFT HEMASHIELD PLATINUM 6X30 $1,409.00

GRAFT HEMASHIELD PLATINUM 8X30 $1,409.00

GRAFT HEMASHIELD PLATINUM VASCULAR $1,440.00

GRAFT HUMAN TISSUE 20X20X10MM EVANS WEDGE $5,488.00

GRAFT MASTER MATRIX 10CC 7610310 $1,594.00

GRAFT MASTER MATRIX 20CC 7610320 $2,500.00

GRAFT MASTER MATRIX 5CC 7610305 $1,250.00

GRAFT NEUROWRAP PROT 07MMX4CM CHARGE PER CM= 4 UNITS NW740 $3,697.00

GRAFT PATCH GORE-TEX CARDIO 02.5X15CMX0.6MM 1702515006 $698.00

GRAFT PATCH PERICARDIAL MEMBRANE 7X10X1CM $863.00

GRAFT PATCH VASC XENOSURE BIOLOGIC 0.8X08CM E0.8P8 $423.00

GRAFT PEYRONIE'S REPAIR STANDARD $1,067.00

Page 110: DESCRIPTION Price - Fairview

GRAFT PROPATEN 6MMX40CM STRETCH THIN WALL HT060040A $3,050.00

GRAFT PROPATEN 8MMX80CM STRETCH THIN WALL HT080080A $5,865.00

GRAFT PROPATEN RR 6MMX70CM THIN WALL HT066070A $6,280.00

GRAFT PROPATEN RR 8MMX80CM THIN WALL HT087080A $7,070.00

GRAFT PROPATEN STRETCH 6MMX40CM H060040A $2,615.00

GRAFT PROPATEN TAPER 4-7MMX45CM H470045A $3,105.00

GRAFT PTFE FELT 6X6" 007837 $3,575.00

GRAFT RAPID TAPER 4 X 40 GORE V47040L $1,015.00

GRAFT RINGED TW 10 X 30 RRT10030030L $1,498.00

GRAFT RINGED TW 6 X 70 RRT06030070L $2,303.00

GRAFT RINGED TW 6 X 70 RRT06060070L $2,750.00

GRAFT RINGED TW 8 X 80 RRT08030080L% $2,543.00

GRAFT SEMI T FROZEN $2,750.00

GRAFT SOFT TISSUE SURGISIS BIODESIGN 07X20CM C-SLH-6H-7X20 $3,938.00

GRAFT STND WALL 8MM X 80CM HEPARIN $5,305.00

GRAFT STRAIGHT 12 X 60 CM $1,424.00

GRAFT STRAIGHT 20MMX30CM 020952200 $1,240.00

GRAFT STRAIGHT TW 10 X 800MM VT100880L $2,825.00

GRAFT STRAIGHT TW 6 X 40 GORE VT06040L $1,035.00

GRAFT STRAIGHT TW 6 X 80 GORE VT06080L $1,943.00

GRAFT STRAIGHT TW 8 X 80 GORE VT08080L $1,943.00

GRAFT STRATTICE 16X20CM FIRM 1620002 CHG PER SQ CM=320 UNITS $18,860.00

GRAFT STRETCH 6 X 45 SRD06005045L $1,950.00

GRAFT STRETCH TW 10 X 80CM $2,585.00

GRAFT T W STRETCH 8MMX70CM ST0807 $2,300.00

GRAFT TAPERED TW 6 X 80 GORE VT68080L $1,943.00

GRAFT TENDON GRACILIS 430300 $3,375.00

GRAFT TENDON SEMITENDONOSIS 7MMX250MM 430350 $4,000.00

GRAFT TENDON TIBIALIS ANTERIOR W/SPECS 22CM 430336 $4,750.00

GRAFT THIN WALL 8MM X 70CM X 90CM HEPRIN $7,335.00

GRAFT THORACIC 1-BRANCH 26MM X 50CM $3,447.00

GRAFT THORACIC 1-BRANCH 28MM X 50CM $3,447.00

GRAFT THORACIC 1-BRANCH 30MM X 50CM $3,447.00

GRAFT THORACIC 1-BRANCH 32MM X 50CM $3,447.00

GRAFT THORACIC 1-BRANCH 34MM X 50CM $3,447.00

GRAFT THORACIC 4-BRANCH 26MM X 50CM $4,039.00

GRAFT THORACIC 4-BRANCH 28MM X 50CM $4,040.00

GRAFT THORACIC 4-BRANCH 30MM X 50CM $4,039.00

GRAFT THORACIC 4-BRANCH 32MM X 50CM $4,161.00

GRAFT THORACIC 4-BRANCH 34MM X 50CM $4,040.00

GRAFT TISSUE AORTOILIAC ARTERY 12MMX8CM $58,488.00

GRAFT TISSUE FLEX HD BREAST 08X20CM HP1208 PER SQ CM=160 $11,324.00

GRAFT TISSUE STEM CELL TRINITY ELITE MED 410002 $5,500.00

GRAFT TISSUE STEM CELL TRINITY ELITE SM 410001 $1,238.00

GRAFT VASC BIOPROSTHESIS PROCOL 6MMX10CM HJL016-10-N $1,875.00

GRAFT VASC BIOPROSTHESIS PROCOL 6MMX30CM HJL016-30-N $3,375.00

GRAFT VASC GORTEX AXILLOBIFEM 8MMX70CM STD WALL SAX01 $5,380.00

Page 111: DESCRIPTION Price - Fairview

GRAFT VASCULAR $5,135.00

GRAFT VASCULAR 8 X 90 SAX02D $6,070.00

GRAFT VASCULAR GEL WEAVE ST 26MM $1,191.00

GRAFT VASCULAR GEL WEAVE ST 28MM $1,191.00

GRAFT VASCULAR GEL WEAVE ST 30MM $1,191.00

GRAFT VASCULAR GEL WEAVE ST 32MM $1,191.00

GRAFT VASCULAR GEL WEAVE ST 34MM $1,191.00

GRAFT VASCUTEK GELWEAVE VALSALVA BORE 28MM 730028ADP $6,088.00

GRAFT VASCUTEK GELWEAVE VALSALVA BORE 30MM 730030ADP $6,088.00

GRAFT VASCUTEK GELWEAVE VALSALVA BORE 32MM 730032ADP $6,088.00

GRAFT VASCUTEK GELWEAVE VALSALVA BORE 34MM 730034ADP $6,088.00

GRAFT WOUND BIOVANCE 1X2CM $750.00

GRAFT WOUND BIOVANCE 2X2CM $1,500.00

GRAFT WOUND BIOVANCE 2X3CM $2,250.00

GRAFT WOUND BIOVANCE 2X4CM $2,500.00

GRAFT WOUND BIOVANCE 3X3.5CM $3,000.00

GRAFT WOUND BIOVANCE 4X4CM $5,800.00

GRAFT WOUND POWDER PORCINE MATRISTEM MICRO 200MG MM0200 $1,697.00

GRAFT XENFORM SOFT TISSUE REPAIR MATRIX 8X12CM 830-247 $4,748.00

GRAM STAIN $53.00

GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION $99.00

GRANISETRON HCL 1 MG TABLET $10.00

GRASPER ASCP 3.4MM STR TP SU AR-12540 $2,563.00

GRIP VITALLIUM DALL MILES SM $2,866.00

GROSS & MICRO LEVEL 4 MAYO $398.00

GROUP A STREP THROAT $243.00

GROUP I STAIN TCI $235.00

GROUP II STAIN TCI $197.00

GROUP PSYCHOTHERAPY $180.00

GROWTH HORMONE $109.00

GTT 3 SPECIMENS $95.00

GTT ADDITIONAL SPEC $33.00

GUAIFENESIN 100 MG/5 ML ORAL LIQUID $1.00

GUAIFENESIN 200 MG TABLET $1.00

GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR $1.00

GUANFACINE 1 MG TABLET $5.00

GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR $5.00

GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR $17.00

GUAR GUM ORAL PACKET $5.00

GUARD PERI 10X16 HEARTS ONLY PC1016NBIO $1,515.00

GUARD PERI 6X8 HEARTS ONLY PC0608NBIO $1,328.00

GUARD PERI 8X14 HEARTS ONLY PC0814NBIO $1,744.00

GUIDANCE EMG W/ CHEMODENERV $220.00

GUIDANCE FOR LOCALIZATION OF TARGET VLM FOR DLVRY OF RADIATION TX DELIVERY, INC INFRACTION TRACK $451.00

GUIDE CATHET FLUID DRAINAGE $1,468.00

GUIDE CUTTING PATIENT SPECIFIC TR-7100-L $2,500.00

GUIDE CUTTING PATIENT SPECIFIC TR-7100-R $2,500.00

Page 112: DESCRIPTION Price - Fairview

GUIDE ENDOGRAFT FXTN HELI-FX 16FR 62CM 22MM TIP SG-64 $3,438.00

GUIDE MEASURING/CUTTING VSP $2,475.00

GUIDE PIN LONG ACETABULAR $249.00

GUIDE PIN SHORT PELVIS $245.00

GUIDE PIN TRUMATCH L $1,750.00

GUIDE PIN TRUMATCH SET R $1,750.00

GUIDE RESECTION TRUMATCH ATTUNE FEMORAL 420947 $875.00

GUIDE SIGNATURE 04-05 GUIDE/MODEL $2,188.00

GUIDE SIGNATURE GLEN CUT $2,000.00

GUIDE SIGNATURE TKA MEDIAL 04-05 $2,500.00

GUIDE WIRE .062 $390.00

GUIDE WIRE 1.25X150MM 4.0MM THRD 900.722 $62.00

GUIDE WIRE 1.25X150MM NON THRD 900.721 $58.00

GUIDE WIRE 1.6X150MM 4.0MM DRILL TIP 900.601 $102.00

GUIDE WIRE 1.6X150MM THREADED 292.72 $70.00

GUIDE WIRE 2.5X200MM 310.243 $140.00

GUIDE WIRE ARTHREX .045" W/TROCAR TIP BIO-COMP AR-5025K $105.00

GUIDE WIRE ARTHREX 0.94"X8" AR-8967K $225.00

GUIDE WIRE ARTHREX THRD W/TROCAR TIP .062" AR-8941KT $55.00

GUIDE WIRE ARTHREX TROCAR TIP .045" X5.91" AR-8932K $38.00

GUIDE WIRE ARTHREX W/TROCAR TIP .062" AR-8941K $225.00

GUIDE WIRE ARTHREX W/TROCAR TIP THRD 8" AR-8967KT $450.00

GUIDE WIRE SINUS TARSI HYPROCURE HYP-GW $38.00

GUIDE WIRE TROCAR TIP 1.35MM AR-8943-01 $300.00

GUIDEPIN ASCP 2.4MM SLV GRAD AR-1876 $355.00

GUIDEWIRE $163.00

GUIDEWIRE 0.86MM W/ LASER LINE AR-8737-21 $38.00

GUIDEWIRE AGK9070M $56.00

GUIDEWIRE ARTHREX DBL TROCAR TIP .045X6.84" AR-8950-06 $50.00

GUIDEWIRE ARTHREX W/TROCAR TIP 2.0MMX8" AR-8956K-01 $63.00

GUIDEWIRE ASAHI GAIA SECOND 190CM MICRO $1,663.00

GUIDEWIRE ASAHI GAIA THIRD 190CM MICRO J $1,663.00

GUIDEWIRE BALL TIP 3.0X1000MM 1806-0085S $472.00

GUIDEWIRE BENTSON FLEX TIP 0.035"X150CM M0066201250 $34.00

GUIDEWIRE BIOMET BALL TIP 3.2MMX92CM 469060 $388.00

GUIDEWIRE HIWIRE .035X180CM ANG TIP STIF $384.00

GUIDEWIRE HORNET 190CM $3,000.00

GUIDEWIRE LUNDERQUIST EXTRA-STIFF 180CM $1,153.00

GUIDEWIRE NITINOL .018 80CM N180802 $408.00

GUIDEWIRE NITINOL 1.2MMX45CM 72202998 $143.00

GUIDEWIRE ORTHO 0.045IN SS THREADED TROCAR $50.00

GUIDEWIRE ORTHOPEDIC 0.062IN 150MML PIGTAIL $38.00

GUIDEWIRE ORTHOPEDIC 1.35MM 150MML SS TROCA $50.00

GUIDEWIRE PTFE COATED BENTSON .035 X 180 $38.00

GUIDEWIRE ROSEN CVD .035X180CM J-TIP G01264 $26.00

GUIDEWIRE SAFARI 2 TAVR XSM CURV.035X275 $3,938.00

GUIDEWIRE SAMURAI RC 190CM $3,927.00

Page 113: DESCRIPTION Price - Fairview

GUIDEWIRE SENSOR .035 670-308 $488.00

GUIDEWIRE STARTER 260CM X 0.035 $201.00

GUIDEWIRE TERUMO .035X260CM EXCHANGE ANG GS3509 $453.00

GUIDEWIRE THRD TROCAR TIP .045" W/LASER LINE AR-8737-05 $50.00

GUIDEWIRE THREADED 3.2 X 230MM $218.00

GUIDEWIRE THREADED TROCAR TIP 1.35MM AR-8737-02 $50.00

GUIDEWIRE TROCAR TIP .045" W/LASER LINE AR-8737-04 $38.00

GUIDEWIRE TROCAR TIP 1.35MM AR-8737-01 $38.00

GUIDEWIRE VASC MEDT 24" THRD BLUNT TIP 2345050 $155.00

GUIDEWIRE VASCULAR STRAIGHT PTCA .014IN X 180CM $938.00

GUIDEWIRE W/TROCAR TIP .062"X9.25 $38.00

GUIDEWIRE W/TROCAR TIP THRD 062"X9.25 $75.00

GW ASCP PIN CTR PLG ZBR AR-1258Z $198.00

G-WIRE W/TRCR TIP THDD 2.4X9.25IN $75.00

H PAPILLOMAVIRUS VAC,QVAL(PF) 20MCG-40MCG-40MCG-20MCG/0.5ML IM SUSP $288.00

H. PYLORI SPECIFIC AGN $202.00

HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN $25.00

HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN $92.00

HAEMOPHILUS INFLUENZA ABY $263.00

HALF PIN EXTERNAL FIXATION 3MM 60MML SS 10M $212.00

HALF PIN EXTERNAL FIXATION 4MM 90MML SS C-S $293.00

HALOPERIDOL 0.5 MG TABLET $5.00

HALOPERIDOL 1 MG TABLET $5.00

HALOPERIDOL 2 MG TABLET $5.00

HALOPERIDOL 2 MG/ML ORAL CONCENTRATE $5.00

HALOPERIDOL 5 MG TABLET $5.00

HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION $50.00

HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION $23.00

HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE $5.00

HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION $90.00

HANDLE ENDO GW ACFX FEM DRL GD 014803 $1,555.00

HANDLE KLS S/D NEURO BLUE BULB STYLE ROUND 2.0/2.3/2.7MM $1,159.00

HANDLE LRNSCP MED KNURL FNSHC 60300 $116.00

HANDLE OSTEO FLX 6210-0-000 $765.00

HANDLE RCHT SCRDRVR BIO INTFR AR-1999 $1,183.00

HANDLE SUTURE PASSER TEAR DROP SHAPE AR-2001BT $1,365.00

HANDPIECE ABLATION OPEN LONG JAW LT CURVE OLL2 $23,708.00

HANDPIECE ANG MICRO CLAW SPETZLER BARRACUDA 5450800313 $8,853.00

HANDPIECE CLIP APPLIER ML/10 REUSE 1002 $2,273.00

HANDPIECE ENSEAL G2 35CM STRAIGHT $8,532.00

HANDPIECE ENSEAL G2 45CM CURVED $10,834.00

HANDPIECE LIGASURE 5MM BLUNT 23CM LF1623 $1,128.00

HANDPIECE THUNDERBEAT 20CM SHORT $5,625.00

HAPTOGLOBIN $84.00

HB METHYLENE BLUE MARKING SPINOUS PROCESS $1,391.00

HB R/L RETRO HEART HATH, CONG HT ABNL $10,837.00

HB(E)AG $102.00

Page 114: DESCRIPTION Price - Fairview

HBV DNA QUANT $306.00

HC, BIOPSY OF BREAST, NEEDLE CORE $1,895.00

HC-CLOSED TX CARPAL SCAPHOID (NAVICULAR) FX; W/O MANIP $737.00

HCG $83.00

HCG QUANT $84.00

HCG,QUANT, 1ST TRI MATERNAL, SO $102.00

HCG,QUANT, AFP-4-MARKER MATERNAL, SO $517.00

HCMC GROSS/MICRO $306.00

HCMC SPECIAL STAIN GRP 2 $197.00

HCV GENOTYPE RESOLUTION (HCVGR) $1,342.00

HCV RNA QUANT $440.00

HDL $61.00

HDP (PER DOSE) $83.00

HDR RADIONUCLIDE INTERSTITIAL/INTRACAVITY BRACHYTHERAPY; 1 CHANNEL $2,287.00

HDR RADIONUCLIDE INTERSTITIAL/INTRACAVITY BRACHYTHPY > 12 CHANNELS $2,287.00

HDR RADIONUCLIDE INTERSTITIAL/INTRACAVITY BRACHYTHPY 2-12 CHANNELS $2,287.00

HEAD CAP GLOBAL HA PC 52X21MM $6,250.00

HEAD CAP GLOBAL HA PC 56X18MM $6,250.00

HEAD CERAMIC BIOLOX 12/14 36MM +8.5 $1,900.00

HEAD CERAMIC BIOLOX FORTE MODULAR 36 MM $2,500.00

HEAD CERAMIC DELTA 11/13 28MM +0 $1,900.00

HEAD CERAMIC DELTA 11/13 28MM +6 $1,900.00

HEAD CERAMIC DELTA 11/13 32MM +0 $1,900.00

HEAD CERAMIC DELTA 11/13 32MM +3 $1,900.00

HEAD CERAMIC DELTA 12/14 28MM +1.5 $1,900.00

HEAD CERAMIC DELTA 12/14 28MM +1.5 $3,873.00

HEAD CERAMIC DELTA 12/14 28MM +12 $3,873.00

HEAD CERAMIC DELTA 12/14 28MM +5 $1,900.00

HEAD CERAMIC DELTA 12/14 28MM +5 $3,873.00

HEAD CERAMIC DELTA 12/14 28MM +8.5 $1,900.00

HEAD CERAMIC DELTA 12/14 28MM +8.5 $3,873.00

HEAD CERAMIC DELTA 12/14 32MM +1 $4,078.00

HEAD CERAMIC DELTA 12/14 32MM +5 $4,078.00

HEAD CERAMIC DELTA 12/14 32MM +9 $1,900.00

HEAD CERAMIC DELTA 12/14 32MM +9 $4,078.00

HEAD CERAMIC DELTA 12/14 36MM +1.5 $4,273.00

HEAD CERAMIC DELTA 12/14 36MM +12 $4,273.00

HEAD CERAMIC DELTA 12/14 36MM +5 $4,273.00

HEAD CERAMIC DELTA 12/14 36MM +8.5 $4,273.00

HEAD CERAMIC DELTA 12/14 40MM +12 $1,900.00

HEAD CERAMIC DELTA 12/14 40MM +5 $1,900.00

HEAD CERAMIC DELTA 12/14 40MM +8.5 $1,900.00

HEAD CERAMIC DELTA 12/14 44MM +1.5 $1,900.00

HEAD CERAMIC DELTA 12/14 44MM +12 $1,900.00

HEAD CERAMIC DELTA 12/14 44MM +5.0 $1,900.00

HEAD CERAMIC DELTA 12/14 44MM +8.5 $1,900.00

HEAD CERAMIC DELTA 12/14 TAPER 32 $1,900.00

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HEAD CERMIC SCOM M 36MM+12 NON SKIRT $900.00

HEAD COCR STERILE 46X17.25MM $5,154.00

HEAD COCR STERILE 50X18.75MM $5,606.00

HEAD CTA GLOBAL ADVANTAGE 44X18MM 1128-65-010 $2,000.00

HEAD CTA GLOBAL ADVANTAGE 44X23MM 1128-65-020 $2,000.00

HEAD CTA GLOBAL ADVANTAGE 48X18MM 1128-65-030 $2,000.00

HEAD CTA GLOBAL ADVANTAGE 52X18MM $2,000.00

HEAD CTA GLOBAL ADVANTAGE 56X18MM $2,000.00

HEAD CTA GLOBAL ADVANTAGE 56X23MM $2,000.00

HEAD ECCENTRIC GLOBAL ADVANTAGE 44X18MM 1128-44-110 $2,000.00

HEAD ECCENTRIC GLOBAL ADVANTAGE 44X21MM $2,000.00

HEAD ECCENTRIC GLOBAL ADVANTAGE 48X18MM 1128-48-110 $2,000.00

HEAD ECCENTRIC GLOBAL ADVANTAGE 48X21MM $2,000.00

HEAD ECCENTRIC GLOBAL ADVANTAGE 52X18MM $2,000.00

HEAD ECCENTRIC GLOBAL ADVANTAGE 52X21MM $2,000.00

HEAD ECCENTRIC GLOBAL ADVANTAGE 56X18MM $2,000.00

HEAD ECCENTRIC GLOBAL ADVANTAGE 56X21MM $2,000.00

HEAD ECCENTRIC GLOBAL UNITE 44X15MM $2,000.00

HEAD ECCENTRIC GLOBAL UNITE 44X18MM $2,000.00

HEAD FEM CERAMIC REV 32MM +3.5 $4,488.00

HEAD FEM CERAMIC REV 36MM +3.5 $5,120.00

HEAD FEMORAL 28MM +0MM OFFSET BIOLOX DELTA CERAMIC HIP C $1,900.00

HEAD FEMORAL 28MM +11 14/16 TAPER $1,542.00

HEAD FEMORAL 28MM +5 14/16 LG TAPER $1,542.00

HEAD FEMORAL 28MM +6MML NECK COBALT CHROMIUM HIP 11/13 T $900.00

HEAD FEMORAL 28MM +8 14/16 LG TAPER $1,542.00

HEAD FEMORAL 28MM STANDARD +1.5MML NECK COBALT CHROMIUM $900.00

HEAD FEMORAL 28MM STANDARD +5MML NECK COBALT CHROMIUM HI $1,500.00

HEAD FEMORAL 28MM STANDARD +8.5MML NECK COBALT CHROMIUM $900.00

HEAD FEMORAL 28MM UNIV +0MML NECK BIOLOX DELTA CERA $1,900.00

HEAD FEMORAL 32MM +0MM 10/12 TAPER $1,541.00

HEAD FEMORAL 32MM +10MM 10/12 TAPER $1,541.00

HEAD FEMORAL 32MM +5MML NECK BIOLOX DELTA CERAMIC HIP 12 $1,900.00

HEAD FEMORAL 32MM LG +11MML NECK COBALT CHROMIUM HIP $1,498.00

HEAD FEMORAL 32MM STANDARD +1MML NECK COBALT CHROMIUM HI $900.00

HEAD FEMORAL 36MM +0MML NECK BIOLOX DELTA CERAMIC HIP 11 $900.00

HEAD FEMORAL 36MM +1.5MML NECK BIOLOX DELTA CERAMIC HIP $1,900.00

HEAD FEMORAL 36MM +1.5MML NECK METAL ON METAL HIP 12/14 $1,500.00

HEAD FEMORAL 36MM +10MML NECK COBALT CHROMIUM HIP REVISI $3,644.00

HEAD FEMORAL 36MM +12MML NECK BIOLOX DELTA CERAMIC HIP 1 $2,500.00

HEAD FEMORAL 36MM +5MML NECK BIOLOX DELTA CERAMIC HIP 12 $2,500.00

HEAD FEMORAL 36MM +5MML NECK METAL HIP 12/14 TAPERED MOD $1,500.00

HEAD FEMORAL 36MM +8.5MML NECK METAL HIP 12/14 TAPERED M $1,500.00

HEAD FEMORAL 36MM MED+ 6DEG $750.00

HEAD FEMORAL 36MM STANDARD 0MML NECK BIOLOX DELTA TS CER $2,830.00

HEAD FEMORAL 40MM +1.5MML NECK COBALT CHROMIUM HIP 12/14 $900.00

HEAD FEMORAL 40MM ASPHERE MSPEC +3 11/13 $900.00

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HEAD FEMORAL ARTICUL-EZE 44MM +1.5 12/14 $900.00

HEAD FEMORAL ARTICUL-EZE 44MM -2 12/14 $900.00

HEAD FEMORAL ARTICUL-EZE 44MM+8.5 12/14 $900.00

HEAD FEMORAL ASPHERE 12/14 40MM +5 $4,875.00

HEAD FEMORAL ASPHERE 12/14 40MM +8.5 $900.00

HEAD FEMORAL BIOLOX DELTA C-TAPER $1,900.00

HEAD FEMORAL BIOLOX DELTA C-TAPER $1,900.00

HEAD FEMORAL BIOLOX DELTA C-TAPER $1,900.00

HEAD FEMORAL BIOLOX DELTA TAPER 32MM $1,900.00

HEAD FEMORAL BIOLOX DELTA TAPER 36MM $1,900.00

HEAD FEMORAL BIOLOX DELTA TAPER 44MM $1,900.00

HEAD FEMORAL COCR 28MM +3 $900.00

HEAD FEMORAL COCR 32MM +10MM NECK $2,991.00

HEAD FEMORAL COCR 32MM +3 $900.00

HEAD FEMORAL C-TAPER LFIT 32MM OD -2.5MM $773.00

HEAD FEMORAL HIP ARTICUL ASPHERE MSPEC 4 $900.00

HEAD FEMORAL HIP ARTICUL ASPHERE MSPEC 5 $900.00

HEAD FEMORAL HIP ARTICUL-EZE 44MM+5 $900.00

HEAD FEMORAL HIP EZE 40MM +12 OFF $900.00

HEAD FEMORAL LFIT COCR C-TAPER 40MM +10 $1,875.00

HEAD FEMORAL LFIT COCR C-TAPER 40MM +2.5 $1,875.00

HEAD FEMORAL LFIT COCR C-TAPER 40MM+0 $1,875.00

HEAD FEMORAL LFIT COCR C-TAPER 40MM+7.5 $1,875.00

HEAD FEMORAL LFIT COCR C-TAPER 40MM-2.5 $1,875.00

HEAD FEMORAL LFIT COCR C-TAPER 40MM-5 $1,875.00

HEAD FEMORAL LFIT COCR C-TAPER 44MM/+2.5 $1,875.00

HEAD FEMORAL LFIT COCR C-TAPER 44MM/-2.5 $1,875.00

HEAD FEMORAL LFIT COCR C-TAPER 44MM-5 $1,875.00

HEAD FEMORAL LFIT MORSE TAPER 28MM/00NK $1,988.00

HEAD FEMORAL LFIT MORSE TAPER 28MM/05NK 01-2805 $1,988.00

HEAD FEMORAL LFIT MORSE TAPER 32MM $1,988.00

HEAD FEMORAL LFIT MORSE TAPER 32MM/10NK $1,988.00

HEAD FEMORAL LFT MORSE TAPER 22MM/05NK $1,827.00

HEAD FEMORAL METAL 12/14 22.225MM +7 $900.00

HEAD FEMORAL MODULAR CATHCART 50MM 1363-50-000 $1,000.00

HEAD FEMORAL MODULAR CATHCART 51MM $1,000.00

HEAD FEMORAL MODULAR CATHCART 56MM $1,000.00

HEAD FEMORAL MSPEC +15.5 OFFSET 12/14 $900.00

HEAD FEMORAL P20600 $2,528.00

HEAD FEMORAL SKIRTED TAPER 36MM +15MM $3,644.00

HEAD FEMORAL SROM M 36MM +6 $900.00

HEAD FEMORAL T20600 $2,528.00

HEAD FEMORAL TAPER 5.0MM NECK $4,875.00

HEAD FEMORAL TAPER LG M 36MM+0 14/16 $2,602.00

HEAD FEMORAL TAPER LG M 36MM+5 14/16 $2,602.00

HEAD FEMORAL TOTAL 32MM +5 14/16 LG TAPE $1,498.00

HEAD FEMORAL VITALLIUM +0 32MM 6280-0-132 $1,855.00

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HEAD FEMORAL VITALLIUM +2 22MM $1,855.00

HEAD FEMORAL VITALLIUM +5 36MM $3,644.00

HEAD FOR REAMER/IRRIGAT 12MM REAMER $684.00

HEAD FOR REAMER/IRRIGAT 13MM REAMER $684.00

HEAD FREEDOM CONST -6MM 36MM $3,558.00

HEAD GLENOSPHERE 36MM +4 LATERAL $3,938.00

HEAD GLENOSPHERE 39MM +4 LATERAL $3,938.00

HEAD GLENOSPHERE 42MM +4MM LATERAL $5,250.00

HEAD GLENOSPHERE UNIV SZ 36 $5,250.00

HEAD GLOBAL C.A.P. CTA DUOFIX 48X21MM $6,250.00

HEAD GLOBAL C.A.P. CTA DUOFIX 56X18MM $6,250.00

HEAD HUMERAL 42X17MM $2,250.00

HEAD HUMERAL 44X17MM $2,250.00

HEAD HUMERAL 46X18MM $2,250.00

HEAD HUMERAL 48X19MM $2,250.00

HEAD HUMERAL 48X21MM $2,250.00

HEAD HUMERAL 50X16MM 4 HIGH $2,500.00

HEAD HUMERAL 50X19MM $2,250.00

HEAD HUMERAL 50X19MM $2,500.00

HEAD HUMERAL 50X21MM $2,250.00

HEAD HUMERAL 52X20MM $2,250.00

HEAD HUMERAL 54X21MM $2,250.00

HEAD HUMERAL 54X23MM $2,250.00

HEAD HUMERAL ADVANTAGE 40X18MM 1128-40-010 $2,000.00

HEAD HUMERAL ADVANTAGE 52X18MM 1128-52-010 $2,000.00

HEAD HUMERAL AEQUALIS 52X23MM HIGH $2,500.00

HEAD HUMERAL ECCENTRIC 48MM 15MMH SHOULDER IMPABLE L $2,000.00

HEAD HUMERAL ECCENTRIC 52MM 15MMH SHOULDER IMPABLE L $2,000.00

HEAD HUMERAL FRACTURE 46X17MM $3,125.00

HEAD HUMERAL GLOBAL ADVANTAGE 40X15 112840000 $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 40X21 $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 44X15MM 1128-44-000 $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 44X18MM 1128-44-010 $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 48X15MM 1128-48-000 $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 48X18MM 1128-48-010 $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 48X21 112848020 $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 52X15 $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 52X21MM 1128-52-020 $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 56X15 $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 56X18MM $2,000.00

HEAD HUMERAL GLOBAL ADVANTAGE 56X21MM $2,000.00

HEAD HUMERAL GLOBAL AP 40X15 $3,458.00

HEAD HUMERAL GLOBAL AP 40X15 ECC $3,458.00

HEAD HUMERAL GLOBAL AP 40X18 $3,458.00

HEAD HUMERAL GLOBAL AP 40X18 ECC $3,458.00

HEAD HUMERAL GLOBAL AP 44X15 $3,458.00

HEAD HUMERAL GLOBAL AP 44X15 ECC $3,458.00

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HEAD HUMERAL GLOBAL AP 44X18 $3,458.00

HEAD HUMERAL GLOBAL AP 44X21 $3,458.00

HEAD HUMERAL GLOBAL AP 44X21 ECC $3,458.00

HEAD HUMERAL GLOBAL AP 48X15 $3,458.00

HEAD HUMERAL GLOBAL AP 48X15 ECC $3,458.00

HEAD HUMERAL GLOBAL AP 48X18 $3,458.00

HEAD HUMERAL GLOBAL AP 48X18 ECC $3,458.00

HEAD HUMERAL GLOBAL AP 48X21 $3,458.00

HEAD HUMERAL GLOBAL AP 48X21 ECC $3,458.00

HEAD HUMERAL GLOBAL AP 52X15 $3,458.00

HEAD HUMERAL GLOBAL AP 52X15 ECC $3,458.00

HEAD HUMERAL GLOBAL AP 52X18 $3,458.00

HEAD HUMERAL GLOBAL AP 52X18 ECC $3,458.00

HEAD HUMERAL GLOBAL AP 52X21 $3,458.00

HEAD HUMERAL GLOBAL AP 52X21 ECC $3,458.00

HEAD HUMERAL GLOBAL AP 56X18 $3,458.00

HEAD HUMERAL GLOBAL AP 56X18 ECC $3,458.00

HEAD HUMERAL GLOBAL AP 56X21 $3,458.00

HEAD HUMERAL GLOBAL AP 56X21 ECC $3,458.00

HEAD HUMERAL GLOBAL UNITE 48X21 ECC $2,000.00

HEAD HUMERAL GLOBAL UNITE 56X18 ECC $2,000.00

HEAD HUMERAL GLOBAL UNITE 56X21 ECC $2,000.00

HEAD HUMERAL HIGH OFFSET 39X14MM $2,500.00

HEAD HUMERAL HIGH OFFSET 41X15MM $2,500.00

HEAD HUMERAL HIGH OFFSET 42X16MM $2,500.00

HEAD HUMERAL HIGH OFFSET 43X16MM $2,500.00

HEAD HUMERAL HIGH OFFSET 45X15MM $2,500.00

HEAD HUMERAL HIGH OFFSET 45X17MM $2,500.00

HEAD HUMERAL HIGH OFFSET 46X17MM $2,500.00

HEAD HUMERAL HIGH OFFSET 48X16MM $2,500.00

HEAD HUMERAL HIGH OFFSET 48X18MM $2,500.00

HEAD HUMERAL HIGH OFFSET 49X16MM $2,500.00

HEAD HUMERAL HIGH OFFSET 50X19MM $2,500.00

HEAD HUMERAL HIGH OFFSET 51X17MM $2,500.00

HEAD HUMERAL HIGH OFFSET 52X19MM $2,500.00

HEAD HUMERAL HIGH OFFSET 54X18MM $2,500.00

HEAD HUMERAL HIGH OFFSET 54X21MM $2,500.00

HEAD HUMERAL L FRESH $17,264.00

HEAD HUMERAL LOW OFFSET 42X14MM $2,500.00

HEAD HUMERAL LOW OFFSET 43X16MM $2,500.00

HEAD HUMERAL LOW OFFSET 45X15MM $2,500.00

HEAD HUMERAL LOW OFFSET 46X17MM $2,500.00

HEAD HUMERAL LOW OFFSET 48X16 $2,500.00

HEAD HUMERAL LOW OFFSET 48X18MM $2,500.00

HEAD HUMERAL LOW OFFSET 50X16MM $2,500.00

HEAD HUMERAL LOW OFFSET 50X19MM $2,500.00

HEAD HUMERAL LOW OFFSET 54X18MM $2,500.00

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HEAD HUMERAL LOW OFFSET STB 48X20MM $2,500.00

HEAD HUMERAL LOW OFFSET STB 51X17MM $2,500.00

HEAD HUMERAL LOW OFFSET STB 51X23MM $2,500.00

HEAD HUMERAL MODULAR 40MM $6,250.00

HEAD HUMERAL OFFSET 53X18MM $2,500.00

HEAD HUMERAL STANDARD 56MM 18MMH SHOULDER EXTENDED MODUL $2,000.00

HEAD HUMERAL STB LOW OFFSET 54X21MM $2,500.00

HEAD IMPLANT 10X22MM $3,083.00

HEAD MODULAR 32MM STD $2,000.00

HEAD MODULAR HUMERAL 45MM $6,250.00

HEAD OX MODULAR 40MM $2,500.00

HEAD OX MODULAR 44MM $2,500.00

HEAD RADIAL EXTENSION 2MM 14.5MMX22MM ST $4,846.00

HEAD RADIAL EXTENSION 2MM 15X24MM STRL $4,846.00

HEAD RADIAL EXTENSION 2MM 16X28MM $4,846.00

HEAD RADIAL EXTENSION 4MM 16.5X22MM STRL $4,846.00

HEAD RADIAL STD 12.5X22MM $4,846.00

HEAD RADIAL STD 12X20MM 09.402.020S $4,846.00

HEAD RADIAL STD 13X24MM $4,846.00

HEAD RESURFACING FEMORAL 46MM $9,233.00

HEAD SHOULDER OFFSET HUMERAL 45X21MM $3,285.00

HEAD TAPER LG M 36MM+3 14/16 $2,602.00

HEAD TAPER LG M 36MM+8 14/16 $2,602.00

HEAD VERSA-DIAL 38X18X40MM HUMERAL $1,590.00

HEAD VERSA-DIAL 38X21X38MM HUMERAL $1,590.00

HEAD VERSA-DIAL 42X18X46MM HUMERAL $1,590.00

HEAD VERSA-DIAL 42X21X43MM HUMERAL $1,590.00

HEAD VERSA-DIAL 42X24X42MM HUMERAL $1,590.00

HEAD VERSA-DIAL 46X18X50MM HUMERAL $1,590.00

HEAD VERSA-DIAL 46X21X47MM HUMERAL $1,590.00

HEAD VERSA-DIAL 46X24X46MM HUMERAL $1,590.00

HEAD VERSA-DIAL 50X21X57MM HUMERAL $1,590.00

HEAD VERSA-DIAL 50X24X52MM HUMERAL $1,590.00

HEAD VERSA-DIAL 50X27X50MM HUMERAL $1,590.00

HEAD VERSA-DIAL/COMP TI STD TAPER $438.00

HEADLESS COMP SCW 6.5X55MM CANNSHT THD $1,438.00

HEADLESS COMP SCW 6.5X65MM CANNSHT THD $1,438.00

HEADLESS COMP SCW 6.5X75MM CANNSHT THD $1,438.00

HEADLESS COMP SCW 6.5X80MM CANNSHT THD $1,438.00

HEADLESS COMP SCW 6.5X85MM CANNSHT THD $1,438.00

HEADLESS COMP SCW 6.5X90MM CANNSHT THD $1,438.00

HEADLESS COMPRESSION SCR 4.0MM - L30MM $870.00

HEADLESS COMPRESSION SCR 4.0MM - L32MM $870.00

HEADLESS COMPRESSION SCR 4.0MM - L36MM $870.00

HEADLESS COMPRESSION SCR 4.0MM - L38MM $870.00

HEADLESS COMPRESSION SCR 4.0MM - L40MM $871.00

HEADLESS COMPRESSION SCR 5.0MM - L26MM $911.00

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HEADLESS COMPRESSION SCR 5.0MM - L36MM $911.00

HEADLESS COMPRESSION SCR 5.0MM - L48MM $911.00

HEADLESS COMPRESSION SCR 5.0MM - L85MM $911.00

HEADLESS COMPRESSION SCR 7.0MM - L110MM SHORT THREAD $1,470.00

HEADLESS COMPRESSION SCR 7.0MM - L90MM SHORT THREAD $1,470.00

HEARING SCREEN SP $91.00

HEATED HUMIDIFIER/DAY $331.00

HEDLESS COMPR SCR 4.3X44 MM CANN $938.00

HEDLESS COMPR SCR 4.3X60 MM CANN $938.00

HEDLESS COMPR SCR4.3X 34 MMCANN $938.00

HEDLESS COMPR SCR4.3X 38 MMCANN $938.00

HEDLESS COMPR SCR4.3X 50 MMCANN $938.00

HEDLESS COMPR SCR4.3X 55 MMCANN $938.00

HELIOX PER HOUR $42.00

HEMATOCRIT $28.00

HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION $29,317.00

HEMOCYTOMETER MTL NEUB DBL RL 3110 $478.00

HEMODIALYSIS $2,460.00

HEMOGLOBIN $34.00

HEMOGLOBIN ELP $100.00

HEMOGLOBIN SCREEN, NEONATE $101.00

HEMOGRAM 1 (WITH DIFFERENTIAL) $130.00

HEMOGRAM 2 $75.00

HEMOQUANT, SO $407.00

HEMORRHAGE OCCLUDER PIN 7MM CR1007 $2,038.00

HEMORRHOID LIGATION MULTIPLE $5,562.00

HEMOSIDERIN UR $49.00

HEMOSTASIS BONE OSTENE 2.5G SYNTHETIC $2,720.00

HEMOSTAT ABSORBABLE AGENT ARISTA 3GM POWDER SM0002-USA $2,750.00

HEMOSTAT ABSORBABLE ARISTA 5GM SM0007-USA $3,688.00

HEMOSTAT ABSORBABLE ARISTA 5GM SM0007-USA $3,688.00

HEP B SURFACE ANITGEN SCREEN $66.00

HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE $136.00

HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV $50.00

HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV $50.00

HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION $50.00

HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION $50.00

HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV $69.00

HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN $50.00

HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN $50.00

HEPARIN ANTI-XA ASSAY $102.00

HEPARIN INDUCED THROMBOCYTOPENIA, ELISA $516.00

HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML INTRAVENOUS SOLUTION $50.00

HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION $50.00

HEPARIN NEUTRALIZATION $153.00

HEPARIN, PORCINE (PF) 100 UNIT/ML (1 ML) INTRAVENOUS SOLUTION $50.00

HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE $50.00

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HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJECTION SYRINGE,HEPARIN, PORCINE (PF) 5,000 UNITS/0.5 ML INJECTION $50.00

HEPARIN-PF4 ABY $394.00

HEPATIC PROFILE $150.00

HEPATIC VENOGRAPHY, WEDGED OR FREE, WO HEMODYNAMIC EVAL; RS&I $7,650.00

HEPATITIS A ABY $74.00

HEPATITIS A IGM ABY $69.00

HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE $37.00

HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SUSPENSION $124.00

HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SUSPENSION $58.00

HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE $58.00

HEPATITIS ACUTE EVALUATION $661.00

HEPATITIS B CORE ABY $70.00

HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE $384.00

HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) INTRAMUSCULAR SOLUTION $348.00

HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSCULAR SOLN $1,916.00

HEPATITIS B SURFACE ABY $71.00

HEPATITIS B SURFACE AGN $66.00

HEPATITIS B SURFACE ANTIGEN, CONFIRMATORY $90.00

HEPATITIS B VIRUS VACC REC (PF) 10 MCG/ML IM SUSP,HEPATITIS B VIRUS VACC REC (PF) 10 MCG/ML IM SYRG,HEPATITIS B VIRUS VACC REC (PF) 20 MCG/ML IM SUSP,HEPATITIS B VIRUS VACC REC (PF) 20 MCG/ML IM SYRG$60.00

HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE $40.00

HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE $23.00

HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP $40.00

HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP $109.00

HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP $58.00

HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE $58.00

HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP $165.00

HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP $42.00

HEPATITIS C ABY $84.00

HEPATITIS C ANTIBODY SCREEN $84.00

HEPATITIS C GENOTYPE, SO $1,342.00

HEPATITIS DELTA ABY $111.00

HEPATO IMAGING $1,093.00

HEPATO IMAGING W/PHARM/COMP $1,114.00

HERPES ANTIBODY $101.00

HERPES SIMPLEX PCR, SO $225.00

HERPES SIMPLEX TYPE 1 ABY $101.00

HERPES SIMPLEX TYPE 1 ABY, SO $101.00

HERPES SIMPLEX TYPE 2 ABY $126.00

HERPES SIMPLEX TYPE 2 ABY, SO $126.00

HERPES SIMPLEX VIRUSE, PCR, SPINAL FLUID $176.00

HERPESVIRUS 6 ABY/EACH, SO $299.00

HERPEX SIMPLEX IGM ABY, SO $111.00

HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION $74.00

HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION $4,230.00

HFE GENE $239.00

HFO PRE-FAB $402.00

HFO STATIC CUSTOM $1,217.00

Page 122: DESCRIPTION Price - Fairview

HGB A2 AND F $150.00

HGB ELP NEONATE, SO $101.00

HINGE FIXATOR ELBOW $3,300.00

HINGE INSERT LPS UNIVERSAL TIBIA 16MM $7,982.00

HINGE TIBIAL INSERT UNIVERSAL XSM 14MM $7,982.00

HIP ARTHROGRAM $1,309.00

HIP FULL POROCOAT LG STATURE 13.5MM 1554-02-135 $4,250.00

HIP FULL POROCOAT LG STATURE 15.0MM $4,250.00

HIP FULL POROCOAT SM STATURE 15MM $4,250.00

HIP HEAD CEMENTED SPACER MOLDING 48MM $2,700.00

HIP SUMMIT POROCOAT TAPER SZ 1 HO 157011070 $4,250.00

HIP SUMMIT POROCOAT TAPER SZ8 STD OFFSET 1570-01-150 $4,250.00

HIP SUMMIT POROCOAT TAPER SZ9 HI OFFSET 1570-11-165 $4,250.00

HIP SUMMIT POROCOAT TAPER SZ9 STD OFFSET 1570-01-165 $5,480.00

HIP TAPERLOC 133 FP 1 MP PPS HO 12X109 $4,500.00

HIS LEAD PLACEMENT $23,839.00

HISTOCHEMICAL STAINS ADD-ON $32.00

HISTOPLASMA ABY $85.00

HISTOPLASMA ANTIGEN $510.00

HISTOPLASMA ANTIGEN CASCADE, URINE $510.00

HISTOPLASMA ANTIGEN, SERUM $510.00

HIV ABY TYPE 2 $190.00

HIV AG/AB DIAG CASCADE $122.00

HIV SCREENING BY EIA $122.00

HIV-1 PCR QUANT $510.00

HIV-1/-2 AB DIFFERENTIATION, SO $190.00

HIV-1/-2 AB DIFFERENTIATION, SO $190.00

HLA-B27 $392.00

HO STATIC CUSTOM $857.00

HOLDER IMP TEMP PLATE TACK PL-PTACK $140.00

HOLE COVER SNN ACETAB REFLEC INTERFIT THRD 71330001 $25.00

HOLE COVER SNN ACETAB REFLEC INTERFIT THRD SCR 71332500 $25.00

HOLTER BELT CLIP REPLACEMENT $19.00

HOLTER MONITORING/ HOOK - UP $500.00

HOLTER SCANNING ANALYSIS $605.00

HOMATROPINE 5 % EYE DROPS $86.00

HOME SLEEP TEST - TYPE III $788.00

HOME SLEEP TEST REPLACEMENT $3,500.00

HOMOCYSTEINE $126.00

HOMOGENIZATION TISSUE FOR CULT $69.00

HOOD FLYTE SURGICOOL $1,664.00

HOOD FLYTE SURGICOOL WITH PEEL AWAY $2,796.00

HOOK 2MM SKN RETRCT DBL JSPH 410-151 $58.00

HOOK BONE REDUCTION 07-10175 $420.00

HOOK LAMINAR 4.5MM $3,517.00

HOOK LAMINAR 6MM $3,197.00

HOOK PLATE 7 HOLE / 16MM / RIGHT $3,012.00

Page 123: DESCRIPTION Price - Fairview

HOOK XIA II TRANSVERSE RIGHT 03820230 $1,500.00

HOSPITAL OUTPT CLINIC VISIT W/ PROCEDURE $307.00

HPV DETECTION $213.00

HPV GENOTYPING $213.00

HPV SCREEN $213.00

HTLV I/II ABY CONFIRM, SO $278.00

HTLV-I/II ABY $91.00

HTO ANCHOR IBALANCE CANC 30MM $625.00

HUM PROTHROMBIN CPLX (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION $5,982.00

HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1,240 UNIT) IV SOLUTION $11,964.00

HUM STM 9MM X 146MM USP II STM 9 AR-9100-09P $4,750.00

HUMAN GRANULOCYTIC EHR. ABY $352.00

HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION $409.00

HUMERAL HEAD ADAPTER 36 UNIVERS REVERS $5,375.00

HUMERAL STEM COCR CEM 6X115MM $6,832.00

HUMERAL STEM COCR CEM 8X120MM $6,832.00

HUMERAL STEM SZ 4 100MM $13,750.00

HUMERAL STEM SZ5 150MM LG $13,750.00

HVA URINE $151.00

HYALOMATRIX PER 1 SQ CM (10 X 10) $78.00

HYALOMATRIX PER 1 SQ CM (10 X 20) $78.00

HYALOMATRIX PER 1 SQ CM (2.5 X 2.5) $78.00

HYALOMATRIX PER 1 SQ CM (5 X 5) $78.00

HYALURONATE SODIUM, STABILIZED 88 MG/4 ML INTRA-ARTICULAR SYRINGE $2,704.00

HYALURONIDASE (OVINE) 200 UNIT/ML INJECTION SOLUTION $54.00

HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION $50.00

HYDRALAZINE 10 MG TABLET $5.00

HYDRALAZINE 20 MG/ML INJECTION SOLUTION $50.00

HYDRALAZINE 25 MG TABLET $5.00

HYDRALAZINE 50 MG TABLET $5.00

HYDRATION EACH ADD HR $223.00

HYDRATION INITIAL UP TO 1 HR $370.00

HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE $5.00

HYDROCHLOROTHIAZIDE 25 MG TABLET $5.00

HYDROCHLOROTHIAZIDE 50 MG TABLET $5.00

HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET $12.00

HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR $12.00

HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET $12.00

HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET $12.00

HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION $12.00

HYDROCODONE 7.5 MG-IBUPROFEN 200 MG TABLET $12.00

HYDROCODONE-ACETAMINOPHEN (NORCO) 2.5-162.5 MG HALF-TAB $12.00

HYDROCODONE-ACETAMINOPHEN (NORCO) 5-162.5 MG HALF-TAB $12.00

HYDROCORTISONE (BULK) POWDER $183.00

HYDROCORTISONE 1 % LOTION $1.00

HYDROCORTISONE 1 % TOPICAL CREAM PACKET $1.00

HYDROCORTISONE 1 % TOPICAL CREAM WITH PERINEAL APPLICATOR $1.00

Page 124: DESCRIPTION Price - Fairview

HYDROCORTISONE 1 % TOPICAL CREAM,HYDROCORTISONE 1% TOPICAL CREAM WITH ALOE $1.00

HYDROCORTISONE 1 % TOPICAL OINTMENT $1.00

HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM $740.00

HYDROCORTISONE 10 MG TABLET $5.00

HYDROCORTISONE 100 MG/60 ML ENEMA $28.00

HYDROCORTISONE 2.5 % LOTION $146.00

HYDROCORTISONE 2.5 % TOPICAL CREAM $14.00

HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR $659.00

HYDROCORTISONE 2.5 % TOPICAL OINTMENT $16.00

HYDROCORTISONE 20 MG TABLET $5.00

HYDROCORTISONE 5 MG TABLET $5.00

HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY $29.00

HYDROCORTISONE BUTYRATE 0.1 % TOPICAL CREAM $248.00

HYDROCORTISONE BUTYRATE 0.1 % TOPICAL SOLUTION $945.00

HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION $50.00

HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION $50.00

HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION $50.00

HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS $670.00

HYDROCORTISONE-ALOE VERA 1 % TOPICAL CREAM $1.00

HYDROCORTISONE-PRAMOXINE 1 %-1 % RECTAL CREAM $600.00

HYDROCORTISONE-PRAMOXINE 2.5 %-1 % RECTAL CREAM $648.00

HYDROGEN PEROXIDE 1.5 % RINSE $20.00

HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE $50.00

HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION $50.00

HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE $50.00

HYDROMORPHONE 1 MG/ML INJECTION SOLUTION $50.00

HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,HYDRMORPHONE 1 MG/ML PF SYRINGE $50.00

HYDROMORPHONE 1 MG/ML ORAL LIQUID $12.00

HYDROMORPHONE 10 MG/ML ORAL LIQUID $59.00

HYDROMORPHONE 2 MG TABLET $12.00

HYDROMORPHONE 2 MG/ML INJECTION SOLUTION $50.00

HYDROMORPHONE 2 MG/ML INJECTION SYRINGE $50.00

HYDROMORPHONE 30 MG/30 ML IN 0.9 % SOD. CHLORIDE PCA INTRAVENOUS SOLN $124.00

HYDROMORPHONE 4 MG TABLET $12.00

HYDROPHILIC WIRE .025 260 CM $91.00

HYDROQUINONE 2 % WITH SUNSCREEN SPF 10 TOPICAL CREAM $26.00

HYDROSET XT 15CC $9,967.00

HYDROSET XT 3CC $2,276.00

HYDROXYCHLOROQUINE 200 MG TABLET $5.00

HYDROXYPROGESTERONE (PF)(PREGNANCY PRESERVING) 250 MG/ML (1 ML) IM OIL $1,447.00

HYDROXYPROGESTERONE CAPROATE 250 MG/ML INTRAMUSCULAR OIL $3,490.00

HYDROXYUREA 500 MG CAPSULE $12.00

HYDROXYZINE HCL 10 MG TABLET $5.00

HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION $79.00

HYDROXYZINE HCL 25 MG TABLET $5.00

HYDROXYZINE HCL 25 MG/ML INTRAMUSCULAR SOLUTION $35.00

HYDROXYZINE HCL 50 MG TABLET $5.00

Page 125: DESCRIPTION Price - Fairview

HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION $39.00

HYDROXYZINE PAMOATE 25 MG CAPSULE $5.00

HYDROXYZINE PAMOATE 50 MG CAPSULE $5.00

HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGE $1,909.00

HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE $781.00

HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET $5.00

HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR $6.00

HYOSCYAMINE SULFATE 0.125 MG TABLET $5.00

HYPERSENSITIVY PNEUMONITIS ABY $16.00

HYPROMELLOSE 2.5 % EYE DROPS $32.00

HYSTEROSALPINGOGRAPHY $1,138.00

I 131 WHOLE BODY SCAN $1,516.00

I&A EXT EAR ABSCESS/HEMATOMA $766.00

I&D ABSC/CYS FOM; SUBMANDIB $5,384.00

I&D ABSC; COMPL OR MULTI $727.00

I&D ABSC; SMPL OR SGL $489.00

I&D ABSCESS COMPLICATED $727.00

I&D ABSCESS SIMPLE/SINGLE $489.00

I&D ABSCESS; PERITONSILLAR $908.00

I&D HEMATOMA SIMPLE $3,300.00

I&D PILONDIAL CYST $2,589.00

I&D PILONIDAL ABSCESS $831.00

I&D WOUND INFECTION COMPLEX $6,175.00

I&D; PERIANAL ABSCESS $1,476.00

I-123 (PER 100UCI) $159.00

I-123 (PER MCI) $876.00

IA FOR INFECT AGN ABY QT $29.00

IA QT;NOT ELSEWHERE SPEC., SO $211.00

IABP CATHETER 7FR $3,375.00

IBAL PATLOFEM IMPLSZ 2RT $11,900.00

IBAL TKA FEM IMP CRCEMENTED SZ 4LFT $2,523.00

IBAL TKA FEM IMP CRCEMENTED SZ 5LFT $2,523.00

IBAL TKA FEM IMP CRCEMENTED SZ 5RT $3,953.00

IBAL TKA FEM IMP CRCEMENTED SZ 6LFT $3,953.00

IBAL TKA FEM IMP CRCEMENTED SZ 6RT $2,523.00

IBAL TKA FEM IMP CRCEMENTED SZ 7LFT $2,523.00

IBAL TKA FEM IMP CRCEMENTED SZ 8LFT $2,523.00

IBAL TKA FEM IMP PSCEMENTED SZ 9 LFT $2,523.00

IBAL TKA FEM IMP PSCEMENTED SZ 9 RT $2,523.00

IBAL TKA TIB STEMCM10MM DX 50MM L $2,875.00

IBAL TKA TIB STEMCM12MM DX 100MM L $2,875.00

IBAL TKA TIB STEMCM12MM DX 50MM L $2,875.00

IBAL TKABEARING IMPCRSZ 211MM $1,388.00

IBALANCE TKA BEARING IMP CR SZ 6 8MM $1,388.00

IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE $2,292.00

IBUPROFEN 100 MG CHEWABLE TABLET $1.00

IBUPROFEN 100 MG TABLET $5.00

Page 126: DESCRIPTION Price - Fairview

IBUPROFEN 100 MG/5 ML ORAL SUSPENSION $1.00

IBUPROFEN 200 MG TABLET $1.00

IBUPROFEN 400 MG TABLET $5.00

IBUPROFEN 50 MG/1.25 ML ORAL DROPS,SUSPENSION $7.00

IBUPROFEN 600 MG TABLET $5.00

IBUPROFEN 800 MG TABLET $5.00

IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION $3,212.00

IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION $1,966.00

ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE $42,598.00

ICD DYNAGEN EL DR DF4/LS1 $39,750.00

ICD DYNAGEN EL VR RV/DF4 $36,375.00

ICD FORTIFY ASSURA NEXT GEN VR 40 DF1 $32,500.00

ICD FORTIFY ASSURA VR 40 DF4 $32,500.00

ICD INSERT W EXIST SINGLE LEAD $57,754.00

ICD INSERT W/ EXIST MULT LEADS $82,270.00

ICD OR PACER INSERT 1 LEAD $18,044.00

ICD OR PACER REPAIR 1 LEAD $10,173.00

ICD OR PACER REPAIR 2 LEAD $10,550.00

ICD-GEN REMOVAL $7,057.00

ICD-INSERT OR REPLC GEN & LEAD $75,792.00

ICD-LEAD EXTRACTION SING/DUAL $7,057.00

ICD-POCKET REVISION $4,129.00

IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION $263.00

IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION $16,126.00

IFA AUTOANTIBODY EACH (PAVAL) $43.00

IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION $160.00

IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION $182.00

IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION $467.00

IFOSFAMIDE 3 GRAM/60 ML INTRAVENOUS SOLUTION $532.00

IGE $107.00

IGE ALLERGEN ARUP, SO $32.00

IGE ALLERGEN FAIRVIEW, SO $98.00

IGG SO MSP2 $71.00

IGG SUBCLASSES EACH $85.00

IHC/ABY SEMIQT MANUAL $528.00

IHC/ABY SEMIQT COMPUTER-ASST $570.00

ILEOSCOPY THROUGH STOMA W BIOPSY $3,486.00

ILEOSCOPY THROUGH STOMA, DIAGNOSTIC $2,274.00

ILEOSCOPY, THROUGH STOMA; WITH TRANSENDOSCOPIC BALLOON DILATION $3,055.00

ILOPERIDONE 2 MG TABLET $49.00

ILOPERIDONE 4 MG TABLET $24.00

ILOPERIDONE 6 MG TABLET $17.00

IM IMMUNIZATION EA ADDL $25.00

IM IMMUNIZATION EA ADDL $25.00

IM INJECTION: IMMUNIZATION $25.00

IM/SUBQ INJECTION $184.00

IMADM ANY ROUTE 1ST VAC/TOX $85.00

Page 127: DESCRIPTION Price - Fairview

IMAGE CATH FLUID TRNS/VGNL $3,300.00

IMATINIB 100 MG TABLET $1,628.00

IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION $50.00

IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION $142.00

IMIPRAMINE 10 MG TABLET $5.00

IMIPRAMINE 12.5 MG TABLET $5.00

IMIPRAMINE 25 MG TABLET $5.00

IMIPRAMINE 50 MG TABLET $5.00

IMIPRAMINE PAMOATE 75 MG CAPSULE $58.00

IMIPRAMINE, SO $101.00

IMIQUIMOD 5 % TOPICAL CREAM PACKET $31.00

IMMOBILIZER KNEE $272.00

IMMOBILIZER SHOULDER $203.00

IMMOBILIZER SUPER SLING LG B&C 08148294 $81.00

IMMOBILIZER SUPER SLING MED B&C 08148293 $81.00

IMMUNE ADMIN ORAL/NASAL $25.00

IMMUNE ADMIN ORAL/NASAL ADDL $29.00

IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN $5,750.00

IMMUNE GLOB G 2.5 GRAM/25 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN $1,437.00

IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN $11,500.00

IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN $22,999.00

IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION $3,510.00

IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION $3,427.00

IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION $7,075.00

IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION $158.00

IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN $575.00

IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN $2,875.00

IMMUNO ABY NONCRPL $359.00

IMMUNO ABY ST TC-NONCRPL $359.00

IMMUNO ADD'L CRPL $359.00

IMMUNO ADD'L NONCRPL $359.00

IMMUNOASSAY NONANTIBODY $53.00

IMMUNOASSAY, TUMOR AGN 15-3 (27.29), SO $140.00

IMMUNOFIXATION $260.00

IMMUNOFIXATION OTHER FLUIDS $229.00

IMMUNOFIXATION, SO $260.00

IMMUNOGLOBULIN EACH $71.00

IMMUNOHISTO/CYTOCHEM EACH ADDL ABY STAIN PER SPECIMEN $217.00

IMMUNOPEROXIDASE 1ST ABY $217.00

IMMUNOPEROXIDASE/ANTIBODY $217.00

IMP ADAPTER FEM STRK TRIATHLN 4MM OFFSET 5570-S-040 $2,826.00

IMP ADAPTER STRK TRIATHLN 2MM OFFSET 5570-S-020 $2,826.00

IMP ANCHOR ARTHREX 3.0X14.5MM BIOCOMPOSITE SU TAK AR-1934BCT $4,250.00

IMP ANCHOR ARTHREX 4.5MM BIOCOMP CKSCR W/FB AR-1927BCF-45 $4,063.00

IMP ANCHOR ARTHREX 5.5MM BIOCOMP CRKSCR W/4 NDL AR-1927BCNF $4,188.00

IMP ANCHOR ARTHREX 5.5MM BIOCOMPOSITE CORKSCREW AR-1927BCF $4,063.00

IMP ANCHOR ARTHREX ABS TIGHT ROPE 14MM BUTTON AR-1588TB-1 $535.00

Page 128: DESCRIPTION Price - Fairview

IMP ANCHOR ARTHREX ABS TIGHT ROPE 8X12MM BUTTON AR-1588TB-5 $560.00

IMP ANCHOR ARTHREX ABS TIGHT ROPE IMP & BUTTON AR-1588TN $460.00

IMP ANCHOR ARTHREX ABS TIGHTROPE 8X12MM BUTTON AR-1588TB $358.00

IMP ANCHOR ARTHREX ABS TIGHTROPE OPEN AR-1588TN-1 $485.00

IMP ANCHOR ARTHREX ACHILLIES SPEEDBRDG BIOCOMP AR-8928BC-CP $4,350.00

IMP ANCHOR ARTHREX ACL GRAFT FIXATION SYSTEM AR-1588BTB $1,063.00

IMP ANCHOR ARTHREX ACL TIGHT ROPE REPAIR AR-1588RT $875.00

IMP ANCHOR ARTHREX BC SWVLK TENODESIS 6.25X19.1MM AR-1662BC $5,125.00

IMP ANCHOR ARTHREX BC SWVLK TENODESIS 7X19.5MM AR-1662BC-7 $5,438.00

IMP ANCHOR ARTHREX BIOCOMP PUSHLOCK 2.9X12.5MM AR-2923BC $1,000.00

IMP ANCHOR ARTHREX BIOCOMP PUSHLOCK 3.5X19.5MM AR-1926BC $1,000.00

IMP ANCHOR ARTHREX BIOCOMP PUSHLOCK DX 2.9MM AR-8923BC $1,000.00

IMP ANCHOR ARTHREX BIOCOMP SUTURETAK 3X12.7MM AR-1938BC $1,063.00

IMP ANCHOR ARTHREX BIO-SWIVELOCK 3.5X15.8MM AR-2325BCC $1,000.00

IMP ANCHOR ARTHREX BIO-SWIVELOCK 4.75MM AR-2324BCM $5,250.00

IMP ANCHOR ARTHREX BIO-SWIVELOCK 4.75X19.1MM AR-2324BCC $5,000.00

IMP ANCHOR ARTHREX BIO-SWIVELOCK 5.5MM AR-2323BCC $5,000.00

IMP ANCHOR ARTHREX BIO-SWIVELOCK 7.0X19.1MM AR-1662BCC-7 $5,438.00

IMP ANCHOR ARTHREX BIO-SWIVLK W/F TAPE 4.75MM AR-2600SBS-4 $4,350.00

IMP ANCHOR ARTHREX BTB TIGHTROPE W/SU AR-1588BTB-J $1,113.00

IMP ANCHOR ARTHREX CORKSCREW 3.5X10MM AR-1915FT $3,563.00

IMP ANCHOR ARTHREX CORKSCREW 4.5X15MM AR-1928SF-45 $575.00

IMP ANCHOR ARTHREX CORKSCREW MICRO 2.2X4MM AR-1318FT $3,563.00

IMP ANCHOR ARTHREX CORKSCREW MICRO FT 4-0 FW AR-1318FT-40 $3,563.00

IMP ANCHOR ARTHREX CPR MINI SCORPION DX SU LASSO AR-8690DS $2,738.00

IMP ANCHOR ARTHREX FASTACK SPEAR AR-1949 $925.00

IMP ANCHOR ARTHREX FORKED EYELET SWIVELK 3.5X8.5MM AR-8978P $1,063.00

IMP ANCHOR ARTHREX HTO IBALANCE CANCELLOUS 20MM AR-13401-20 $625.00

IMP ANCHOR ARTHREX HTO IBALANCE CANCELLOUS 22MM AR-13401-22 $625.00

IMP ANCHOR ARTHREX HTO IBALANCE CANCELLOUS 26MM AR-13401-26 $625.00

IMP ANCHOR ARTHREX HTO IBALANCE CANCELLOUS 30MM AR-13401-30 $625.00

IMP ANCHOR ARTHREX HTO IBALANCE CANCELLOUS 32MM AR-13401-32 $625.00

IMP ANCHOR ARTHREX HTO IBALANCE CORTICAL 36MM AR-13402-36 $625.00

IMP ANCHOR ARTHREX HTO IBALANCE CORTICAL 38MM AR-13402-38 $625.00

IMP ANCHOR ARTHREX HTO IBALANCE CORTICAL 44MM AR-13402-44 $625.00

IMP ANCHOR ARTHREX HTO IBALANCE CORTICAL 48MM AR-13402-48 $625.00

IMP ANCHOR ARTHREX MENISCAL CINCH 2 AR-4501 $988.00

IMP ANCHOR ARTHREX SMALL BONE 2.4X7.5MM AR-1322-752SF $2,313.00

IMP ANCHOR BIOCOMP SUTURETAK MINI 2.4X8.5MM AR-1322BCNF $4,063.00

IMP ANCHOR FOOTPRINT S&N ULTRA PK 5.5MM 72202902 $813.00

IMP ANCHOR SUTURE HEALICOIL PK 4.5MM 72203378 $800.00

IMP ANCHOR SUTURE Q-FIX 2.8MM 25-2800 $938.00

IMP APEX HOLE ELIMINATOR HIP DEPUY DURALOC 1246-03-000 $63.00

IMP ART SURFACE UNI ZIM NEXGEN HIFLEX 8MM 00-5842-024-08 $1,258.00

IMP ART SURFACE UNI ZIM NEXGEN HIFLEX SZ4 9MM 00-5842-024-0 $1,258.00

IMP ART SURFACE ZIM PSN PS 10MM LT SZ 3-5CD 42-5114-004-10 $1,413.00

IMP ART SURFACE ZIM PSN PS 11MM LT SZ 6-9CD 42-5114-005-11 $1,413.00

Page 129: DESCRIPTION Price - Fairview

IMP ART SURFACE ZIM PSN PS 11MM RT SZ 6-9CD 42-5214-005-11 $1,625.00

IMP ART SURFACE ZIM PSN PS 13MM RT SZ 10-11GH 42-5214-010-13 $1,625.00

IMP ART SURFACE ZIM UNI KNEE HI FLEX 9MM SZ5 00-5842-025-09 $1,258.00

IMP ARTHROERISIS ARTHREX PROSTOP 09X14MM AR-4209-14 $3,738.00

IMP ATRICLIP GILLIVNOV-COSGROVE EXCL SYS STD 40MM ACH140 $3,053.00

IMP ATRICLIP GILLIVNOV-COSGROVE EXCL SYS STD 45MM ACH145 $3,053.00

IMP ATRICLIP GILLIVNOV-COSGROVE EXCL SYS STD 50MM ACH150 $3,053.00

IMP BASEPLATE ARTRHEX GLENOID SM UNIV AR-9120-01 $3,215.00

IMP BASEPLATE LONG POST REV HA COAT 25MM DWD067 $4,396.00

IMP BASEPLATE MINI GLENOSPHERE BIOM REV SHLDR 25MM 010000589 $3,250.00

IMP BASEPLATE SHLDR 15MM AQLS DWD003 $3,000.00

IMP BASEPLATE SHLDR GLENOID AQLS REV II 25MM DWD170 $3,000.00

IMP BASEPLATE STRK 5572-2800 $4,113.00

IMP BASEPLATE TIBAIL GENESIS II SZ 1 RT TI 71420176 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 1 LT TI 71420160 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 2 LT TI 71420162 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 2 RT TI 71420180 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 3 LT TI 71420164 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 3 RT TI 71420182 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 4 LT TI 71420166 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 4 RT TI 71420184 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 5 LT TI 71420168 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 5 RT TI 71420186 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 6 LT TI 71420170 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 6 RT TI 71420188 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 7 LT TI 71420172 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 7 RT TI 71420190 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 8 LT TI 71420174 $1,725.00

IMP BASEPLATE TIBIAL GENESIS II SZ 8 RT TI 71420191 $1,725.00

IMP BASEPLATE TIBIAL HOWM TRI 1 5520-B-100 $2,500.00

IMP BASEPLATE TIBIAL HOWM TRI 2 5520-B-200 $2,500.00

IMP BASEPLATE TIBIAL HOWM TRI 3 5520-B-300 $2,500.00

IMP BASEPLATE TIBIAL HOWM TRI 4 5520-B-400 $2,500.00

IMP BASEPLATE TIBIAL HOWM TRI 5 5520-B-500 $2,500.00

IMP BASEPLATE TIBIAL HOWM TRI 6 5520-B-600 $2,500.00

IMP BASEPLATE TIBIAL HOWM TRI 7 5520-B-700 $2,500.00

IMP BASEPLATE TIBIAL HOWM TRI 8 5520-B-800 $2,500.00

IMP BASEPLATE TIBIAL S&N REVISION SIZE 3 RT TI 71424013 $7,779.00

IMP BASEPLATE TIBIAL STRK MRH KEEL L2 6481-3-113 $7,429.00

IMP BASEPLATE TIBIAL STRK MRH KEEL M2 6481-3-112 $7,429.00

IMP BASEPLATE TIBIAL STRK MRH KEEL S2 6481-3-111 $7,429.00

IMP BASEPLATE TIBIAL STRK TRI PKR LM/RL SZ 1 5620-B-101 $2,500.00

IMP BASEPLATE TIBIAL STRK TRI PKR LM/RL SZ 3 5620-B-301 $2,500.00

IMP BASEPLATE TIBIAL STRK TRI PKR LM/RL SZ 4 5620-B-401 $2,500.00

IMP BASEPLATE TIBIAL STRK TRI PKR LM/RL SZ 5 5620-B-501 $2,500.00

IMP BASEPLATE TIBIAL STRK TRI PKR RM/LL SZ 2 5620-B-202 $2,500.00

IMP BASEPLATE TIBIAL STRK TRI PKR RM/LL SZ 3 5620-B-302 $2,500.00

Page 130: DESCRIPTION Price - Fairview

IMP BASEPLATE TIBIAL STRK TRI PKR RM/LL SZ 4 5620-B-402 $2,500.00

IMP BASEPLATE TIBIAL STRK TRI SZ 6 5521-B-600 $2,500.00

IMP BASEPLATE TIBIAL STRK TRI SZ 7 5521-B-700 $2,500.00

IMP BASEPLATE TIBIAL STRK TRIATHLN KNEE SZ 3 5536-B-300 $3,750.00

IMP BASEPLATE TIBIAL STRK TRIATHLN KNEE SZ 4 5536-B-400 $3,750.00

IMP BASEPLATE TIBIAL STRK TRIATHLN KNEE SZ 5 5536-B-500 $3,750.00

IMP BASEPLATE TIBIAL STRK TRIATHLN KNEE SZ 6 5536-B-600 $3,750.00

IMP BASEPLATE TIBIAL STRK TRIATHLN KNEE SZ 7 5536-B-700 $3,750.00

IMP BIOSYNC ANATOMIC WEDGE COTTON 16X5.5MM AR-8948W-1655 $4,988.00

IMP BLADE SYN HELICAL 11X100MM 456.305 $1,252.00

IMP BLADE SYN HELICAL 11X105MM 456.306 $1,252.00

IMP BLADE SYN HELICAL 11X110MM 456.307 $1,252.00

IMP BLADE SYN HELICAL 11X115MM 456.308 $1,252.00

IMP BLADE SYN HELICAL 11X120MM 456.309 $1,252.00

IMP BLADE SYN HELICAL 11X80MM 456.301 $1,252.00

IMP BLADE SYN HELICAL 11X85MM 456.302 $1,252.00

IMP BLADE SYN HELICAL 11X90MM 456.303 $1,252.00

IMP BLADE SYN HELICAL 11X95MM 456.304 $1,252.00

IMP BLADE SYN SPRL 70MM TI FOR FEMORAL CAN NAIL 04.013.046S $1,246.00

IMP BLADE SYN SPRL 80MM TI FOR FEMORAL CAN NAIL 04.013.048S $1,246.00

IMP BLADE SYN SPRL 85MM TI FOR FEMORAL CAN NAIL 04.013.049S $1,246.00

IMP BLOCKER SPINAL PA OASYS SCR HK 48551000 $120.00

IMP BLOCKER STRK SPINAL REDUCTION LITE MANTIS 48289999 $120.00

IMP BODY HUMERAL GLOBAL UNITE SZ 16 -5 1100-06-100 $2,000.00

IMP BOLT SNR EXTERNAL FIXATION CAN ILIZAROV WIRE 100600 $111.00

IMP BOLT SYN LOCKING 026MM TI 459.26 $370.00

IMP BOLT SYN LOCKING 028MM TI 459.28 $370.00

IMP BOLT SYN LOCKING 030MM TI 459.30 $370.00

IMP BOLT SYN LOCKING 032MM TI 459.32 $370.00

IMP BOLT SYN LOCKING 034MM TI 459.34 $370.00

IMP BOLT SYN LOCKING 036MM TI 459.36 $370.00

IMP BOLT SYN LOCKING 038MM TI 459.38 $370.00

IMP BOLT SYN LOCKING 040MM TI 459.40 $370.00

IMP BOLT SYN LOCKING 042MM TI 459-42 $370.00

IMP BOLT SYN LOCKING 044MM TI 459.44 $370.00

IMP BOLT SYN LOCKING 046MM TI 459.46 $370.00

IMP BOLT SYN LOCKING 048MM TI 459.48 $370.00

IMP BOLT SYN LOCKING 050MM TI 459.50 $370.00

IMP BOLT SYN LOCKING 052MM TI 459.52 $370.00

IMP BOLT SYN LOCKING 054MM TI 459.54 $370.00

IMP BOLT SYN LOCKING 056MM TI 459.56 $370.00

IMP BOLT SYN LOCKING 058MM TI 459.58 $370.00

IMP BOLT SYN LOCKING 060MM TI 459.60 $370.00

IMP BOLT SYN LOCKING 064MM TI 459.64 $370.00

IMP BOLT SYN LOCKING 068MM TI 459.68 $370.00

IMP BOLT SYN LOCKING 100MM TI 459.100 $370.00

IMP BOLT SYN LOCKING 72MM TI 459.72 $370.00

Page 131: DESCRIPTION Price - Fairview

IMP BOLT SYN LOCKING 76MM TI 459.76 $370.00

IMP BOLT SYN LOCKING 80MM TI 459.80 $370.00

IMP BOLT SYN LOCKING 85MM TI 459.85 $370.00

IMP BOLT SYN LOCKING 90MM TI 459.90 $370.00

IMP BOLT SYN LOCKING 95MM TI 459.95 $370.00

IMP BONE MATRIX 1CC HUMAN DEMINERALIZED ABS-2012-01 $500.00

IMP BONE MATRIX 5CC HUMAN DEMINERALIZED ABS-2012-05 $2,000.00

IMP BONE MATRIX 5CC HUMAN DEMINERALIZED ABS-2013-05 $2,000.00

IMP BREAST 200ML GEL ROUND HP 350-2004BC $2,000.00

IMP BREAST 200ML GEL ROUND MP 350-2001BC $2,000.00

IMP BREAST 225ML GEL ROUND HP 350-2254BC $2,000.00

IMP BREAST 250ML GEL ROUND HP 350-2504BC $2,000.00

IMP BREAST 250ML GEL ROUND MP 350-2501BC $2,000.00

IMP BREAST 275ML GEL ROUND HP 350-2754BC $2,000.00

IMP BREAST 275ML GEL ROUND MP 350-2751BC $2,000.00

IMP BREAST 300ML GEL ROUND MP 350-3001BC $2,000.00

IMP BREAST 325ML GEL ROUND HP 350-3254BC $2,000.00

IMP BREAST 325ML GEL ROUND MP 350-3251BC $2,000.00

IMP BREAST 350ML GEL ROUND HP 350-3504BC $2,000.00

IMP BREAST 350ML GEL ROUND MP 350-3501BC $2,000.00

IMP BREAST 375ML GEL ROUND HP 350-3754BC $2,000.00

IMP BREAST 375ML GEL ROUND MP 350-3751BC $2,000.00

IMP BREAST 400ML GEL ROUND HP 350-4004BC $2,000.00

IMP BREAST 400ML GEL ROUND HP 350-5400BC $2,000.00

IMP BREAST 400ML GEL ROUND MP 350-4001BC $2,000.00

IMP BREAST 425ML GEL ROUND HP 350-4254BC $2,000.00

IMP BREAST 425ML GEL ROUND MP 350-4251BC $2,000.00

IMP BREAST 450ML GEL ROUND HP 350-4504BC $2,000.00

IMP BREAST 475ML GEL ROUND HP 350-4754BC $2,000.00

IMP BREAST 500ML GEL ROUND HP 350-5004BC $2,000.00

IMP BREAST 500ML GEL ROUND MP 350-5001BC $2,000.00

IMP BREAST 550ML GEL ROUND HP 350-5504BC $2,000.00

IMP BREAST 550ML GEL ROUND MP 350-5501BC $2,000.00

IMP BREAST 590ML GEL ROUND HP 350-5590BC $2,000.00

IMP BREAST 600ML GEL ROUND HP 350-6004BC $2,000.00

IMP BREAST 650ML GEL ROUND HP 350-5650BC $2,000.00

IMP BREAST 700ML GEL ROUND HP 350-5700BC $2,000.00

IMP BREAST 700ML GEL ROUND HP 350-7004BC $2,000.00

IMP BREAST 750ML GEL ROUND HP 350-5750BC $2,000.00

IMP BREAST 750ML GEL ROUND HP 350-7504BC $2,183.00

IMP BREAST 800+ 160ML SALINE ROUND MP 350-2800 $1,093.00

IMP BREAST 800ML GEL ROUND HP 350-5800BC $2,000.00

IMP BREAST 800ML GEL ROUND HP 350-8004BC $2,000.00

IMP BREAST GEL INSPIRA SOFT TOUCH EX-FULL 495ML SSX-495 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH EX-FULL 525ML SSX-525 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH EX-FULL 545ML SSX-545 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH EX-FULL 560ML SSX-560 $3,338.00

Page 132: DESCRIPTION Price - Fairview

IMP BREAST GEL INSPIRA SOFT TOUCH EX-FULL 580ML SSX-580 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH EX-FULL 615ML SSX-615 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH EX-FULL 700ML SSX-700 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH EX-FULL 750ML SSX-750 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH EX-FULL 800ML SSX-800 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 295ML SSF-295 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 325ML SSF-325 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 335ML SSF-335 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 365ML SSF-365 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 415ML SSF-415 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 450ML SSF-450 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 485ML SSF-485 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 520ML SSF-520 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 560ML SSF-560 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 605ML SSF-605 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 650ML SSF-650 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 695ML SSF-695 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 745ML SSF-745 $3,338.00

IMP BREAST GEL INSPIRA SOFT TOUCH FULL 770ML SSF-770 $3,338.00

IMP BREAST INSPIRA SOFT TOUCH FULL 385ML SSF-385 $3,338.00

IMP BUTTON ARTHREX ABS TIGHT ROPE 14MM BUTTON AR-1588TB-4 $560.00

IMP CABLE DALL MILES 1.6 SS 3704-0-040 $832.00

IMP CABLE DALL MILES 2.0 SS 3704-0-510 $832.00

IMP CABLE DALL MILES 2.0 SS BEADED 3704-0-050 $832.00

IMP CABLE DALL MILES BEAD 1.6MM 6704-0-420 $832.00

IMP CABLE DALL MILES BEADED CBL W/SLEEVE SET 2MM 6704-0-520 $832.00

IMP CABLE DALL MILES CBL W/SLEEVE SET 2MM 6704-0-510 $777.00

IMP CABLE DALL MILES GRIP LG 2.0MM 6704-0-310 $2,272.00

IMP CABLE DALL MILES GRIP MED 2.0MM 6704-0-210 $2,272.00

IMP CABLE DALL MILES GRIP SM 1.6MM 6704-0-110 $2,272.00

IMP CABLE DALL MILES VI 1.6 6704-0-410 $777.00

IMP CABLE MEDT DANEK SPINE ATLAS DBL TI 826-211 $1,000.00

IMP CABLE MEDT DANEK SPINE ATLAS SINGLE TI 826-213 $784.00

IMP CABLE W/CRIMP SYN 1.7X750MM 298.801.01S $1,002.00

IMP CABLE ZIM CERCLAGE 1.8X25MM 2232-04-18 $914.00

IMP CAGE LDR AVENUE L LATERAL 22X50MM 6DEG 08MM IR7028P $13,750.00

IMP CAGE LDR AVENUE L LATERAL 22X55MM 0DEG 08MM IR7108P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X30MM 10DEG 12MM IR2532P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X30MM 14DEG 12MM IR2541P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X30MM 14DEG 14MM IR2543P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X30MM 6DEG 12MM IR2524P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X30MM 6DEG 14MM IR2526P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X36MM 10DEG 14MM IR5234P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X36MM 110DEG 2MM IR5232P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X36MM 14DEG 12MM IR5241P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X36MM 14DEG 14MM IR5243P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X36MM 14DEG 16MM IR5245P $13,750.00

Page 133: DESCRIPTION Price - Fairview

IMP CAGE LDR ROI-A MEDIAN ALIF 27X36MM 6DEG 10MM IR5221P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X36MM 6DEG 12MM IR5223P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 27X36MM 6DEG 14MM IR5225P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 30X39MM 10DEG 12MM IR5332P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 30X39MM 10DEG 14MM IR5334P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 30X39MM 10DEG 16MM IR5336P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 30X39MM 14DEG 14MM IR5341P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 30X39MM 14DEG 16MM IR5343P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 30X39MM 6DEG 12MM IR5323P $13,750.00

IMP CAGE LDR ROI-A MEDIAN ALIF 30X39MM 6DEG 14MM IR5325P $13,750.00

IMP CAGE LDR ROI-A OBLIQUE ALIF 27X30MM 10DEG 12MM IR4232P $13,750.00

IMP CAGE LDR ROI-A OBLIQUE ALIF 27X30MM 10DEG 16MM IR4236P $13,750.00

IMP CAGE LDR ROI-A OBLIQUE ALIF 27X30MM 6DEG 12MM IR4224P $13,750.00

IMP CAGE LDR ROI-A OBLIQUE ALIF 27X30MM 6DEG 14MM IR4226P $13,750.00

IMP CAGE LDR ROI-C LORDOTIC CERVICLE 12X14X6MM MC1442P $6,250.00

IMP CAGE LDR ROI-C LORDOTIC CERVICLE 12X15.5X6MM MC1452P $6,250.00

IMP CAGE LDR ROI-C LORDOTIC CERVICLE 12X15.5X7MM MC1453P $6,250.00

IMP CAGE LDR ROI-C LORDOTIC CERVICLE 12X15.5X8MM MC1454P $6,250.00

IMP CAGE LDR ROI-C LORDOTIC CERVICLE 14X15.5X7MM MC1423P $6,250.00

IMP CAGE LDR ROI-C LORDOTIC CERVICLE 14X15.5X8MM MC1424P $6,250.00

IMP CAGE LDR ROI-C LORDOTIC CERVICLE 14X15.5X9MM MC1425P $6,250.00

IMP CAGE LDR ROI-C LORDOTIC CERVICLE 14X17X7MM MC1433P $6,250.00

IMP CAGE LDR ROI-C LORDOTIC CERVICLE 14X17X8MM MC1434P $6,250.00

IMP CAGE MEDT CERVICAL ANATOMIC PTC 14X11X7MM 12DEG 5030741 $2,500.00

IMP CAGE MEDT CLYDESDALE 6DEG 10X50MM 2968050 $9,375.00

IMP CAGE MEDT CLYDESDALE 6DEG 10X55MM 2968055 $9,375.00

IMP CAGE MEDT CLYDESDALE 6DEG 8X45MM 2968845 $9,375.00

IMP CAGE MEDT CLYDESDALE 6DEG 8X50MM 2968850 $9,375.00

IMP CAGE SPINAL BENGAL STKBL STD LOR 22MM 177306122 $7,224.00

IMP CAGE SPINAL BENGAL STKBL STD LOR 24MM 177306124 $7,224.00

IMP CAGE SPINAL BENGAL STKBL STD LOR 26MM 177306126 $7,224.00

IMP CAGE SPINAL BENGAL STKBL STD LOR 38MM 177306138 $7,224.00

IMP CAGE SPINAL BENGAL STKBL STD PAR 20MM 177300120 $7,224.00

IMP CAGE SPINAL BENGAL STKBL STD PAR 22MM 177300122 $7,224.00

IMP CAGE SPINE PSR 11X14X14MM 6288144 $2,100.00

IMP CAGE SPINE PSR 12X14X14MM 6288244 $2,100.00

IMP CAGE SPINE PSR 14X11X09MM 62277941 $2,100.00

IMP CAGE SPINE PSR 8X14X14MM 6288844 $2,100.00

IMP CAGE SPINE PSR 9X14X14MM 6288944 $2,100.00

IMP CAGE SPINE STRK POST LUMBAR TRI 11X28X14MM 48955146 $14,000.00

IMP CAGE STRK ANCHOR-L 10X22X30X12 48662102 $13,750.00

IMP CAGE STRK ANCHOR-L 10X22X30X4 48662104 $13,750.00

IMP CAGE STRK ANCHOR-L 10X25X35X12 48663102 $13,750.00

IMP CAGE STRK ANCHOR-L 10X25X35X4 48663104 $13,750.00

IMP CAGE STRK ANCHOR-L 10X25X35X8 48663108 $13,750.00

IMP CAGE STRK ANCHOR-L 12X22X30X12 48662122 $10,000.00

IMP CAGE STRK ANCHOR-L 12X22X30X8 48662108 $10,000.00

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IMP CAGE STRK ANCHOR-L 12X22X30X8 48662128 $13,750.00

IMP CAGE STRK ANCHOR-L 12X25X35X12 48663122 $13,750.00

IMP CAGE STRK ANCHOR-L 12X25X35X4 48663124 $13,750.00

IMP CAGE STRK ANCHOR-L 12X25X35X8 48663128 $13,750.00

IMP CAGE STRK ANCHOR-L 14X22X30X12 48662142 $13,750.00

IMP CAGE STRK ANCHOR-L 14X22X30X4 48662144 $13,750.00

IMP CAGE STRK ANCHOR-L 14X22X30X8 48662148 $10,000.00

IMP CAGE STRK ANCHOR-L 14X25X35X12 48663142 $13,750.00

IMP CAGE STRK ANCHOR-L 14X25X35X4 48663144 $13,750.00

IMP CAGE STRK ANCHOR-L 14X25X35X8 48663148 $13,750.00

IMP CAGE STRK ANCHOR-L 16X22X30X12 48662162 $13,750.00

IMP CAGE STRK ANCHOR-L 16X22X30X8 48662168 $13,750.00

IMP CAGE STRK ANCHOR-L 16X25X35X12 48663162 $13,750.00

IMP CAGE STRK ANCHOR-L 16X25X35X16 48663166 $13,750.00

IMP CAGE STRK ANCHOR-L 16X25X35X8 48663168 $13,750.00

IMP CAGE STRK ANCHOR-L 18X22X30X12 48662182 $10,000.00

IMP CAGE STRK ANCHOR-L 18X22X30X16 48662186 $13,750.00

IMP CAGE STRK ANCHOR-L 18X22X30X8 48662188 $13,750.00

IMP CAGE STRK ANCHOR-L 18X25X35X12 48663182 $13,750.00

IMP CAGE STRK ANCHOR-L 18X25X35X8 48663188 $13,750.00

IMP CAGE STRK ANCHOR-L 20X22X30X12 48662202 $13,750.00

IMP CAGE STRK ANCHOR-L 20X22X30X8 48662208 $13,750.00

IMP CAGE STRK ANCHOR-L 20X25X35X12 48663202 $13,750.00

IMP CAGE STRK ANCHOR-L 20X25X35X8 48663208 $13,750.00

IMP CAGE STRK PEEK-OPTIMA LORDOTIC 12X14X7MM 4DEG 48321074 $6,250.00

IMP CAGE STRK PEEK-OPTIMA LORDOTIC 12X14X8MM 4DEG 48321084 $6,250.00

IMP CAGE STRK POST LUMBAR 10-16X27X11MM EXPAND IBD 400010 $14,488.00

IMP CAGE STRK POST LUMBAR 8-12X27X11MM EXPAND IBD 400008 $14,488.00

IMP CAGE STRK THORACOLUMBAR EXPAND IBD 6-9X32X11MM 305006 $14,488.00

IMP CAGE STRK THORACOLUMBAR EXPAND IBD 8-12X3211MM 305008 $14,488.00

IMP CAP GLOBUS REV LOCKING 124.000 $163.00

IMP CAP SYN ORTHOPEDIC FLAT LK 1-STEP W/O SADDLE 09.632.099 $163.00

IMP CAP SYN SPINAL FIXED LOCKING 1-STEP MATRIX NS 04.632.000 $163.00

IMP CEMENT RESTRICTOR DIST FEM 10.75MM SZ 2 UHMWPE 546012000 $317.00

IMP CEMENT RESTRICTOR DIST FEM 13.25MM SZ 3 UHMWPE 546014000 $317.00

IMP CEMENT RESTRICTOR DIST FEM 13.25MM SZ 6 UHMWPE 546020000 $273.00

IMP CEMENT RESTRICTOR DIST FEM 15.75MM SZ 4 UHMWPE 546016000 $317.00

IMP CEMENT RESTRICTOR DIST FEM 18.25MM SZ 5 UHMWPE 546018000 $317.00

IMP CEMENT RESTRICTOR DIST FEM 8.25MM SZ 1 UHMWPE 546010000 $317.00

IMP CENTRALIZER DISTAL BI POLAR SNN INVIS 09MM 71313209 $25.00

IMP CENTRALIZER DISTAL BI POLAR SNN INVIS 11MM 71313211 $25.00

IMP CENTRALIZER DISTAL BI POLAR SNN INVIS 12MM 71313212 $25.00

IMP CENTRALIZER DISTAL BIOM INTG 09MM 162656 $125.00

IMP CENTRALIZER DISTAL BIPOLAR SNR INVIS 10MM 71313210 $25.00

IMP CERVICAL DISK MEDT BRYAN 15MM 6470315 $10,750.00

IMP CERVICAL DISK MEDT BRYAN 16MM 6470316 $10,750.00

IMP CERVICAL DISK MEDT BRYAN 17MM 6470317 $10,750.00

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IMP CLIP TUBAL FILSHIE AVM-851J $2,750.00

IMP COMP ARTICULAR HIGH FLEX 2H 9MM 00-5842-022-09 $1,258.00

IMP COMP ARTICULAR HIGH FLEX 3H 10MM 00-5842-023-10 $1,258.00

IMP COMP ARTICULAR HIGH FLEX 3H 11MM 00-5742-023-11 $1,258.00

IMP COMP ARTICULAR HIGH FLEX 3H 8MM 00-5842-023-08 $1,258.00

IMP COMP ARTICULAR HIGH FLEX 3H 9MM 00-5842-023-09 $1,633.00

IMP COMP ARTICULAR SURF ZIM NEXGEN CR-FLEX GREEN 5-6H 10MM $1,750.00

IMP COMP ASSEMBLY ULNAR 32-8105-053-02 $14,935.00

IMP COMP DEPUY GLENOSPHERE DXTEND 38MM STD 130760138 $3,000.00

IMP COMP DEPUY GLENOSPHERE DXTEND 42MM STD 130760142 $3,000.00

IMP COMP DEPUY GLENOSPHERE DXTEND ECC 38MM 130760038 $3,000.00

IMP COMP DEPUY GLENOSPHERE DXTEND ECC 42MM 130760042 $3,000.00

IMP COMP DEPUY METAGLENE DXTEND 130760000 $2,750.00

IMP COMP DEPUY MODULAR CENTER EPI 1 ECC LT HA 130720103 $5,018.00

IMP COMP DEPUY MODULAR CENTER EPI 1 HA 130720101 $5,018.00

IMP COMP DEPUY MODULAR CENTER EPI 2 ECC LT HA 130720202 $5,018.00

IMP COMP DEPUY MODULAR CENTER EPI 2 ECC RT HA 130720203 $5,018.00

IMP COMP DEPUY MODULAR CENTER EPI 2 HA 130720102 $5,018.00

IMP COMP FEM DEPUY CRUCIATE RETAINING CEM 1960-01-400 $3,488.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 2 LT 1960-40-200 $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 2 RT 1960-50-200 $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 2.5 LT 1960-40-250 $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 2.5 RT 1960-50-250 $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 3 LT 1960-40-300 $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 3 RT 1960-50-300 $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 4 LT 1960-40-400 $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 4 RT 1960-50-400 $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 4N LT $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 4N RT $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 5 LT 1960-40-500 $2,750.00

IMP COMP FEM DEPUY POST STAB SIGMA SZ 5 RT 1960-50-500 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT CEM SZ10 150400110 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT CEM SZ3 150400103 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT CEM SZ4 150400104 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT CEM SZ5 150400105 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT CEM SZ6 150400106 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT CEM SZ7 150400107 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT CEM SZ8 150400108 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT CEM SZ9 150400109 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT NRW CEM SZ3 150400123 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT NRW CEM SZ4 150400124 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT NRW CEM SZ5 150400125 $2,750.00

IMP COMP FEM JJ ATTUNE CR LT NRW CEM SZ6 150400126 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT CEM SZ10 150400210 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT CEM SZ3 150400203 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT CEM SZ4 150400204 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT CEM SZ5 150400205 $2,750.00

Page 136: DESCRIPTION Price - Fairview

IMP COMP FEM JJ ATTUNE CR RT CEM SZ6 150400206 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT CEM SZ7 150400207 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT CEM SZ8 150400208 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT CEM SZ9 150400209 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT NRW CEM SZ3 150400223 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT NRW CEM SZ4 150400224 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT NRW CEM SZ5 150400225 $2,750.00

IMP COMP FEM JJ ATTUNE CR RT NRW CEM SZ6 150400226 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT CEM SZ3 150410103 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT CEM SZ4 150410104 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT CEM SZ5 150410105 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT CEM SZ6 150410106 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT CEM SZ7 150410107 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT CEM SZ8 150410108 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT CEM SZ9 150410109 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT NRW CEM SZ3 150410123 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT NRW CEM SZ4 150410124 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT NRW CEM SZ5 150410125 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB LT NRW CEM SZ6 150410126 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT CEM SZ10 150410210 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT CEM SZ3 150410203 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT CEM SZ4 150410204 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT CEM SZ5 150410205 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT CEM SZ6 150410206 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT CEM SZ7 150410207 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT CEM SZ8 150410208 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT CEM SZ9 150410209 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT NRW CEM SZ3 150410223 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT NRW CEM SZ4 150410224 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT NRW CEM SZ5 150410225 $2,750.00

IMP COMP FEM JJ ATTUNE POST STAB RT NRW CEM SZ6 150410226 $2,750.00

IMP COMP FEM KNEE CR JOURNEY II LT SZ 4 74021164 $4,125.00

IMP COMP FEM KNEE CR JOURNEY II LT SZ 5 74021165 $4,125.00

IMP COMP FEM KNEE CR JOURNEY II LT SZ 6 74021166 $4,125.00

IMP COMP FEM KNEE CR JOURNEY II LT SZ 8 74021168 $4,125.00

IMP COMP FEM KNEE CR JOURNEY II RT SZ 3 74021153 $4,125.00

IMP COMP FEM KNEE CR JOURNEY II RT SZ 4 74021154 $4,125.00

IMP COMP FEM KNEE CR JOURNEY II RT SZ 5 74021155 $4,125.00

IMP COMP FEM KNEE CR JOURNEY II RT SZ 7 74021157 $4,125.00

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 3 LT 71421233 $3,625.00

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 3 RT 71421223 $3,625.00

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 4 LT 71421234 $3,625.00

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 4 RT 71421224 $3,625.00

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 5 LT 71421235 $3,625.00

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 5 RT 71421225 $3,625.00

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 6 LT 71421236 $3,625.00

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 7 LT 71421237 $3,625.00

Page 137: DESCRIPTION Price - Fairview

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 7 RT 71421227 $3,625.00

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 8 LT 71421238 $3,625.00

IMP COMP FEM S&N GEN II REV POR CTD ZIRC SZ 8 RT 71421228 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW CR SZ3N LT 71421243 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW CR SZ3N RT 71421253 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW CR SZ4N LT 71421244 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW CR SZ4N RT 71421254 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW CR SZ5N LT 71421245 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW CR SZ5N RT 71421255 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW CR SZ6N LT 71421246 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW CR SZ6N RT 71421256 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW PS SZ3N RT 71421273 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW PS SZ4N LT 71421264 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW PS SZ4N RT 71421274 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW PS SZ5N LT 71421265 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW PS SZ5N RT 71421275 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW PS SZ6N LT 71421266 $3,625.00

IMP COMP FEM S&N LEGION PS OXIN NARROW PS SZ6N RT 71421276 $3,625.00

IMP COMP FEM STRK TRI PKR LM/RL SZ 1 5610-F-101 $2,750.00

IMP COMP FEM STRK TRI PKR LM/RL SZ 3 5610-F-301 $2,750.00

IMP COMP FEM STRK TRI PKR LM/RL SZ 4 5610-F-401 $2,750.00

IMP COMP FEM STRK TRI PKR LM/RL SZ 5 5610-F-501 $2,750.00

IMP COMP FEM STRK TRI PKR RM/LL SZ 2 5610-F-202 $2,750.00

IMP COMP FEM STRK TRI PKR RM/LL SZ 4 5610-F-402 $2,750.00

IMP COMP FEM STRK TRIATHLN CR BD W/PA LT 3 5517-F-301 $6,250.00

IMP COMP FEM STRK TRIATHLN CR BD W/PA LT 4 5517-F-401 $6,250.00

IMP COMP FEM STRK TRIATHLN CR BD W/PA LT 5 5517-F-501 $6,250.00

IMP COMP FEM STRK TRIATHLN CR BD W/PA LT 6 5517-F-601 $6,250.00

IMP COMP FEM STRK TRIATHLN CR BD W/PA RT 3 5517-F-302 $6,250.00

IMP COMP FEM STRK TRIATHLN CR BD W/PA RT 4 5517-F-402 $6,250.00

IMP COMP FEM STRK TRIATHLN CR BD W/PA RT 8 5517-F-802 $6,250.00

IMP COMP FEM STRK TRIATHLN CR LT 1 5510-F-101 $3,750.00

IMP COMP FEM STRK TRIATHLN CR LT 2 5510-F-201 $3,750.00

IMP COMP FEM STRK TRIATHLN CR LT 3 5510-F-301 $3,750.00

IMP COMP FEM STRK TRIATHLN CR LT 4 5510-F-401 $3,750.00

IMP COMP FEM STRK TRIATHLN CR LT 5 5510-F-501 $3,750.00

IMP COMP FEM STRK TRIATHLN CR LT 6 5510-F-601 $3,750.00

IMP COMP FEM STRK TRIATHLN CR LT 7 5510-F-701 $3,750.00

IMP COMP FEM STRK TRIATHLN CR LT 8 5510-F-801 $3,750.00

IMP COMP FEM STRK TRIATHLN CR RT 1 5510-F-102 $3,750.00

IMP COMP FEM STRK TRIATHLN CR RT 2 5510-F-202 $3,750.00

IMP COMP FEM STRK TRIATHLN CR RT 3 5510-F-302 $3,750.00

IMP COMP FEM STRK TRIATHLN CR RT 4 5510-F-402 $3,750.00

IMP COMP FEM STRK TRIATHLN CR RT 5 5510-F-502 $3,750.00

IMP COMP FEM STRK TRIATHLN CR RT 6 5510-F-602 $3,750.00

IMP COMP FEM STRK TRIATHLN CR RT 7 5510-F-702 $3,750.00

IMP COMP FEM STRK TRIATHLN CR RT 8 5510-F-802 $3,750.00

Page 138: DESCRIPTION Price - Fairview

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM LT 1 5541-A-101 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM LT 2 5541-A-201 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM LT 3 5541-A-301 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM LT 4 5541-A-401 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM LT 5 5541-A-501 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM LT 6 5541-A-601 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM RT 1 5541-A-102 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM RT 2 5541-A-202 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM RT 3 5541-A-302 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM RT 4 5541-A-402 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 10MM RT 5 5541-A-502 $2,838.00

IMP COMP FEM STRK TRIATHLN DIST AUG 15MM LT 2 5542-A-201 $2,977.00

IMP COMP FEM STRK TRIATHLN DIST AUG 15MM LT 7 5542-A-701 $2,977.00

IMP COMP FEM STRK TRIATHLN DIST AUG 15MM RT 3 5542-A-302 $2,977.00

IMP COMP FEM STRK TRIATHLN DIST AUG 15MM RT 5 5542-A-502 $2,977.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM LT 1 5540-A-101 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM LT 2 5540-A-201 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM LT 3 5540-A-301 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM LT 4 5540-A-401 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM LT 5 5540-A-501 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM LT 6 5540-A-601 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM LT 7 5540-A-701 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM LT 8 5540-A-801 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM RT 2 5540-A-202 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM RT 3 5540-A-302 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM RT 4 5540-A-402 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM RT 5 5540-A-502 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM RT 6 5540-A-602 $2,702.00

IMP COMP FEM STRK TRIATHLN DIST AUG 5MM RT 7 5540-A-702 $2,702.00

IMP COMP FEM STRK TRIATHLN PS BD W/PA LT 7 5516-F-701 $6,250.00

IMP COMP FEM STRK TRIATHLN PS LT 1 5515-F-101 $3,750.00

IMP COMP FEM STRK TRIATHLN PS LT 2 5515-F-201 $3,750.00

IMP COMP FEM STRK TRIATHLN PS LT 3 5515-F-301 $3,750.00

IMP COMP FEM STRK TRIATHLN PS LT 4 5515-F-401 $3,750.00

IMP COMP FEM STRK TRIATHLN PS LT 5 5515-F-501 $3,750.00

IMP COMP FEM STRK TRIATHLN PS LT 6 5515-F-601 $3,750.00

IMP COMP FEM STRK TRIATHLN PS LT 7 5515-F-701 $3,750.00

IMP COMP FEM STRK TRIATHLN PS RT 1 5515-F-102 $3,750.00

IMP COMP FEM STRK TRIATHLN PS RT 2 5515-F-202 $3,750.00

IMP COMP FEM STRK TRIATHLN PS RT 3 5515-F-302 $3,750.00

IMP COMP FEM STRK TRIATHLN PS RT 4 5515-F-402 $3,750.00

IMP COMP FEM STRK TRIATHLN PS RT 5 5515-F-502 $3,750.00

IMP COMP FEM STRK TRIATHLN PS RT 6 5515-F-602 $3,750.00

IMP COMP FEM STRK TRIATHLN PS RT 7 5515-F-702 $3,750.00

IMP COMP FEM STRK TRIATHLN PS RT 8 5515-F-802 $3,750.00

IMP COMP FEM STRK TRIATHLN PS SZ 8 LT 5512-F-801 $3,750.00

IMP COMP FEM STRK TRIATHLN TS SZ 1 LT 5512-F-101 $15,714.00

Page 139: DESCRIPTION Price - Fairview

IMP COMP FEM STRK TRIATHLN TS SZ 2 LT 5512-F-201 $15,714.00

IMP COMP FEM STRK TRIATHLN TS SZ 3 LT 5512-F-301 $15,714.00

IMP COMP FEM STRK TRIATHLN TS SZ 4 LT 5512-F-401 $15,714.00

IMP COMP FEM STRK TRIATHLN TS SZ 4 RT 5512-F-402 $15,714.00

IMP COMP FEM STRK TRIATHLN TS SZ 5 LT 5512-F-501 $15,714.00

IMP COMP FEM STRK TRIATHLN TS SZ 5 RT 5512-F-502 $15,714.00

IMP COMP FEM STRK TRIATHLN TS SZ 6 RT 5512-F-602 $15,714.00

IMP COMP FEM STRK TRIATHLN TS SZ 7 RT 5512-F-702 $15,714.00

IMP COMP FEM ZIM 60MM MED LAT 59MM ANT POST TI AGC 140071 $5,313.00

IMP COMP FEM ZIM PSN CR CMT STD SZ 11 LT 42-5026-070-01 $3,963.00

IMP COMP FEM ZIM PSN PS CMT NARROW SZ 10 RT 42-5000-068-02 $4,900.00

IMP COMP FEM ZIM PSN PS CMT NARROW SZ 7 LT 42-5000-062-01 $3,963.00

IMP COMP FEM ZIM PSN PS CMT NARROW SZ 8 LT 42-5000-064-01 $3,963.00

IMP COMP FEM ZIM PSN PS CMT STD SZ 11 RT 42-5006-070-02 $3,963.00

IMP COMP FEM ZIM PSN PS CMT STD SZ 4 LT 42-5006-056-01 $4,900.00

IMP COMP FEM ZIM PSN PS CMT STD SZ 5 LT 42-5006-058-01 $3,963.00

IMP COMP FEM ZIM PSN PS CMT STD SZ 6 RT 42-5006-060-02 $3,963.00

IMP COMP FEM ZIM PSN PS CMT STD SZ 9 LT 42-5006-066-01 $3,963.00

IMP COMP FEM ZIM PSN PS CMT STD SZ 9 RT 42-5006-066-02 $3,963.00

IMP COMP FEMORAL 22MMX45MM LT MEDIAL 00-5842-013-01 $4,585.00

IMP COMP FEMORAL 22MMX45MM RT MEDIAL 00-5842-013-02 $4,585.00

IMP COMP FEMORAL DEPUY AUG PFC DIST RT SIZE 3 04MM 96-0861 $1,719.00

IMP COMP FEMORAL DEPUY AUG PFC POST SIZE 3 04MM 96-0866 $1,719.00

IMP COMP FEMORAL DEPUY LF SIZE 3 96-0003 $2,750.00

IMP COMP FEMORAL DEPUY LF SIZE 4 96-0004 $2,750.00

IMP COMP FEMORAL DEPUY LF SIZE 5 96-0005 $2,750.00

IMP COMP FEMORAL DEPUY LT SIZE 2 96-0002 $2,750.00

IMP COMP FEMORAL DEPUY LT SIZE 2.5 96-0008 $2,750.00

IMP COMP FEMORAL DEPUY LT SIZE 6 96-0006 $2,750.00

IMP COMP FEMORAL DEPUY PFC SIGMA TC3 SZ 2.5 RT 96-0092 $10,123.00

IMP COMP FEMORAL DEPUY PFC SIGMA TC3 SZ 3 LT 96-0082 $10,123.00

IMP COMP FEMORAL DEPUY PFC SIGMA TC3 SZ 4 RT 96-0089 $10,123.00

IMP COMP FEMORAL DEPUY PFC SIGMA TC3 SZ 5 LT 96-0084 $10,123.00

IMP COMP FEMORAL DEPUY PFC SIGMA TC3 SZ 5 RT 96-0090 $10,123.00

IMP COMP FEMORAL DEPUY PFC SIGMA TC3 SZ RT 3 96-0088 $10,123.00

IMP COMP FEMORAL DEPUY RT SIZE 2 96-0012 $2,750.00

IMP COMP FEMORAL DEPUY RT SIZE 2.5 96-0018 $2,750.00

IMP COMP FEMORAL DEPUY RT SIZE 3 96-0013 $2,750.00

IMP COMP FEMORAL DEPUY RT SIZE 4 96-0014 $2,750.00

IMP COMP FEMORAL DEPUY RT SIZE 5 96-0015 $2,750.00

IMP COMP FEMORAL DEPUY RT SIZE 6 96-0016 $2,750.00

IMP COMP FEMORAL EXT STRK 30MM 6495-6-030 $7,574.00

IMP COMP FEMORAL GENESIS II CR OXIN SZ 6 RT 71421226 $3,625.00

IMP COMP FEMORAL GENESIS II CR SZ 6 RT 71423216 $2,625.00

IMP COMP FEMORAL GENESIS II PS OXIN SZ 6 LT 71421216 $3,625.00

IMP COMP FEMORAL NP CR SZ 6 LT 71423206 $2,625.00

IMP COMP FEMORAL S&N GENESIS II NP CR SZ 3 RT 71423213 $2,625.00

Page 140: DESCRIPTION Price - Fairview

IMP COMP FEMORAL S&N GENESIS II NP CR SZ 4 LT 71423204 $2,625.00

IMP COMP FEMORAL S&N GENESIS II NP CR SZ 4 RT 71423214 $2,625.00

IMP COMP FEMORAL S&N GENESIS II NP CR SZ 5 LT 71423205 $2,625.00

IMP COMP FEMORAL S&N GENESIS II NP CR SZ 5 RT 71423215 $2,625.00

IMP COMP FEMORAL S&N GENESIS II NP CR SZ 7 LT 71423207 $2,625.00

IMP COMP FEMORAL S&N GENESIS II NP CR SZ 7 RT 71423217 $2,625.00

IMP COMP FEMORAL S&N GENESIS II NP CR SZ 8 LT 71423208 $2,625.00

IMP COMP FEMORAL S&N GENESIS II NP CR SZ 8 RT 71423218 $2,625.00

IMP COMP FEMORAL S&N LEGION CR NP NARROW 3 RT 71933644 $3,250.00

IMP COMP FEMORAL S&N LEGION CR NP NARROW 4 LT 71933641 $3,250.00

IMP COMP FEMORAL S&N LEGION CR NP NARROW 4 RT 71933645 $3,250.00

IMP COMP FEMORAL S&N LEGION CR NP NARROW 5 RT 71933646 $3,250.00

IMP COMP FEMORAL S&N LEGION CR NP NARROW 6 LT 71933643 $3,250.00

IMP COMP FEMORAL S&N LEGION CR NP NARROW 6 RT 71933647 $3,250.00

IMP COMP FEMORAL S&N LEGION PS NP NARROW 3 RT 71933652 $3,250.00

IMP COMP FEMORAL S&N LEGION PS NP NARROW 4 RT 71933653 $3,250.00

IMP COMP FEMORAL S&N LEGION PS NP NARROW 5 LT 71933650 $3,250.00

IMP COMP FEMORAL S&N LEGION PS NP NARROW 5 RT 71933654 $3,250.00

IMP COMP FEMORAL S&N LEGION PS NP NARROW 6 LT 71933651 $3,250.00

IMP COMP FEMORAL S&N LEGION PS NP NARROW 6 RT 71933655 $3,250.00

IMP COMP FEMORAL S&N LEGION PS NP SZ3 LT 71423223 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ3 RT 71423233 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ4 LT 71423224 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ4 RT 71423234 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ5 LT 71423225 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ5 RT 71423235 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ6 LT 71423226 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ6 RT 71423236 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ7 LT 71423227 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ7 RT 71423237 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ8 LT 71423228 $2,625.00

IMP COMP FEMORAL S&N LEGION PS NP SZ8 RT 71423238 $2,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ3 LT 71421213 $3,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ3 RT 71421203 $3,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ4 LT 71421214 $3,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ4 RT 71421204 $3,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ5 LT 71421215 $3,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ5 RT 71421205 $3,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ6 RT 71421206 $3,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ7 LT 71421217 $3,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ7 RT 71421207 $3,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ8 LT 71421218 $3,625.00

IMP COMP FEMORAL S&N LEGION PS OXIN SZ8 RT 71421208 $3,625.00

IMP COMP FEMORAL SNN GEN II CR OXIN SZ 7 LT 71420140 $3,625.00

IMP COMP FEMORAL SNN GEN II PS SZ 5 RT 71420120 $1,225.00

IMP COMP FEMORAL SNN JOURNEY BCS NP OXIN RT SZ 6 74021116 $5,975.00

IMP COMP FEMORAL SNR JOURNEY II BCS OXIN LT SZ 4 74022124 $4,125.00

Page 141: DESCRIPTION Price - Fairview

IMP COMP FEMORAL STRK AVON XSM KN 6430-0-050 $10,502.00

IMP COMP FEMORAL STRK DIST STD LT 6495-2-030 $16,038.00

IMP COMP FEMORAL STRK DIST STD RT 6495-2-040 $16,038.00

IMP COMP FEMORAL STRK EXT 40MM 6495-6-040 $6,788.00

IMP COMP FEMORAL UNI LT MDL ZIM 24X51.5MM RT 00-5842-015-01 $4,585.00

IMP COMP FEMORAL UNI LT MDL ZIM 24X51.5MM RT 00-5842-015-02 $4,585.00

IMP COMP FEMORAL UNI MDL ZIM 22MMX42.5MM RT 00-5842-012-02 $4,585.00

IMP COMP FEMORAL UNI MDL ZIM 22MMX45MM LT 00-5842-014-01 $4,585.00

IMP COMP FEMORAL UNI MDL ZIM 22MMX45MM RT 00-5842-014-02 $4,585.00

IMP COMP FEMORAL UNI MDL ZIM 25MMX55.5MM RT 00-5842-016-02 $4,585.00

IMP COMP FEMORAL VANGARD BIOM PS LT 65MM 183128 $3,963.00

IMP COMP FEMORAL VANGARD BIOM PS RT 60MM 183104 $3,963.00

IMP COMP FEMORAL ZIM NEXGEN 72X65.5MM RT 00-5994-016-92 $16,575.00

IMP COMP FEMORAL ZIM NEXGEN AUG BLOCK 5MM SZ F 00-5990-036-1 $2,683.00

IMP COMP FINGER JOINT DEPUY MCP 40 1234-40-000 $4,335.00

IMP COMP FINGER JOINT SIL MCP-30 $1,723.00

IMP COMP FINGER JOINT SIL MCP-40 $2,053.00

IMP COMP FINGER PROX SILICONE OES 10 PIP-10 $1,488.00

IMP COMP FINGER PROX SILICONE OES 30 PIP-30 $1,625.00

IMP COMP GLENOID ZIM 40MM 00-4300-085-00 $1,750.00

IMP COMP GLENOID ZIM 52MM 00-4300-087-00 $1,750.00

IMP COMP IBALANCE PATELLA DOME 34X9MM AR-504-PSC9 $705.00

IMP COMP KNEE S&N LEGION CR HI-FLEX XLPE SZ1-2 10MM 71453181 $1,550.00

IMP COMP KNEE S&N LEGION CR HI-FLEX XLPE SZ1-2 12MM 71453182 $1,550.00

IMP COMP KNEE S&N LEGION CR HI-FLEX XLPE SZ3-4 12MM 71453184 $1,550.00

IMP COMP KNEE S&N LEGION CR HI-FLEX XLPE SZ5-6 10MM 71453185 $1,550.00

IMP COMP KNEE S&N LEGION CR HI-FLEX XLPE SZ5-6 12MM 71453186 $1,550.00

IMP COMP KNEE S&N LEGION CR HI-FLEX XLPE SZ7-8 10MM 71453187 $1,550.00

IMP COMP KNEE S&N LEGION CR HI-FLEX XLPE SZ7-8 12MM 71453188 $1,550.00

IMP COMP KNEE S&N LEGION PS HI-FLEX XLPE SZ1-2 10MM 71453171 $1,550.00

IMP COMP KNEE S&N LEGION PS HI-FLEX XLPE SZ1-2 12MM 71453172 $1,550.00

IMP COMP KNEE S&N LEGION PS HI-FLEX XLPE SZ3-4 10MM 71453173 $1,550.00

IMP COMP KNEE S&N LEGION PS HI-FLEX XLPE SZ3-4 12MM 71453174 $1,550.00

IMP COMP KNEE S&N LEGION PS HI-FLEX XLPE SZ5-6 10MM 71453175 $1,550.00

IMP COMP KNEE S&N LEGION PS HI-FLEX XLPE SZ7-8 10MM 71453177 $1,550.00

IMP COMP KNEE S&N LEGION PS HI-FLEX XLPE SZ7-8 12MM 71453178 $1,550.00

IMP COMP PATELLA BIOM 3 PEG 31MM 184784 $625.00

IMP COMP PATELLA BIOM 3 PEG 34MM 184786 $625.00

IMP COMP PATELLA BIOM 3 PEG 34MM STD 184766 $625.00

IMP COMP PATELLA BIOM 3 PEG 37MM STD 184768 $625.00

IMP COMP PATELLA DEPUY 3 POST OVAL 35MM 96-0101 $750.00

IMP COMP PATELLA DEPUY 3 POST OVAL 41MM 96-0103 $750.00

IMP COMP PATELLA DEPUY 3 POST RND 32MM 96-0110 $750.00

IMP COMP PATELLA DEPUY 3 POST RND 35MM 960111 $750.00

IMP COMP PATELLA DEPUY 3 POST RND 38MM 96-0112 $750.00

IMP COMP PATELLA DEPUY 3 POST RND 41MM 960113 $750.00

IMP COMP PATELLA GENESIS II 13X29MM 71420574 $725.00

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IMP COMP PATELLA GENESIS II 9X35MM 71420578 $725.00

IMP COMP PATELLA HOWM 09MM 6642-2-630 $1,574.00

IMP COMP PATELLA HOWM ASYM TRI 32X10MM 5551-L-320 $438.00

IMP COMP PATELLA HOWM TRI 35 10MM 5551-L-350 $438.00

IMP COMP PATELLA HOWM TRI 38 10MM 5551-L-381 $438.00

IMP COMP PATELLA HOWM TRI ASYM 29X09MM 5551-G-299 $750.00

IMP COMP PATELLA HOWM TRI ASYM 29X09MM 555-L-299 $438.00

IMP COMP PATELLA HOWM TRI ASYM 32X10MM 5551-G-320 $750.00

IMP COMP PATELLA HOWM TRI ASYM 35X10MM 5551-G-350 $750.00

IMP COMP PATELLA HOWM TRI ASYM 38X11MM 5551-G-381 $750.00

IMP COMP PATELLA HOWM TRI ASYM 40X11MM 5551-G-401 $750.00

IMP COMP PATELLA JJ 32MM 96-0100 $750.00

IMP COMP PATELLA JJ 38MM 96-0102 $750.00

IMP COMP PATELLA LG 6642-2-150 $1,574.00

IMP COMP PATELLA MED 6642-2-100 $1,574.00

IMP COMP PATELLA S&N UHMWPE 29X8.5MM OVAL 71421029 $725.00

IMP COMP PATELLA S&N UHMWPE 32X9MM OVAL 71421032 $725.00

IMP COMP PATELLA S&N UHMWPE 35X9MM OVAL 71421035 $725.00

IMP COMP PATELLA S&N UHMWPE 38X9.5MM OVAL 71421038 $725.00

IMP COMP PATELLA SM 6642-2-040 $1,574.00

IMP COMP PATELLA SNN GEN II RESURFACING 38MM 71926225 $725.00

IMP COMP PATELLA SNN GEN II RESURFACING 41MM 71926226 $725.00

IMP COMP PATELLA SNN JOURNEY BCS RESURF RD 32MM STD $725.00

IMP COMP PATELLA SNN JOURNEY BCS RESURF RD 35MM STD $725.00

IMP COMP PATELLA SNN JOURNEY BCS RESURF RD 38MM STD $725.00

IMP COMP PATELLA SNR GENESIS II 9X32MM 71420576 $725.00

IMP COMP PATELLA SNR RESURF GENESIS II 9X26MM 71420580 $725.00

IMP COMP PATELLA STRK TRI SYM X3 27X8MM 5550-G-278 $750.00

IMP COMP PATELLA STRK TRI SYM X3 29X8MM 5550-G-298 $750.00

IMP COMP PATELLA STRK TRI SYM X3 31X9MM 5550-G-319 $750.00

IMP COMP PATELLA STRK TRI SYM X3 33X9MM 5550-G-339 $750.00

IMP COMP PATELLA STRK TRI SYM X3 36X10MM 5550-G-360 $750.00

IMP COMP PATELLA STRK TRI SYM X3 39X11MM 5550-G-391 $750.00

IMP COMP PATELLA TRI 27X8MM 5550-L-278 $438.00

IMP COMP PATELLA TRI 29X8MM 5550-L-298 $438.00

IMP COMP PATELLA TRI 31X9MM 5550-L-319 $438.00

IMP COMP PATELLA TRI 33X9MM 5550-L-339 $438.00

IMP COMP PATELLA TRI 36X10MM 5550-L-360 $438.00

IMP COMP PATELLA TRI 39X11MM 5550-L-391 $438.00

IMP COMP PATELLA WRIGHT 8X32MM KPON-TP32 $25.00

IMP COMP PATELLA ZIM ALL POLY 32MM STD 42-5402-000-32 $1,875.00

IMP COMP PATELLA ZIM NEXGEN 8.0X29MM 00-5972-065-29 $625.00

IMP COMP PATELLA ZIM NEXGEN 8.5X32MM 00-5972-065-32 $625.00

IMP COMP SHLDR GLENOID SPHERE AQLS REV II 36X25MM 10D DWD181 $3,075.00

IMP COMP SHLDR GLENOID SPHERE AQLS REV II 36X25MM DWD180 $3,075.00

IMP COMP SHLDR GLENOID SPHERE AQLS REV II 36X29MM 10D DWD191 $3,075.00

IMP COMP SHLDR GLENOID SPHERE AQLS REV II 36X29MM DWD190 $3,075.00

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IMP COMP SHLDR HUMERAL LONG POST AQLS REV II 25MM DWD171 $4,396.00

IMP COMP SHOULDER GLENOID 7 5361-6107 $1,500.00

IMP COMP STRK TRIATHLN POST AUG 10MM SZ 2 5544-A-200 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 10MM SZ 3 5544-A-300 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 10MM SZ 4 5544-A-400 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 10MM SZ 5 5544-A-500 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 10MM SZ 6 5544-A-600 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 10MM SZ 7 5544-A-700 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 5MM SZ 1 5543-A-100 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 5MM SZ 2 5543-A-200 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 5MM SZ 3 5543-A-300 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 5MM SZ 4 5543-A-400 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 5MM SZ 5 5543-A-500 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 5MM SZ 6 5543-A-600 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 5MM SZ 7 5543-A-700 $2,838.00

IMP COMP STRK TRIATHLN POST AUG 5MM SZ 8 5543-A-800 $2,838.00

IMP COMP TIB STRK TRIATHLN AUG 10MM LM/RL SZ 2 5546-A-201 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM LM/RL SZ 3 5546-A-301 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM LM/RL SZ 4 5546-A-401 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM LM/RL SZ 5 5546-A-501 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM LM/RL SZ 6 5546-A-601 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM LM/RL SZ 7 5546-A-701 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM LM/RL SZ 8 5546-A-801 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM RM/LL SZ 1 5546-A-102 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM RM/LL SZ 2 5546-A-202 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM RM/LL SZ 3 5546-A-302 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM RM/LL SZ 4 5546-A-402 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM RM/LL SZ 5 5546-A-502 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM RM/LL SZ 6 5546-A-602 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 10MM RM/LL SZ 7 5546-A-702 $2,530.00

IMP COMP TIB STRK TRIATHLN AUG 5MM LM/RL SZ 1 5545-A-101 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM LM/RL SZ 2 5545-A-201 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM LM/RL SZ 3 5545-A-301 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM LM/RL SZ 4 5545-A-401 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM LM/RL SZ 5 5545-A-501 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM LM/RL SZ 6 5545-A-601 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM LM/RL SZ 7 5545-A-701 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM RM/LL SZ 1 5545-A-102 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM RM/LL SZ 2 5545-A-202 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM RM/LL SZ 3 5545-A-302 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM RM/LL SZ 4 5545-A-402 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM RM/LL SZ 5 5545-A-502 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM RM/LL SZ 6 5545-A-602 $2,591.00

IMP COMP TIB STRK TRIATHLN AUG 5MM RM/LL SZ 7 5545-A-702 $2,591.00

IMP COMP TIBIAL KNEE ASCENT 67MM 141232 $1,750.00

IMP COMP TIBIAL KNEE ASCENT 75MM 141234 $1,750.00

IMP COMP TIBIAL KNEE TRAY ASCENT LOCKING BAR 141205 $323.00

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IMP COMP TIBIAL PLATE 27MMX47MM 00-5842-003-02 $2,658.00

IMP COMP TIBIAL PLATE 27MMX47MM LT 00-5842-003-01 $2,658.00

IMP COMP TIBIAL PLATE ZIM 25MMX44MM SZ2 LT 00-5842-002-01 $2,658.00

IMP COMP TIBIAL PLATE ZIM 26MMX33MM SZ 6 RT 00-5842-006-02 $2,658.00

IMP COMP TIBIAL PLATE ZIM 29MMX50MM SZ 4 LT 00-5842-004-01 $2,658.00

IMP COMP TIBIAL PLATE ZIM 29MMX50MM SZ 4 RT 00-5842-004-02 $2,658.00

IMP COMP TIBIAL PLATE ZIM 31MMX53MM SZ 5 LT 00-5842-005-01 $2,658.00

IMP COMP TIBIAL PLATE ZIM 31MMX53MM SZ 5 RT 00-5842-005-02 $2,658.00

IMP COMP TIBIAL STRK ALL POLY ROTATING 6481-2-103 $6,648.00

IMP COMP TIBIAL STRK MRH 6481-2-100 $6,648.00

IMP COMP TIBIAL STRK PROX STD 65X41MM 6495-3-102 $16,154.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP LT SZ 3 74022223 $1,725.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP LT SZ 4 74022224 $1,725.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP LT SZ 5 74022225 $1,725.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP LT SZ 6 74022226 $1,725.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP LT SZ 7 74022227 $1,725.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP RT SZ 2 $1,725.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP RT SZ 3 74022213 $1,725.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP RT SZ 4 74022214 $1,725.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP RT SZ 5 74022216 $1,725.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP RT SZ 6 74022216 $1,725.00

IMP COMP TIBIAL TRAY SNN JOURNEY NP RT SZ 8 74022218 $1,725.00

IMP COMP TIBIAL UNICOMP ZIM SZ2 RT MDL/LT LAT 00-5842-002-02 $2,658.00

IMP COMP TIBIAL ZIM NEXGEN 66X42MM 00-5988-003-00 $6,450.00

IMP COMP TIBIAL ZIM SZ 5 GRN 74X46MM 00-5988-004-00 $6,450.00

IMP COMP TIBTRY SGM 2 KN COCR 1581-20-000 $1,625.00

IMP COMP TIBTRY SGM 2.5 KN COCR 1581-25-000 $1,625.00

IMP COMP TKA IBALANCE FEM PS CEM SZ 2 RT AR-516-2R $2,523.00

IMP COMP TORNIER TALAR ANKLE SIZE 0 LT LJU210 $9,813.00

IMP COMP TORNIER TALAR ANKLE SIZE 0 RT LJU200 $9,813.00

IMP COMP TORNIER TALAR ANKLE SIZE 2 RT LJU202 $9,813.00

IMP COMP ZIM ARTICULAR HIGH FLEX 2H 12MM 00-5842-022-12 $1,258.00

IMP COMP ZIM ARTICULAR HIGH FLEX 4H 10MM 00-5842-024-10 $1,258.00

IMP COMP ZIM ARTICULAR HIGH FLEX 4H 12MM 00-5842-024-12 $1,258.00

IMP COMP ZIM ARTICULAR HIGH FLEX 5H 10MM 00-5842-025-10 $1,633.00

IMP CONNECTOR CROSSLINK STRK XIA 3 30X35MM TI 48236030 $1,875.00

IMP CONNECTOR CROSSLINK STRK XIA 3 35X44MM TI 48236035 $1,875.00

IMP CONNECTOR CROSSLINK STRK XIA 3 43X54MM TI 48236043 $1,875.00

IMP CONNECTOR CROSSLINK STRK XIA 3 53X73MM TI 48236053 $1,875.00

IMP CONNECTOR CROSSLINK STRK XIA 3 70X99MM TI 48236070 $1,875.00

IMP CONNECTOR DOMINO MEDT 5.5MM 779145555 $1,250.00

IMP CONNECTOR MEDT CROSSLINK FIXED 16MM X10 8115516 $1,875.00

IMP CONNECTOR MEDT CROSSLINK FIXED 19MMX10 8115519 $1,875.00

IMP CONNECTOR MEDT CROSSLINK FIXED 22MMX10 8115522 $1,875.00

IMP CONNECTOR MEDT CROSSLINK FIXED 25MMX10 8115525 $1,875.00

IMP CONNECTOR MEDT CROSSLINK MULTI 28-30MMX10 8115528 $1,250.00

IMP CONNECTOR MEDT CROSSLINK MULTI 30-34MMX10 88115530 $1,250.00

Page 145: DESCRIPTION Price - Fairview

IMP CONNECTOR MEDT CROSSLINK MULTI 34-36MMX10 88115534 $1,250.00

IMP CONNECTOR MEDT CROSSLINK MULTI 36-45MM X10 8115536 $1,250.00

IMP CONNECTOR MEDT CROSSLINK MULTI 39-45MMX10 8115539 $1,250.00

IMP CONNECTOR MEDT CROSSLINK MULTI 45-58MM X10 8115545 $1,250.00

IMP CONNECTOR MEDT CROSSLINK MULTI 58-80MMX11 8115558 $1,250.00

IMP CONNECTOR MEDT TSRH 3DX LARGE 8351522 $1,613.00

IMP CONNECTOR MEDT TSRH 3DX MED 8351521 $1,250.00

IMP CONNECTOR MEDT TSRH 3DX SMALL 8351520 $1,250.00

IMP CONNECTOR SPINE LAT MEDT 12MM OFFSET 88905512 $1,613.00

IMP CONNECTOR STRK CROSS 35-37MM PINK/SILVER 48213035 $1,875.00

IMP CONNECTOR STRK CROSS 42-51MM PINK 48213042 $1,875.00

IMP CONNECTOR STRK CROSS 50-67MM SILVER 48213050 $1,875.00

IMP CONNECTOR STRK CROSS 66-69MM GREEN 48213066 $1,875.00

IMP CONNECTOR STRK CVD S MA VAR RADIUS 486614129 $1,875.00

IMP CONNECTOR STRK MED CVD FIXED VAR RADIUS 486614130 $1,875.00

IMP CONNECTOR STRK OASYS AXIAL 3.5MM/3.5MM 48551085 $1,500.00

IMP CONNECTOR STRK OASYS OFFSET 10MM 48551080 $1,500.00

IMP CONNECTOR STRK OASYS OFFSET 12MM 48551081 $1,500.00

IMP CONNECTOR STRK OASYS ROD TO ROD 3.5MM/3.5MM 48551088 $1,500.00

IMP CONNECTOR STRK OASYS TRANSVERSE 40MM 48551072 $1,500.00

IMP CONNECTOR STRK OASYS TRANSVERSE 60MM 48551071 $1,500.00

IMP CONNECTOR STRK OFFSET 03820101 $1,500.00

IMP CONNECTOR STRK ROD/BOLT LP SM OFFSET 48902015 $1,500.00

IMP CONNECTOR STRK XIA LONG OFFSET 48230133 $1,500.00

IMP CONNECTOR STRK XIA LP LONG ROD TO ROD 0DEG 03820136 $1,500.00

IMP CONNECTOR STRK XIA LP OFFSET NEUTRAL 03820131 $1,500.00

IMP CONNECTOR STRK XIA LP OFFSET NEUTRAL LONG 03820133 $1,500.00

IMP CONNECTOR STRK XIA LP SM ROD TO ROD 0DEG 03820134 $1,500.00

IMP CONNECTOR STRK XIA LP SM ROD TO ROD 30DEG 03820135 $1,500.00

IMP CONNECTOR STRK XIA ROD TO ROD PRLL ANG SD LOAD 48235010 $1,500.00

IMP CONNECTOR STRK XIA ROD TO ROD PRLL TOP SD LOAD 48235011 $1,500.00

IMP CONNECTOR STRK XIA ROD TO ROD SM PRLL 7MM 48230141 $1,500.00

IMP CONNECTOR STRK XIA SM PARALLEL 12MM 48235007 $1,500.00

IMP COUPLER STEM S&N OFFSET 4MM 71424225 $3,693.00

IMP COUPLER STEM S&N OFFSET 6MM 71424227 $3,693.00

IMP CUP ACE PINNACLE 48MM 1217-22-048 $2,100.00

IMP CUP ACE PINNACLE 50MM 1217-22-050 $2,100.00

IMP CUP ACE PINNACLE 52MM 1217-22-052 $2,100.00

IMP CUP ACE PINNACLE 54MM 1217-22-054 $2,100.00

IMP CUP ACE PINNACLE 56MM 1217-22-056 $2,100.00

IMP CUP ACE PINNACLE 58MM 1217-22-058 $2,100.00

IMP CUP ACE PINNACLE 60MM 1217-22-060 $2,100.00

IMP CUP ACE PINNACLE 62MM 1217-22-062 $2,100.00

IMP CUP ACE PINNACLE 64MM 1217-22-064 $2,100.00

IMP CUP ACET DEPUY SPACER PROSTALAC 32X42MM 1541-42-320 $1,264.00

IMP CUP BIOM ACET BIPOLAR 28X51MM 11-165226 $1,323.00

IMP CUP DEPUY HIGH MO CROSSLINK HUM 3MM 130742203 $1,875.00

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IMP CUP DEPUY HIGH MO CROSSLINK HUM 6MM 130742206 $1,875.00

IMP CUP DEPUY HIGH MO DXTEND 38MM +3MM 130742706 $1,875.00

IMP CUP DEPUY HIGH MO DXTEND 38MM +6MM 130742709 $1,875.00

IMP CUP DEPUY HIGH MO DXTEND 38MM +9MM 130742106 $1,875.00

IMP CUP DEPUY RETENTION PE DXTEND 38MM +6MM 130738106 $1,875.00

IMP CUP DEPUY RETENTION PE DXTEND 42MM +3MM 130738203 $1,875.00

IMP CUP DEPUY STD PE DXTEND 38MM +3MM 130738206 $1,875.00

IMP CUP DEPUY STD PE DXTEND 38MM +6MM 130738209 $1,875.00

IMP CUP DEPUY STD PE DXTEND 42MM +9MM 130738703 $1,875.00

IMP CUP HUMERAL STRK 32X4MM 5570-3204 $2,750.00

IMP CUP HUMERAL STRK 36X4MM 5570-3604 $2,750.00

IMP CUP SNR ACET BHR MED SZ 52MM 74120152 $9,513.00

IMP CUP SNR ACET BHR MED SZ 56MM 74120156 $9,513.00

IMP CUP STRK ACETAB TRIDENT PLS SB 54MM 540-11-54E $2,000.00

IMP CUP STRK ACETAB TRIDENT PSL SB 46MM 540-11-46D $2,000.00

IMP CUP STRK ACETAB TRIDENT PSL SB 48MM 540-11-48D $2,000.00

IMP CUP STRK ACETAB TRIDENT PSL SB 52MM 540-11-50E $2,000.00

IMP CUP STRK ACETAB TRIDENT PSL SB 52MM 540-11-52E $2,000.00

IMP CUP STRK ACETAB TRIDENT PSL SB 56MM 540-11-56F $2,000.00

IMP CUP STRK ACETAB TRIDENT PSL SB 58MM 540-11-58G $2,000.00

IMP CUP STRK ACETAB TRIDENT PSL SB 60MM 540-11-60G $2,000.00

IMP CUP STRK ACETAB TRIDENT PSL SB 64MM 540-11-64H $2,000.00

IMP CUP ZIM ACET TM REV MULTIHOLE 68MM 00-6202-068-20 $5,670.00

IMP CUTTING BLOCK S&N VISIONARE LT KNEE V0100022 $1,750.00

IMP CUTTING BLOCK S&N VISIONARE RT FEM/TIB V0100023 $1,750.00

IMP DEVICE ANASTOMOTIC 2.0MM COUPLER PROBE GEM2752-FC $2,238.00

IMP DISC LDR MOBI-C CERVICAL 13X15MM H5 US MB3355 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 13X15MM H6 US MB3356 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 13X17MM H5 US MB3375 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 13X17MM H6 US MB3376 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 15X15MM H5 US MB3555 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 15X15MM H6 US MB3556 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 15X15MM H7 US MB3557 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 15X17MM H6 US MB3576 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 15X17MM H7 US MB3577 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 15X19MM H5 US MB3595 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 15X19MM H6 US MB3596 $11,250.00

IMP DISC LDR MOBI-C CERVICAL 15X19MM H7 US MB3597 $11,250.00

IMP EAR 37MMW X 62MMH LEFT HELICAL RIM F/RECONSTRUCTION $1,592.00

IMP END CAP STRK FEM TIBIAL NAIL STD 11X15.3MM TI 3005-1100S $447.00

IMP END CAP STRK T2 FT SPNIAL SCR 1826-0003S $438.00

IMP END CAP SYN 12MM T40 STARDRIVE TI 0MM 04.003.000S $434.00

IMP END CAP SYN 12MM T40 STARDRIVE TI 10MM 04.003.002S $434.00

IMP END CAP SYN 12MM T40 STARDRIVE TI 5MM 04.003.001S $434.00

IMP END CAP SYN FEM NAIL EX T40 STARDRIVE 0MM 04.013.000S $434.00

IMP END CAP SYN FOR TIBIAL NAIL EX 05MM TI 04.004.001 $442.00

IMP END CAP SYN FOR TIBIAL NAIL EX 0MM TI 04.004.000 $343.00

Page 147: DESCRIPTION Price - Fairview

IMP END CAP SYN FOR TIBIAL NAIL EX 15MM TI 04.004.003 $442.00

IMP END CAP SYN T40 STARDRIVE 0MM GOLD 04.004.000S $434.00

IMP END CAP SYN T40 STARDRIVE TI 0MM STRL 04.004.008S $434.00

IMP END CAP SYN T40 STARDRIVE TI 10MM STRL 04.004.010S $533.00

IMP END CAP SYN T40 STARDRIVE TI 15MM GRAY 04.004.011 $442.00

IMP END CAP SYN T40 STARDRIVE TI 15MM STRL 04.004.011S $533.00

IMP END CAP SYN T40 STARDRIVE TI 5MM GRAY 04.004.009 $442.00

IMP END CAP SYN T40 STARDRIVE TI 5MM STRL 04.004.009S $533.00

IMP FEM BASEPLATE JJ ATTUNE POST RP SZ 10 150680010 $2,250.00

IMP FEM BASEPLATE JJ ATTUNE POST RP SZ 2 150680002 $2,250.00

IMP FEM BASEPLATE JJ ATTUNE POST RP SZ 3 150680003 $2,250.00

IMP FEM BASEPLATE JJ ATTUNE POST RP SZ 5 150680005 $2,250.00

IMP FEM BASEPLATE JJ ATTUNE POST RP SZ 6 150680006 $2,250.00

IMP FEM BASEPLATE JJ ATTUNE POST RP SZ 7 150680007 $2,250.00

IMP FEM BASEPLATE JJ ATTUNE POST RP SZ 8 150680008 $2,250.00

IMP FEM BASEPLATE JJ ATTUNE POST RP SZ 9 150680009 $2,250.00

IMP FEMORAL SLEEVE S&N LONG MOD +8MM NECK TI 71344249 $125.00

IMP FEMORAL SLEEVE S&N MED MOD +4MM NECK TI 71344248 $125.00

IMP FEMORAL SLEEVE S&N SHORT MOD +0MM NECK TI 71344247 $125.00

IMP FEMORAL SLEEVE S&N SHORT MOD -4MM NECK TI 71344245 $125.00

IMP FINGER JOINT DEPUY PIP SZ 1 1233-10-000 $4,725.00

IMP FINGER JOINT DEPUY PIP SZ 2 1233-20-000 $3,685.00

IMP FOREFOOT IB SYS PEEK AR-1530P-CP $3,488.00

IMP GLENOID CROSSLINK ANCHOR PEG 40MM 1136-40-026 $1,500.00

IMP GLENOID CROSSLINK ANCHOR PEG 44MM 1136-41-026 $1,500.00

IMP GLENOID CROSSLINK ANCHOR PEG 48MM 1136-42-026 $1,500.00

IMP GLENOID CROSSLINK ANCHOR PEG 52MM 1136-43-026 $1,500.00

IMP GLENOID CROSSLINK ANCHOR PG 56 1136-44-026 $1,500.00

IMP GLENOSPHERE BIOM REV SHLDR 36MM STD 115310 $2,563.00

IMP GLENOSPHERE BIOM REV SHLDR 41MM STD 115320 $2,563.00

IMP GLENOSPHERE BIOMET REV SHLDR 36MM +3 115313 $2,563.00

IMP GLENOSPHERE STRK 2MM ECCEN 36X2MM 5573-2E-3602 $4,000.00

IMP GLENOSPHERE STRK CONCENTRIC 32X2MM 5573-C-3202 $4,000.00

IMP HAND WRIGHT SPHERICAL SZ 12 853-0012 $5,100.00

IMP HEAD DELTA XTEND CTA 48X21MM 1307-48-021 $8,981.00

IMP HEAD DEPUY ARTICULEZE M 36MM +15.5 1365-55-000 $900.00

IMP HEAD FEM BIOM BIOLOX DELTA OPTION 28MM 650-1055 $2,750.00

IMP HEAD FEM BIOM BIOLOX DELTA OPTION 36MM 650-1057 $2,750.00

IMP HEAD FEM BIOM FREEDOM PE CNSTRND 36MM -3MM 11-107017 $3,558.00

IMP HEAD FEM DEPUY ART/EZE 32MM +1MM 1365-32-310 $1,900.00

IMP HEAD FEM STRK BIOLOX DELTA C-TPR 32MM +2.5 OFFST 18-3225 $1,900.00

IMP HEAD FEM STRK BIOLOX DELTA C-TPR 32MM +5 OFFST 18-3205 $1,900.00

IMP HEAD FEM STRK BIOLOX DELTA C-TPR 36MM +1 OFFST 18-3600 $1,900.00

IMP HEAD FEM STRK BIOLOX DELTA C-TPR 36MM +2.5 OFFST 18-3625 $1,900.00

IMP HEAD FEM STRK BIOLOX DELTA C-TPR 36MM -2.5 OFFST 18-36-3 $1,900.00

IMP HEAD FEM STRK BIOLOX DELTA C-TPR 36MM -5 OFFST 18-36-5 $1,900.00

IMP HEAD FEM STRK BIOLOX DELTA TAPER SZ 40 +0MM 6519-1-040 $1,900.00

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IMP HEAD FEM STRK V40 VITALLIM COCR 22.2MM +0MM 6260-4-122 $773.00

IMP HEAD FEM STRK V40 VITALLIM COCR 28MM +12MM 6260-5-428 $773.00

IMP HEAD FEM STRK V40 VITALLIM COCR 32MM +4MM 6260-5-232 $773.00

IMP HEAD FEM ZIM BIOLOX DELTA CER 36MM -3.5 00-8775-036-01 $2,000.00

IMP HEAD FEMOARL STRK ALUMINA V40 32MM +4 6565-0-232 $2,000.00

IMP HEAD FEMORAL BIOM MOD 36MM +6MM 11-363664 $750.00

IMP HEAD FEMORAL BIOM MOD 36MM +9MM 11-363665 $750.00

IMP HEAD FEMORAL BIOM MOD 36MM -12MM 11-363666 $750.00

IMP HEAD FEMORAL DEPUY 28MM +1.5MM 1365-11-000 $900.00

IMP HEAD FEMORAL DEPUY 32MM +1 1365-21-000 $900.00

IMP HEAD FEMORAL DEPUY 32MM +5 1365-22-000 $900.00

IMP HEAD FEMORAL DEPUY 32MM +9 1365-23-000 $900.00

IMP HEAD FEMORAL DEPUY 36MM +1.5 1365-51-000 $900.00

IMP HEAD FEMORAL DEPUY 36MM +12 1365-54-000 $900.00

IMP HEAD FEMORAL DEPUY 36MM +5 1365-52-000 $900.00

IMP HEAD FEMORAL DEPUY 36MM +8.5 1365-53-000 $900.00

IMP HEAD FEMORAL DEPUY 36MM -2 1365-50-000 $900.00

IMP HEAD FEMORAL DEPUY 40MM +5 OFFSET 1365-06-000 $900.00

IMP HEAD FEMORAL DEPUY BIOLOX DELTA 40MM +1.5 1365-40-710 $1,900.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X42MM 103542000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X43MM 103543000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X44MM 103544000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X45MM 103545000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X46MM 103546000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X47MM 103547000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X48MM 103548000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X49MM 103549000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X50MM 103550000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X51MM $1,250.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X52MM 103552000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X53MM 103553000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X54MM 103554000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X55MM 103555000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X56MM 103556000 $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X57MM $1,125.00

IMP HEAD FEMORAL DEPUY BIPOLAR 28X61MM $1,125.00

IMP HEAD FEMORAL DEPUY CERAMIC 36MM +1.5MM 1365-36-310 $1,900.00

IMP HEAD FEMORAL DEPUY CERAMIC 36MM +5MM 136536320 $1,900.00

IMP HEAD FEMORAL DEPUY COBALT 28MM +12MM 1365-14-000 $900.00

IMP HEAD FEMORAL DEPUY COBALT 28MM +15.5MM 1365-15-000 $900.00

IMP HEAD FEMORAL DEPUY COBALT 28MM +5MM 1365-12-000 $900.00

IMP HEAD FEMORAL DEPUY COBALT 28MM +8.5MM 1365-13-000 $900.00

IMP HEAD FEMORAL DEPUY PFC 28MM +10 85-3833 $1,558.00

IMP HEAD FEMORAL DEPUY PFC 28MM +5 85-3842 $1,558.00

IMP HEAD FEMORAL DEPUY PROSTALAC 32MM +13 BLK 1365-24-000 $900.00

IMP HEAD FEMORAL SNN 12/14 OXIN 36MM +4MM 71343604 $2,500.00

IMP HEAD FEMORAL SNN 12/14 OXIN 36MM -3MM 71343603 $2,500.00

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IMP HEAD FEMORAL SNN BIPOLAR COBALT 36MM +4 71303604 $1,625.00

IMP HEAD FEMORAL SNR COBALT 32MM +0 71303200 $1,625.00

IMP HEAD FEMORAL SNR COBALT 36MM +0 71303600 $1,625.00

IMP HEAD FEMORAL SNR OXINIUM 12/14 28MM +4 71342804 $2,500.00

IMP HEAD FEMORAL SNR OXINIUM 12/14 36MM +0 71343600 $2,500.00

IMP HEAD FEMORAL SNR OXINIUM 12/14 36MM +8 71343608 $2,500.00

IMP HEAD FEMORAL STRK ALUMINA V40 28MM -4 6565-0-032 $2,000.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 28MM +4MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 28MM 0MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 28MM -2.7MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 28MM -4MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 32MM +4MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 32MM 0MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 36MM +0MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 36MM +2.5MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 36MM +5MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 36MM +7.5MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC 36MM -5MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC V40 32MM $1,900.00

IMP HEAD FEMORAL STRK BIOLOX DELTA CERAMIC V40 36MM $1,900.00

IMP HEAD FEMORAL STRK C-TAPER COCR LFIT 22MM +0MM 06-2200 $773.00

IMP HEAD FEMORAL STRK C-TAPER COCR LFIT 22MM +10MM 06-2210 $773.00

IMP HEAD FEMORAL STRK C-TAPER COCR LFIT 22MM +5MM 06-2205 $773.00

IMP HEAD FEMORAL STRK C-TAPER COCR LFIT 32MM +0MM 06-3200 $773.00

IMP HEAD FEMORAL STRK C-TAPER COCR LFIT 32MM -5MM 06-3299 $773.00

IMP HEAD FEMORAL STRK C-TAPER COCR LFIT 36MM +2MM 06-3625 $773.00

IMP HEAD FEMORAL STRK C-TAPER COCR LFIT 36MM +7MM 06-3675 $773.00

IMP HEAD FEMORAL STRK C-TAPER COCR LFIT 36MM -2MM 06-3697 $773.00

IMP HEAD FEMORAL STRK C-TAPER COCR LFIT 36MM -5MM 06-3699 $773.00

IMP HEAD FEMORAL STRK C-TAPER COCR LFIT 44MM +0MM 06-4400 $1,875.00

IMP HEAD FEMORAL STRK LFIT V40 36MM +0 6260-9-136 $773.00

IMP HEAD FEMORAL STRK LFIT V40 36MM +10 6260-9-336 $773.00

IMP HEAD FEMORAL STRK LFIT V40 36MM +5 6260-9-236 $773.00

IMP HEAD FEMORAL STRK LFIT V40 36MM -5 6260-9-036 $773.00

IMP HEAD FEMORAL STRK LFIT V40 40MM +0 6260-9-140 $1,875.00

IMP HEAD FEMORAL STRK LFIT V40 40MM +12 6260-9-440 $1,875.00

IMP HEAD FEMORAL STRK LFIT V40 40MM +4 6260-9-240 $1,875.00

IMP HEAD FEMORAL STRK LFIT V40 40MM +8 6260-9-340 $1,875.00

IMP HEAD FEMORAL STRK LFIT V40 40MM -4 6260-9-040 $1,875.00

IMP HEAD FEMORAL STRK LFIT V40 44MM +0 $1,875.00

IMP HEAD FEMORAL STRK LFIT V40 44MM +12 $1,875.00

IMP HEAD FEMORAL STRK LFIT V40 44MM +4 $1,875.00

IMP HEAD FEMORAL STRK LFIT V40 44MM +8 $1,875.00

IMP HEAD FEMORAL STRK LFIT V40 44MM -4 $1,875.00

IMP HEAD FEMORAL STRK PCA REV 28MM +0MM 6280-0-128 $1,855.00

IMP HEAD FEMORAL STRK V40 VITALIUM COCR 28MM +0MM 6260-5-128 $773.00

IMP HEAD FEMORAL STRK V40 VITALIUM COCR 32MM +0MM 6260-5-132 $773.00

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IMP HEAD FEMORAL STRK V40 VITALIUM COCR 32MM -4MM 6260-5-032 $773.00

IMP HEAD FEMORAL STRK V40 VITALLIM COCR 22MM +3MM 6260-4-222 $773.00

IMP HEAD FEMORAL STRK V40 VITALLIM COCR 22MM +8MM 6260-4-322 $773.00

IMP HEAD FEMORAL STRK V40 VITALLIM COCR 26MM +4MM 6260-5-226 $773.00

IMP HEAD FEMORAL STRK V40 VITALLIM COCR 28MM +4MM 6260-5-228 $773.00

IMP HEAD FEMORAL STRK V40 VITALLIM COCR 28MM +8MM 6260-5-328 $773.00

IMP HEAD FEMORAL STRK V40 VITALLIM COCR 28MM -4MM 6260-5-028 $773.00

IMP HEAD FEMORAL STRK V40 VITALLIM COCR 32MM +12MM $773.00

IMP HEAD FEMORAL STRK V40 VITALLIM COCR 32MM +8MM 6260-5-332 $773.00

IMP HEAD FEMORAL UNIPOLAR MODULE 41MM 136341000 $1,000.00

IMP HEAD FEMORAL UNIPOLAR MODULE 42MM 136342000 $1,000.00

IMP HEAD FEMORAL UNIPOLAR MODULE 43MM 1363-43-000 $2,213.00

IMP HEAD FEMORAL UNIPOLAR MODULE 44MM 1363-44-000 $1,000.00

IMP HEAD FEMORAL UNIPOLAR MODULE 45MM 1363-45-000 $1,000.00

IMP HEAD FEMORAL UNIPOLAR MODULE 46MM 1363-46-000 $1,000.00

IMP HEAD FEMORAL UNIPOLAR MODULE 47MM 1363-47-000 $1,000.00

IMP HEAD FEMORAL UNIPOLAR MODULE 48MM 1363-48-000 $1,250.00

IMP HEAD FEMORAL UNIPOLAR MODULE 49MM 1363-49-000 $1,000.00

IMP HEAD FEMORAL UNIPOLAR MODULE 52MM 136352000 $1,000.00

IMP HEAD FEMORAL UNIPOLAR MODULE 53MM 136353000 $1,000.00

IMP HEAD FEMORAL UNIPOLAR MODULE 54MM 1363-54-000 $1,000.00

IMP HEAD FEMORAL WRIGHT 28MM XXLONG SLT +10.5MM 2601-2805 $875.00

IMP HEAD FEMORAL ZIM +7X32MM 00-8018-032-14 $750.00

IMP HEAD FEMORAL ZIM VERSYS 36MM +3.5 00-8018-036-03 $750.00

IMP HEAD FEMORAL ZIM VERSYS 36MM +7 00-8018-036-04 $750.00

IMP HEAD HUM STRK REUNION TSA 40X17 4MM OFFSET 5552-E-4017 $2,888.00

IMP HEAD HUM STRK REUNION TSA 44X16 4MM OFFSET 5552-E-4416 $2,888.00

IMP HEAD HUM STRK REUNION TSA 44X19 4MM OFFSET 5552-E-4419 $2,888.00

IMP HEAD HUM STRK REUNION TSA 44X22 4MM OFFSET 5552-E-4422 $2,888.00

IMP HEAD HUM STRK REUNION TSA 48X18 4MM OFFSET 5552-E-4818 $2,888.00

IMP HEAD HUM STRK REUNION TSA 48X21 4MM OFFSET 5552-E-4821 $2,888.00

IMP HEAD HUM STRK REUNION TSA 52X17 4MM OFFSET 5552-E-5217 $2,888.00

IMP HEAD HUM STRK REUNION TSA 52X20 4MM OFFSET 5552-E-5220 $2,888.00

IMP HEAD HUM STRK REUNION TSA 52X23 4MM OFFSET 5552-E-5223 $2,888.00

IMP HEAD HUM STRK REUNION TSA 56X19 4MM OFFSET 5552-E-5619 $2,888.00

IMP HEAD HUMERAL DEPUY GLOBAL ADV 44X21MM 1128-44-020 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 40X15MM ECC 1100-40-600 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 40X15MM STD 1100-40-500 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 40X18MM ECC 1100-40-610 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 40X18MM STD 1100-40-510 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 44X15MM STD 1100-44-500 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 44X18MM STD 1100-44-510 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 44X21MM ECC 1100-44-620 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 44X21MM STD 1100-44-520 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 48X15MM ECC 1100-48-600 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 48X15MM STD 1100-48-500 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 48X18MM ECC 1100-48-610 $2,000.00

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IMP HEAD HUMERAL GLOBAL UNITE 48X18MM STD 1100-48-510 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 48X21MM STD 1100-48-520 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 52X15MM ECC 1100-52-600 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 52X15MM STD 1100-52-500 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 52X18MM ECC 1100-52-610 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 52X18MM STD 1100-52-510 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 52X21MM ECC 1100-52-620 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 52X21MM STD 1100-52-520 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 56X18MM STD 1100-56-510 $2,000.00

IMP HEAD HUMERAL GLOBAL UNITE 56X21MM STD 1100-56-520 $2,000.00

IMP HEAD HUMERAL STRK 18X50MM 5350-5018 $2,000.00

IMP HEAD MOD HIP BIOM 28MM +06MM 163638 $750.00

IMP HEAD MOD HIP BIOM 28MM +3 163663 $750.00

IMP HEAD MOD HIP BIOM 28MM -06MM 163660 $750.00

IMP HEAD MOD HIP BIOM 28MM STD 163662 $750.00

IMP HEAD MOD HUMERAL ZIM 17X46MM 00-4302-046-17 $1,590.00

IMP HEAD MOD HUMERAL ZIM 18X40MM 00-4302-040-18 $1,590.00

IMP HEAD MOD HUMERAL ZIM 21X52MM 00-4302-052-21 $1,590.00

IMP HEAD STRK ENDO UNITRAX MODULAR 41MM $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 42MM $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 43MM 6942-5-043 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 44MM 6942-5-044 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 45MM 6942-5-045 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 46MM 6942-5-046 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 47MM 6942-5-047 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 48MM 6942-5-048 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 49MM 6942-5-049 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 50MM $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 51MM 6942-5-051 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 52MM 6942-5-052 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 53MM 6942-5-053 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 54MM $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 55MM 6942-5-055 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 56MM 6942-5-056 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 58MM 6942-5-058 $488.00

IMP HEAD STRK ENDO UNITRAX MODULAR 61MM $488.00

IMP HEAD STRK FEMORAL C-TAPER 28MM +2.5MM S-1400-HH82 $773.00

IMP HEAD STRK FEMORAL C-TAPER 28MM +7.5MM S-1400-HH84 $773.00

IMP HEAD STRK FEMORAL C-TAPER 32MM S-1400-HH32 $773.00

IMP HEAD STRK FEMORAL C-TAPER 34MM +7.5MM S-1400-HH34 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR 26MM +0MM 6001-2600 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR 26MM +5MM 6001-2605 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR 28MM +0MM 6001-2800 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR 28MM +10MM 6001-2810 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR 28MM +5MM 6001-2805 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR 32MM +10MM 6001-3210 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR 32MM +5MM 6001-3205 $773.00

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IMP HEAD STRK FEMORAL C-TAPER COCR LFIT 28MM +0MM 06-2800 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR LFIT 28MM +10MM 06-2810 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR LFIT 28MM +5MM 06-2805 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR LFIT 28MM -3MM 06-2898 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR LFIT 36MM +0MM 06-3600 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR LFIT 36MM +10MM 06-3610 $773.00

IMP HEAD STRK FEMORAL C-TAPER COCR LFIT 36MM +5MM 06-3605 $773.00

IMP HEAD STRK FEMORAL C-TAPER LFIT 32MM +10MM 06-3210 $773.00

IMP HEAD STRK FEMORAL C-TAPER LFIT 32MM +5MM 06-3205 $773.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 26X41MM UH1-41-26 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 26X42MM UH1-42-26 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 26X43MM UH1-43-26 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X44MM UH1-44-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X45MM UH1-45-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X46MM UH1-46-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X47MM UH1-47-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X48MM UH1-48-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X49MM UH1-49-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X50MM UH1-50-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X51MM UH1-51-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X52MM UH1-52-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X53MM UH1-53-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X54MM UH1-54-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X55MM UH1-55-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X56MM UH1-56-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X58MM UH1-58-28 $1,100.00

IMP HEAD STRK FEMORAL UHR BIPOLAR 28X61MM UH1-61-28 $1,100.00

IMP HOLE COVER SNN ACETAB CUP REFLEC INTERFIT 71336500 $25.00

IMP HOOK DANEK LEGACY LG 5.5MM TI 7541114 $1,250.00

IMP HOOK DANEK LEGACY NARROW MED 5.5MM TI 7541123 $1,250.00

IMP HOOK DANEK LEGACY OFFSET 5.5MM TI LT 7541199 $1,500.00

IMP HOOK DANEK LEGACY PEDICLE MED TI $1,250.00

IMP HOOK DANEK LEGACY PEDICLE SM TI $1,250.00

IMP HOOK DANEK LEGACY RAMP WIDE LG 5.5MM TI 7541143 $1,250.00

IMP HOOK DANEK LEGACY THORACIC 5.5MM TI LT 7541189 $1,500.00

IMP HOOK STRK LAMINAR LG STD BLADE TI 03820202 $1,500.00

IMP HOOK STRK LAMINAR THORACIC SM RT OFFSET TI 03820212 $1,500.00

IMP HOOK STRK LAMINAR THORACIC STD BLADE TI 03820210 $1,500.00

IMP HOOK STRK OASYS 5MM 48551050 $1,500.00

IMP HOOK STRK OASYS 6.5MM 48551053 $1,500.00

IMP HOOK STRK OASYS 8MM 48551055 $1,500.00

IMP HOOK TRANSVERSE PROCESS LT TI 03820231 $1,500.00

IMP HUMERAL BEARING BIOM REV SHLDR 44-36 STD +3 XL-115364 $2,000.00

IMP HUMERAL BEARING BIOM REV SHLDR 44-36 STD XL-115363 $2,000.00

IMP HUMERAL BEARING BIOM REV SHLDR 44-41 RTNV +3 XL-115368 $2,000.00

IMP HUMERAL BEARING BIOM REV SHLDR 44-41 STD XL-115366 $2,000.00

IMP HUMERAL BEARING BIOM REV SHLDR 44-41MM STD +3 XL-115367 $2,000.00

Page 153: DESCRIPTION Price - Fairview

IMP HUMERAL TRAY BIOM REV SHLDR 44MM +10 115378 $3,250.00

IMP HUMERAL TRAY BIOM REV SHLDR 44MM STD 115370 $3,250.00

IMP HUMERAL TRAY BIOMET REV SHLDR 44MM +5 115375 $3,250.00

IMP INSERT ACET HOODED 10DEG STRK PCA 32MM 6299-7-525 $2,322.00

IMP INSERT ACET STRK ECNTRC TRIDENT X3 10DEG 32MM 663-10-32D $2,000.00

IMP INSERT ACET STRK ECNTRC TRIDENT X3 10DEG 36MM 663-10-36E $2,000.00

IMP INSERT ACET STRK MDM COCR HIP 0DEG 42MM SZ E 626-00-42E $3,125.00

IMP INSERT ACET STRK MDM COCR HIP 0DEG 46MM SZ F 626-00-46F $3,125.00

IMP INSERT ACET STRK MDM COCR HIP 0DEG 48MM SZ G 626-00-48G $3,125.00

IMP INSERT ACET STRK RSTRTN HIP ADM X3 28X48MM 1236-2-848 $2,001.00

IMP INSERT ACET STRK RSTRTN HIP ADM X3 28X50MM 1236-2-850 $2,001.00

IMP INSERT ACET STRK RSTRTN HIP ADM X3 28X52MM 1236-2-852 $2,001.00

IMP INSERT ACET STRK RSTRTN HIP ADM X3 28X54MM 1236-2-854 $2,001.00

IMP INSERT ACET STRK TRIDENT CONSTR 22X46MM 69-2246 $7,447.00

IMP INSERT ACETABULAR DEPUY 40X56MM 1218-87-456 $3,415.00

IMP INSERT ACETABULUM STRK 10DEG 28MMX46-48MM 2041C-2846 $2,981.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ1-2 11MM 71453102 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ1-2 13MM 71453103 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ1-2 15MM 71453104 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ1-2 18MM 71453105 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ1-2 9MM 71453101 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ3-4 11MM 71453112 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ3-4 13MM 71453113 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ3-4 15MM 71453114 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ3-4 18MM 71453115 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ3-4 9MM 71453111 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ5-6 11MM 71453122 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ5-6 13MM 71453123 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ5-6 15MM 71453124 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ5-6 18MM 71453125 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ5-6 9MM 71453121 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ7-8 11MM 71453132 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ7-8 13MM 71453133 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ7-8 15MM 71453134 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ7-8 18MM 71453135 $1,550.00

IMP INSERT ARTICULAR S&N LGN CR XLPE SZ7-8 9MM 71453131 $1,550.00

IMP INSERT BASEPLATE TIBIAL BIOM 10X79/83 183660 $2,100.00

IMP INSERT BASEPLATE TIBIAL BIOM 10X79/83 183660 $1,413.00

IMP INSERT BASEPLATE TIBIAL BIOM 12X71/75 183642 $1,413.00

IMP INSERT BASEPLATE TIBIAL BIOM 16X63/67 183626 $1,413.00

IMP INSERT BASEPLATE TIBIAL HOWM TRI 3 5521-B-300 $2,500.00

IMP INSERT BASEPLATE TIBIAL HOWM TRI 4 5521-B-400 $2,500.00

IMP INSERT BASEPLATE TIBIAL HOWM TRI 5 5521-B-500 $2,500.00

IMP INSERT BASEPLATE TIBIAL HOWM TRI 8 5521-B-800 $2,500.00

IMP INSERT BASEPLATE TIBIAL STRK TRI 2 5521-B-200 $2,500.00

IMP INSERT HANDINN CAPTIE 23121001 $223.00

IMP INSERT HIP DEPUY PINNACLE ALTRX 36MM +4 1221-36-458 $1,500.00

Page 154: DESCRIPTION Price - Fairview

IMP INSERT HIP DEPUY PINNACLE ALTRX 36X52MM 1221-36-052 $1,500.00

IMP INSERT HIP DEPUY PINNACLE ALTRX 36X54MM 1221-36-054 $1,500.00

IMP INSERT HUMERAL STRK X3 32X4MM STD 5571-S-3204 $2,750.00

IMP INSERT HUMERAL STRK X3 36X4MM STD 5571-S-3604 $2,750.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ10 7MM 151621007 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ3 5MM 151620305 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ3 6MM 151620306 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ3 7MM 151620307 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ4 10MM 151620410 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ4 12MM 151620412 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ4 16MM 151620416 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ4 5MM 151620405 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ4 6MM 151620406 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ4 7MM 151620407 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ4 8MM 151620408 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ5 10MM 151620510 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ5 12MM 151620512 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ5 5MM 151620505 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ5 6MM 151620506 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ5 7MM 151620507 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ5 8MM 151620508 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ6 10MM 151620610 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ6 12MM 151620612 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ6 5MM 151620605 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ6 6MM 151620606 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ6 7MM 151620607 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ6 8MM 151620608 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ7 10MM 151620710 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ7 12MM 151620712 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ7 5MM 151620705 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ7 6MM 151620706 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ7 7MM 151620707 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ7 8MM 151620708 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ8 10MM 151620810 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ8 5MM 151620805 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ8 6MM 151620806 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ8 7MM 151620807 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ8 8MM 151620808 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ9 10MM 151620910 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ9 5MM 151620905 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ9 6MM 151620906 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ9 7MM 151620907 $2,000.00

IMP INSERT JJ ATTUNE CR FX BR SYS SZ9 8MM 151620908 $2,000.00

IMP INSERT JJ ATTUNE CR RP SZ5 10MM 151630510 $2,000.00

IMP INSERT JJ ATTUNE CR RP SZ5 6MM 151630506 $2,000.00

IMP INSERT JJ ATTUNE CR RP SZ6 10MM 151630610 $2,000.00

IMP INSERT JJ ATTUNE CR RP SZ6 5MM 151630605 $2,000.00

Page 155: DESCRIPTION Price - Fairview

IMP INSERT JJ ATTUNE CR RP SZ6 6MM 151630606 $2,000.00

IMP INSERT JJ ATTUNE CR RP SZ7 10MM 151630710 $2,000.00

IMP INSERT JJ ATTUNE CR RP SZ8 7MM 151630807 $2,000.00

IMP INSERT JJ ATTUNE MEDIAL ANAT PAT 32MM 151810032 $750.00

IMP INSERT JJ ATTUNE MEDIAL ANAT PAT 35MM 151810035 $750.00

IMP INSERT JJ ATTUNE MEDIAL ANAT PAT 38MM 151810038 $750.00

IMP INSERT JJ ATTUNE MEDIAL ANAT PAT 41MM 151810041 $750.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ10 18MM 151641018 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ10 5MM 151641005 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ3 10MM 151640310 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ3 5MM 151640305 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ3 6MM 151640306 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ3 7MM 151640307 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ3 8MM 151640308 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ4 10MM 151640410 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ4 12MM 151640412 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ4 14MM 151640414 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ4 5MM 151640405 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ4 6MM 151640406 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ4 7MM 151640407 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ4 8MM 151640408 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ5 10MM 151640510 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ5 12MM 151640512 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ5 14MM 151640514 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ5 18MM 151640518 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ5 20MM 151640520 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ5 5MM 151640505 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ5 6MM 151640506 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ5 7MM 151640507 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ5 8MM 151640508 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ6 10MM 151640610 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ6 12MM 151640612 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ6 5MM 151640605 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ6 6MM 151640606 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ6 7MM 151640607 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ6 8MM 151640608 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ7 10MM 151640710 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ7 12MM 151640712 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ7 14MM 151640714 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ7 16MM 151640716 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ7 18MM 151640718 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ7 5MM 151640705 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ7 6MM 151640706 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ7 7MM 151640707 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ7 8MM 151640708 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ8 10MM 151640810 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ8 12MM 151640812 $2,000.00

Page 156: DESCRIPTION Price - Fairview

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ8 16MM 151640816 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ8 5MM 151640805 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ8 6MM 151640806 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ8 7MM 151640807 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ8 8MM 151640808 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ9 10MM 151640910 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ9 12MM 151640912 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ9 5MM 151640905 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ9 6MM 151640906 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ9 7MM 151640907 $2,000.00

IMP INSERT JJ ATTUNE POST STAB FX BR SYS SZ9 8MM 151640908 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ10 5MM 151651005 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ10 6MM 151651006 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ10 8MM 151651008 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ3 5MM 151650305 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ3 7MM 151650307 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ3 8MM 151650308 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ4 10MM 151650410 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ4 12MM 151650412 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ4 14MM 151650414 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ4 18MM 151650418 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ4 5MM 151650405 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ4 6MM 151650406 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ4 7MM 151650407 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ4 8MM 151650408 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ5 10MM 151650510 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ5 12MM 151650512 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ5 5MM 151650505 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ5 6MM 151650506 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ5 7MM 151650507 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ5 8MM 151650508 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ6 10MM 151650610 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ6 12MM 151650612 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ6 14MM 151650614 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ6 5MM 151650605 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ6 6MM 151650606 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ6 7MM 151650607 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ6 8MM 151650608 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ7 12MM 151650712 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ7 5MM 151650705 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ7 6MM 151650706 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ7 7MM 151650707 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ7 8MM 151650708 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ8 10MM 151650810 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ8 12MM 151650812 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ8 5MM 151650805 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ8 6MM 151650806 $2,000.00

Page 157: DESCRIPTION Price - Fairview

IMP INSERT JJ ATTUNE PS RP SZ8 7MM 151650807 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ8 8MM 151650808 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ9 10MM 151650910 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ9 12MM 151650912 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ9 18MM 151650918 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ9 5MM 151650905 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ9 6MM 151650906 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ9 7MM 151650907 $2,000.00

IMP INSERT JJ ATTUNE PS RP SZ9 8MM 151650908 $2,000.00

IMP INSERT POLY ANKLE WRIGHT INBONE SULCUS SZ 3+ 10MM $3,965.00

IMP INSERT S&N LEGION CR XLPE SZ3-4 10MM 71453183 $1,550.00

IMP INSERT STRK ACET CROSSFIRE ECCNTRC 10DEG 28MM 46-48 $3,403.00

IMP INSERT STRK ACET CROSSFIRE ECCNTRC 10DEG 28MM 50-52 $3,403.00

IMP INSERT STRK ACET CROSSFIRE ECCNTRC 10DEG 32MM 50-52 $3,403.00

IMP INSERT STRK ACET CROSSFIRE ECCNTRC 10DEG 32MM 54-56 $3,403.00

IMP INSERT STRK ACET CROSSFIRE ECCNTRC 10DEG 32MM 61-72 $3,403.00

IMP INSERT STRK ACET TRDNT ALUMINA 32MM 0DEG SZ E 625-OT-32E $2,000.00

IMP INSERT STRK ACET TRDNT ALUMINA 32MM 0DEG SZ F 625-0T-32F $2,000.00

IMP INSERT STRK KN BUMPER NEUTAL 6481-2-130 $1,382.00

IMP INSERT STRK KN GMRS BUSHING SM 6495-2-105 $693.00

IMP INSERT STRK KN MRH AXLE STD 6481-2-120 $2,302.00

IMP INSERT STRK KN MRH BUSHING STD 6481-2-110 $672.00

IMP INSERT STRK TRIDENT X3 POLY 32MM 0DEG SZ C 623-00-32C $2,001.00

IMP INSERT STRK TRIDENT X3 POLY 36MM 0DEG SZ D 623-00-36D $2,001.00

IMP INSERT STRK TRIEDNT X3 POLY 40MM 0DEG SZ E 623-00-40E $2,001.00

IMP INSERT TALAR DOME ANKLE WRIGHT INBONE SULCUS SZ 3 $16,180.00

IMP INSERT TIB 10.0MM SGM 2.5 KN STAB 1581-22-010 $1,875.00

IMP INSERT TIB 10MM SGM 3 KN STAB 1581-23-010 $1,500.00

IMP INSERT TIB 10MM SGM 4 KN STAB 158124010 $1,500.00

IMP INSERT TIB 10MM SGN 2 KN STAB 158121010 $1,500.00

IMP INSERT TIB 12.5MM SGM 2.5 KN STAB 1581-22-012 $1,500.00

IMP INSERT TIB 12.5MM SGM 3 KN STAB 1581-23-012 $1,878.00

IMP INSERT TIB 12.5MM SGM 4 KN STAB 158124012 $1,500.00

IMP INSERT TIB 12.5MM SGN 2 KN STAB 158121012 $1,500.00

IMP INSERT TIB 15MM SGM 2 KN STAB 158121015 $1,500.00

IMP INSERT TIB 15MM SGM 2.5 KN STAB 158122015 $1,500.00

IMP INSERT TIB 15MM SGM 3 KN STAB 1581-23-015 $1,878.00

IMP INSERT TIB 15MM SGM 4 KN STAB 158124015 $1,500.00

IMP INSERT TIB 17.5MM SGN 2.5 KN STAB 158122017 $1,500.00

IMP INSERT TIB 20.0MM SGM 2 KN STAB 1581-21-020 $1,878.00

IMP INSERT TIB 20.0MM SGM 3 KN STAB 1581-23-020 $1,878.00

IMP INSERT TIB 20.0MM SGM 4 KN STAB 1581-24-020 $1,878.00

IMP INSERT TIB 8MM SGN 3 KN STAB 1581-23-008 $1,500.00

IMP INSERT TIB 8MM SGN 5 KN STAB 158125008 $1,500.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ1-2 11MM 71453202 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ1-2 13MM 71453203 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ1-2 15MM 71453204 $1,550.00

Page 158: DESCRIPTION Price - Fairview

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ1-2 18MM 71453205 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ1-2 9MM 71453201 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ3-4 11MM 71453212 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ3-4 13MM 71453213 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ3-4 15MM 71453214 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ3-4 18MM 71453215 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ3-4 9MM 71453211 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ5-6 11MM 71453222 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ5-6 13MM 71453223 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ5-6 15MM 71453224 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ5-6 18MM 71453225 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ5-6 9MM 71453221 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ7-8 11MM 71453232 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ7-8 13MM 71453233 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ7-8 15MM 71453234 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ7-8 18MM 71453235 $1,550.00

IMP INSERT TIB S&N LGN PS HI FLEX XLPE SZ7-8 9MM 71453231 $1,550.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 2 13MM 5537-G-213 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 2 16MM 5537-G-216 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 3 13MM 5537-G-313 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 3 19MM 5537-G-319 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 3 22MM 5537-G-322 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 3 9MM 5537-G-309 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 4 11MM 5537-G-411 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 4 13MM 5537-G-413 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 4 16MM 5537-G-416 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 4 19MM 5537-G-419 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 4 22MM 5537-G-422 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 5 13MM 5537-G-513 $5,746.00

IMP INSERT TIBIAL ARTICULAR STRK TRI X3 SZ 6 16MM 5537-G-616 $5,746.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 2 8MM 1581-11-008 $1,878.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 2.5 10MM 1581-12-010 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 2.5 12.5MM 1581-12-012 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 2.5 8MM 1581-12-008 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 3 10MM 1581-13-010 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 3 12.5MM 1581-13-012 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 3 8MM 1581-13-008 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 4 10MM 1581-14-010 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 4 12.5MM 1581-14-012 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 4 8MM 1581-14-008 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 5 10MM 1581-15-010 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIGMA 5 12.5MM 1581-15-012 $1,500.00

IMP INSERT TIBIAL DEPUY CVD SIZE 2 96-2011 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 2 96-2013 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 2.5 96-2021 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 2.5 96-2022 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 2.5 96-2023 $2,000.00

Page 159: DESCRIPTION Price - Fairview

IMP INSERT TIBIAL DEPUY CVD SIZE 2.5 96-2024 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 3 15MM 984150 $2,468.00

IMP INSERT TIBIAL DEPUY CVD SIZE 3 96-2031 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 3 96-2032 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 3 96-2033 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 4 10MM 984153 $2,468.00

IMP INSERT TIBIAL DEPUY CVD SIZE 4 96-2041 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 4 96-2042 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 4 96-2043 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 4 96-2044 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 4 96-2061 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 5 96-2051 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 5 96-2052 $2,000.00

IMP INSERT TIBIAL DEPUY CVD SIZE 5 96-2053 $1,757.00

IMP INSERT TIBIAL DEPUY RB STAB SIZE 6 10MM 962161 $2,000.00

IMP INSERT TIBIAL DEPUY RP SIZE 2 96-2111 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 2 12.5MM 96-2112 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 2 15MM 96-2113 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 2.5 10MM 96-2121 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 2.5 12.5MM 96-2122 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 2.5 15MM 96-2123 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 2.5 17.5MM 96-2124 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 3 10MM 96-2131 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 3 12.5MM 96-2132 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 3 15MM 96-2133 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 3 17.5MM 96-2134 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 3 20MM 96-2135 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 4 10MM 962141 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 4 12.5MM 96-2142 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 4 15MM 96-2143 $1,875.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 4 17.5MM 96-2144 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 5 10MM 95-2151 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 5 12.5MM 96-2152 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 5 15MM 96-2153 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 5 17.5MM 96-2154 $2,000.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 6 12.5MM 96-2162 $1,875.00

IMP INSERT TIBIAL DEPUY RP STAB SIZE 6 15MM 96-2163 $1,721.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 2 10MM 97-0431 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 2 12.5MM 97-0432 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 2 8MM 97-0430 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 2.5 10MM 97-0441 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 2.5 12.5MM 97-0442 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 2.5 8MM 97-0440 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 3 10MM 97-0451 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 3 12.5M 97-0452 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 3 15MM 97-0453 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 3 8MM 97-0450 $1,500.00

Page 160: DESCRIPTION Price - Fairview

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 4 10MM 97-0461 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 4 12.5MM 97-0462 $1,500.00

IMP INSERT TIBIAL DEPUY XLK CVD PLUS SZ 4 8MM 97-0460 $1,500.00

IMP INSERT TIBIAL HOMW TRI 7 16MM 5532-G-716 $1,865.00

IMP INSERT TIBIAL HOMW TRI 7 19MM 5532-G-719 $1,865.00

IMP INSERT TIBIAL HOWM MED 6742-4-213 $3,314.00

IMP INSERT TIBIAL HOWM TRI 1X09MM 5531-G-109 $1,865.00

IMP INSERT TIBIAL HOWM TRI 1X11MM 5530-G-111 $1,865.00

IMP INSERT TIBIAL HOWM TRI 1X11MM 5531-G-111 $1,865.00

IMP INSERT TIBIAL HOWM TRI 1X13MM 5530-G-113 $1,865.00

IMP INSERT TIBIAL HOWM TRI 1X13MM 5531-G-113 $1,865.00

IMP INSERT TIBIAL HOWM TRI 1X19MM 5530-G-119 $1,865.00

IMP INSERT TIBIAL HOWM TRI 1X19MM 5531-G-119 $1,865.00

IMP INSERT TIBIAL HOWM TRI 2X09MM 5530-G-209 $1,865.00

IMP INSERT TIBIAL HOWM TRI 2X11MM 5530-G-211 $1,865.00

IMP INSERT TIBIAL HOWM TRI 2X11MM 5531-G-211 $1,865.00

IMP INSERT TIBIAL HOWM TRI 2X13MM 5530-G-213 $1,865.00

IMP INSERT TIBIAL HOWM TRI 2X13MM 5531-G-213 $1,865.00

IMP INSERT TIBIAL HOWM TRI 2X16MM 5530-G-216 $1,865.00

IMP INSERT TIBIAL HOWM TRI 2X19MM 5531-G-219 $1,865.00

IMP INSERT TIBIAL HOWM TRI 3X09MM 5530-G-309 $1,865.00

IMP INSERT TIBIAL HOWM TRI 3X09MM 5530-P-309 $681.00

IMP INSERT TIBIAL HOWM TRI 3X09MM 5531-G-309 $1,865.00

IMP INSERT TIBIAL HOWM TRI 3X11MM 5530-G-311 $1,865.00

IMP INSERT TIBIAL HOWM TRI 3X11MM 5531-G-311 $1,865.00

IMP INSERT TIBIAL HOWM TRI 3X13MM 5530-G-313 $1,865.00

IMP INSERT TIBIAL HOWM TRI 3X13MM 5531-G-313 $1,865.00

IMP INSERT TIBIAL HOWM TRI 3X16MM 5530-G-316 $1,865.00

IMP INSERT TIBIAL HOWM TRI 3X16MM 5531-G-316 $1,865.00

IMP INSERT TIBIAL HOWM TRI 3X22MM 5531-G-322 $1,865.00

IMP INSERT TIBIAL HOWM TRI 4X09MM 5530-G-409 $1,865.00

IMP INSERT TIBIAL HOWM TRI 4X11MM 5530-G-411 $1,865.00

IMP INSERT TIBIAL HOWM TRI 4X11MM 5531-G-411 $1,865.00

IMP INSERT TIBIAL HOWM TRI 4X13MM 5530-G-413 $1,865.00

IMP INSERT TIBIAL HOWM TRI 4X13MM 5531-G-413 $1,865.00

IMP INSERT TIBIAL HOWM TRI 4X16MM 5530-G-416 $1,865.00

IMP INSERT TIBIAL HOWM TRI 4X16MM 5531-G-416 $1,865.00

IMP INSERT TIBIAL HOWM TRI 4X19MM 5530-G-419 $1,865.00

IMP INSERT TIBIAL HOWM TRI 4X19MM 5531-G-419 $1,865.00

IMP INSERT TIBIAL HOWM TRI 5X09MM 5530-G-509 $1,865.00

IMP INSERT TIBIAL HOWM TRI 5X09MM 5531-G-509 $1,865.00

IMP INSERT TIBIAL HOWM TRI 5X11MM 5530-G-511 $1,865.00

IMP INSERT TIBIAL HOWM TRI 5X11MM 5531-G-511 $1,865.00

IMP INSERT TIBIAL HOWM TRI 5X13MM 5530-G-513 $1,865.00

IMP INSERT TIBIAL HOWM TRI 5X13MM 5531-G-513 $1,865.00

IMP INSERT TIBIAL HOWM TRI 5X16MM 5530-G-516 $1,865.00

IMP INSERT TIBIAL HOWM TRI 5X16MM 5531-G-516 $1,865.00

Page 161: DESCRIPTION Price - Fairview

IMP INSERT TIBIAL HOWM TRI 5X19MM 5530-G-519 $1,865.00

IMP INSERT TIBIAL HOWM TRI 6X09MM 5530-G-609 $1,865.00

IMP INSERT TIBIAL HOWM TRI 6X09MM 5531-G-209 $1,865.00

IMP INSERT TIBIAL HOWM TRI 6X09MM 5531-G-609 $1,865.00

IMP INSERT TIBIAL HOWM TRI 6X11MM 5530-G-611 $1,865.00

IMP INSERT TIBIAL HOWM TRI 6X11MM 5531-G-611 $1,865.00

IMP INSERT TIBIAL HOWM TRI 6X13MM 5530-G-613 $1,865.00

IMP INSERT TIBIAL HOWM TRI 6X13MM 5531-G-613 $1,865.00

IMP INSERT TIBIAL HOWM TRI 6X16MM 5530-G-616 $1,865.00

IMP INSERT TIBIAL HOWM TRI 6X16MM 5531-G-616 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7 09MM 5532-G-709 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7 11MM 5532-G-711 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7 13MM 5532-G-713 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7X09MM 5530-G-709 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7X09MM 5531-G-709 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7X11MM 5530-G-711 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7X11MM 5531-G-711 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7X13MM 5530-G-713 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7X13MM 5531-G-713 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7X16MM 5530-G-716 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7X16MM 5531-G-716 $1,865.00

IMP INSERT TIBIAL HOWM TRI 7X22MM 5532-P-722 $681.00

IMP INSERT TIBIAL HOWM TRI 8 09MM 5532-G-809 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8 11MM 5532-G-811 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8 13MM 5532-G-813 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8 16MM 5532-G-816 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8 19MM 5532-G-819 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8X09MM 5530-G-809 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8X09MM 5531-G-809 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8X11MM 5530-G-811 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8X11MM 5531-G-811 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8X13MM 5530-G-813 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8X13MM 5531-G-813 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8X16MM 5530-G-816 $1,865.00

IMP INSERT TIBIAL HOWM TRI 8X19MM 5530-G-819 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 1 09MM 5532-G-109 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 1 11MM 5532-G-111 $820.00

IMP INSERT TIBIAL HOWM TRI SIZE 1 16MM 5532-G-116 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 1 19MM 5532-G-119 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 2 09MM 5532-G-209 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 2 13MM 5532-G-213 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 2 16MM 5532-G-216 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 3 09MM 5532-G-309 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 3 11MM 5532-G-311 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 3 13MM 5532-G-313 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 3 16MM 5532-G-316 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 3 19MM 5532-G-319 $1,865.00

Page 162: DESCRIPTION Price - Fairview

IMP INSERT TIBIAL HOWM TRI SIZE 4 09MM 5532-G-409 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 4 11MM 5532-G-411 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 4 13MM 5532-G-413 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 4 16MM 5532-G-416 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 4 19MM 5532-G-419 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 5 09MM 5532-G-509 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 5 11MM 5532-G-511 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 5 13MM 5532-G-513 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 5 16MM 5532-G-516 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 6 09MM 5532-G-609 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 6 11MM 5532-G-611 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 6 13MM 5532-G-613 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 6 16MM 5532-G-616 $1,865.00

IMP INSERT TIBIAL HOWM TRI SIZE 6 19MM 5532-G-619 $1,865.00

IMP INSERT TIBIAL KNEE CR JOURNEY II LT SZ 3-4 11MM 74025643 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II LT SZ 3-4 12MM 74025644 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II LT SZ 3-4 9MM 74025641 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II LT SZ 5-6 9MM 74025661 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II RT SZ 1-2 12MM 74025614 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II RT SZ 1-2 13MM 74025615 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II RT SZ 1-2 9MM 74025611 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II RT SZ 3-4 10MM 74025632 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II RT SZ 3-4 11MM 74025633 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II RT SZ 3-4 9MM 74025631 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II RT SZ 5-6 11MM 74025653 $2,050.00

IMP INSERT TIBIAL KNEE CR JOURNEY II RT SZ 5-6 9MM 74025651 $2,050.00

IMP INSERT TIBIAL S&N LEGION XLPE CR SZ3-4 11MM 71453147 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE CR SZ5-6 11MM 71453153 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ1-2 11MM 71453272 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ1-2 13MM 71453273 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ1-2 21MM 71453276 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ3-4 11MM 71453278 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ3-4 13MM 71453279 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ3-4 15MM 71453281 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ3-4 21MM 71453282 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ3-4 9MM 71453277 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ5-6 11MM 71453285 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ5-6 13MM 71453286 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ5-6 18MM 71453288 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ5-6 21MM 71453289 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ5-6 9MM 71453284 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ7-8 11MM 71453292 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ7-8 13MM 71453293 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ7-8 15MM 71453294 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ7-8 18MM 71453295 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ7-8 21MM 71453296 $1,550.00

IMP INSERT TIBIAL S&N LEGION XLPE DISHED SZ7-8 9MM 71453291 $1,550.00

Page 163: DESCRIPTION Price - Fairview

IMP INSERT TIBIAL SLEEVE STRK 6481-2-140 $1,155.00

IMP INSERT TIBIAL SNN DP FLEX CR SZ 1-2 09MM 71421531 $1,550.00

IMP INSERT TIBIAL SNN GEN II CR SZ 7-8 09MM 71420510 $1,550.00

IMP INSERT TIBIAL SNN GEN II DSH SZ 3-4 11MM 71420768 $1,550.00

IMP INSERT TIBIAL SNN HI FLEX PS SZ 1-2 21MM 71421506 $1,550.00

IMP INSERT TIBIAL SNN HI FLEX PS SZ 3-4 21MM 71421513 $1,550.00

IMP INSERT TIBIAL SNN HI FLEX PS SZ 3-4 25MM 71421514 $1,550.00

IMP INSERT TIBIAL SNN HI FLEX PS SZ 5-6 11MM 71421516 $1,550.00

IMP INSERT TIBIAL SNN HI FLEX PS SZ 5-6 21MM 71421520 $1,550.00

IMP INSERT TIBIAL SNN HI FLEX PS SZ 7-8 21MM 71421527 $1,550.00

IMP INSERT TIBIAL SNR DEN II DSH SZ H 3-4 9MM 71420816 $1,550.00

IMP INSERT TIBIAL SNR GEN II PS SZ 5-6 11MM 71420832 $1,550.00

IMP INSERT TIBIAL SNR GEN II PS SZ 5-6 9MM 71420830 $1,550.00

IMP INSERT TIBIAL STRK MRH M2.L2 16MM 6481-3-316 $2,591.00

IMP INSERT TIBIAL STRK MRH M2/L2 10MM 6481-3-310 $2,591.00

IMP INSERT TIBIAL STRK MRH M2/L2 13MM 6481-3-313 $2,591.00

IMP INSERT TIBIAL STRK MRH M2/L2 20MM 6481-3-320 $2,591.00

IMP INSERT TIBIAL STRK MRH S1/S2 13MM 6481-3-213 $2,569.00

IMP INSERT TIBIAL STRK MRH S1/S2 16MM 6481-3-216 $2,569.00

IMP INSERT TIBIAL STRK TRI 4X09MM 5531-G-409 $1,865.00

IMP INSERT TIBIAL STRK TRI PKR X3 LM/RL SZ 1 8MM 5630-G-108 $2,500.00

IMP INSERT TIBIAL STRK TRI PKR X3 LM/RL SZ 3 8MM 5630-G-308 $2,500.00

IMP INSERT TIBIAL STRK TRI PKR X3 LM/RL SZ 3 9MM 5630-G-309 $2,500.00

IMP INSERT TIBIAL STRK TRI PKR X3 LM/RL SZ 4 8MM 5630-G-408 $2,500.00

IMP INSERT TIBIAL STRK TRI PKR X3 LM/RL SZ 4 9MM 5630-G-409 $2,500.00

IMP INSERT TIBIAL STRK TRI PKR X3 LM/RL SZ 5 8MM 5630-G-508 $2,500.00

IMP INSERT TIBIAL STRK TRI PKR X3 RM/LL SZ 2 8MM 5630-G-228 $2,500.00

IMP INSERT TIBIAL STRK TRI PKR X3 RM/LL SZ 3 8MM 5630-G-428 $2,500.00

IMP INSERT TIBIAL STRK TRI PKR X3 RM/LL SZ 3 9MM 5630-G-329 $2,500.00

IMP INSERT TIBIAL STRK TRI PKR X3 RM/LL SZ 3 9MM 5630-G-429 $2,500.00

IMP INSERT TIBIAL STRK TRI SIZE 2 11MM 5532-G-211 $1,865.00

IMP INSERT TIBIAL TGS UKA FLAT LM/RL 44X11MM 100315 $1,347.00

IMP INSERT TIBIAL TGS UKA POLY RM/LL 52X8MM FP 100036 $3,918.00

IMP INSERT TIBILA DEPUY CVD SIZE 6 12.5MM 96-2062 $2,000.00

IMP INSERT TORNIER TIBIAL ANKLE SIZE 2X8MM RT LJU255 $3,250.00

IMP KIT ANCHOR SU Q-FIX 2.8MM W/DRILL GD OBTURATOR 25-2810 $313.00

IMP KIT ARTHREX MINI TIGHTROPE 1.1MM SS AR-8914DS $1,738.00

IMP KIT ARTHROSCOPIC MENISCUS MENDER II 7209485 $397.00

IMP KIT HUMERAL CONDYLE BIOM DISCOVERY 114700 $4,570.00

IMP KIT PENILE ACCESSORY AMS 700 72401850 $2,150.00

IMP KIT PIN BIOM ORTHOSORB 1.3X104MM K-WIRE 110010745 $700.00

IMP KIT REPAIR LIGAMENT AUGMENTATION INT BRACE AR-1678-CP $2,438.00

IMP KIT REPAIR LIGAMENT AUGMENTATION INT BRACE AR-1688-CP $2,688.00

IMP KIT SYNDEMOSIS ARTHREX TIGHTROPE KNOTLESS SS AR-8926SS $2,200.00

IMP KIT SYNDEMOSIS ARTHREX TIGHTROPE KNOTLESS TI AR-8926T $2,200.00

IMP KNEE FEMORAL CEMENT SPACER 60MM 432160 $4,365.00

IMP KNEE FEMORAL CEMENT SPACER 65MM 432165 $4,365.00

Page 164: DESCRIPTION Price - Fairview

IMP KNEE FEMORAL CEMENT SPACER 75MM 432175 $4,365.00

IMP KNEE TIBIAL CEMENT SPACER 65MM 433165 $2,088.00

IMP KNEE TIBIAL CEMENT SPACER 70MM 433170 $2,088.00

IMP KNEE TIBIAL CEMENT SPACER 75MM 433175 $2,088.00

IMP KNEE TIBIAL CEMENT SPACER 80MM 433180 $2,088.00

IMP LEAD KIT VECTRIS SCS COMPACT SURESCAN 1X8MMX60CM 977A260 $5,000.00

IMP LINER ACE DEPUY MAR 36X56MM +4 10D 1219-36-156 $2,040.00

IMP LINER ACE DEPUY MAR 36X58MM +4 10D 1219-32-158 $2,040.00

IMP LINER ACE DEPUY MAR LIP 32X54MM 1219-32-254 $1,500.00

IMP LINER ACET BIOM FREEDOM PE CNSTRND 23MM +5MM 11-107022 $7,883.00

IMP LINER ACETABULUM ZIM 10DEG 50X32MM 00-6310-050-32 $1,563.00

IMP LINER ACETABULUM ZIM 10DEG 68X36MM 00-6310-068-36 $1,750.00

IMP LINER ACETABULUM ZIM 7MM OFFSET 60X32MM 00-6341-060-32 $1,750.00

IMP LINER ACETABULUM ZIM XLPE 48X32MM 00-6305-048-32 $1,750.00

IMP LINER ACETABULUM ZIM XLPE 50X36MM 00-6305-050-36 $1,563.00

IMP LINER ACETABULUM ZIM XLPE 56X36MM 00-6305-056-36 $1,563.00

IMP LINER ACUMATCH GXL 15 D 32MM SZ G 132-32-27 $1,375.00

IMP LINER DEPUY PINNACLE ALTRX 32X48MM +4 10DEG 122132148 $1,500.00

IMP LINER DEPUY PINNACLE ALTRX 32X58MM +4 10DEG 1221-36-158 $1,500.00

IMP LINER DEPUY PINNACLE ALTRX 36X60MM +4 1221-36-460 $1,500.00

IMP LINER HIP DEPUY PINNACLE ALTRX 32X48MM +4 1221-32-448 $1,500.00

IMP LINER HIP DEPUY PINNACLE ALTRX 32X48MM +4 1221-32-450 $1,500.00

IMP LINER HIP DEPUY PINNACLE ALTRX 32X54MM +4 1221-36-454 $1,500.00

IMP LINER HIP DEPUY PINNACLE ALTRX 36X54MM +4 10D 122136154 $1,500.00

IMP LINER HIP DEPUY PINNACLE ALTRX 36X56MM +4 1221-36-456 $1,500.00

IMP LINER HIP DEPUY PINNACLE ALTRX 40X58MM 1221-40-058 $1,500.00

IMP LINER HIP DEPUY PINNACLE ALTRX 40X60MM 1221-40-060 $2,250.00

IMP LINER HOWM ACETABULUM 32MM 56-60MM 621-00-32D $1,813.00

IMP LINER S&N ACET R3 +4 36X60MM 0DEG 71336960 $1,625.00

IMP LINER S&N ACET R3 +4 XLPE 36X52MM 20DEG 71338552 $1,625.00

IMP LINER S&N ACET R3 +4 XLPE 36X54MM 20DEG 71338554 $1,625.00

IMP LINER S&N ACET RS +4 XLPE 36X58MM 20DEG 71338558 $1,625.00

IMP LINER SNN REFLECTION XLPE 32MM 20DEG ANT +4 50-52 SZ E $1,625.00

IMP LINER SNN REFLECTION XLPE 36MM 0DEG LAT +4 58-60 SZ G $1,625.00

IMP LINER SNR ACET R3 XLPE 0DEG 36X60MM 71332760 $1,625.00

IMP LINER SNR XLPE ANT 20DEG 28X54-56MM +4 71333425 $1,625.00

IMP LINER STRK TRIDENT X3 POLY 26MM 10DEG SZ F 623-10-26F $2,001.00

IMP LINER STRK TRIDENT X3 POLY 28MM 0DEG SZ C 623-00-28C $2,001.00

IMP LINER STRK TRIDENT X3 POLY 28MM 0DEG SZ D 623-00-28D $2,001.00

IMP LINER STRK TRIDENT X3 POLY 28MM 0DEG SZ G 623-00-28G $2,001.00

IMP LINER STRK TRIDENT X3 POLY 32MM 0DEG SZ D 623-00-32D $2,001.00

IMP LINER STRK TRIDENT X3 POLY 32MM 0DEG SZ E 623-00-32E $2,001.00

IMP LINER STRK TRIDENT X3 POLY 32MM 0DEG SZ G 623-00-32G $2,001.00

IMP LINER STRK TRIDENT X3 POLY 32MM 0DEG SZ H 623-00-32H $2,001.00

IMP LINER STRK TRIDENT X3 POLY 32MM 10DEG SZ D 623-10-32D $2,001.00

IMP LINER STRK TRIDENT X3 POLY 32MM 10DEG SZ E 623-10-32E $2,001.00

IMP LINER STRK TRIDENT X3 POLY 32MM 10DEG SZ F 623-10-32F $2,001.00

Page 165: DESCRIPTION Price - Fairview

IMP LINER STRK TRIDENT X3 POLY 32MM 10DEG SZ G 623-10-32G $2,001.00

IMP LINER STRK TRIDENT X3 POLY 36MM 0DEG SZ E 623-00-36E $2,001.00

IMP LINER STRK TRIDENT X3 POLY 36MM 0DEG SZ F 623-00-36F $2,001.00

IMP LINER STRK TRIDENT X3 POLY 36MM 0DEG SZ G 623-00-36G $2,001.00

IMP LINER STRK TRIDENT X3 POLY 36MM 10DEG SZ E 623-10-36E $2,001.00

IMP LINER STRK TRIDENT X3 POLY 36MM 10DEG SZ F 623-10-36F $2,001.00

IMP LINER STRK TRIDENT X3 POLY 36MM 10DEG SZ G 623-10-36G $2,001.00

IMP LINER STRK TRIDENT X3 POLY 36MM 10DEG SZ H 623-10-36H $2,001.00

IMP LINER STRK TRIDENT X3 POLY 40MM 0DEG SZ F 623-00-40F $2,001.00

IMP LINER STRK TRIDENT X3 POLY 40MM 0DEG SZ G 623-00-40G $2,001.00

IMP LINER STRK TRIDENT X3 POLY 44MM 0DEG SZ F 623-00-44F $2,001.00

IMP LINER STRK TRIDENT X3 POLY 44MM 0DEG SZ G 623-00-44G $2,001.00

IMP MESH KLS 3D 80X80MM .6MM 1.5MM SYS TI $3,594.00

IMP MESH PLATE SYN CONTOUR 1.3X100X100MM MAL TI 421.007 $3,026.00

IMP NAIL SNR INTERTAN 1.5 11.5MMX38CM 125DEG RT 71676558 $3,630.00

IMP NAIL SNR INTERTAN 1.5 11.5MMX38CM 130DEG RT 71676580 $3,630.00

IMP NAIL SNR INTERTAN 1.5 11.5MMX40CM 130DEG LT 71676581 $3,630.00

IMP NAIL SNR INTERTAN 1.5 11.5MMX42CM 130DEG LT 71676583 $3,630.00

IMP NAIL SNR INTERTAN 1.5 11.5MMX42CM 130DEG RT 71676584 $3,630.00

IMP NAIL STRK GAMMA 3 HIP 11X320MM 130DEG RT 3230-0320S $5,030.00

IMP NAIL STRK GAMMA 3 HIP 11X340MM 130DEG LT 3330-0340S $5,351.00

IMP NAIL STRK GAMMA 3 HIP 11X360MM 130DEG LT 3330-0360S $5,351.00

IMP NAIL STRK GAMMA 3 HIP 11X380MM 125DEG RT 3225-0380S $5,030.00

IMP NAIL STRK GAMMA 3 HIP 11X380MM 130DEG RT 3230-0380S $5,030.00

IMP NAIL STRK GAMMA 3 HIP 11X400MM 130DEG RT 3230-0400S $5,030.00

IMP NAIL STRK GAMMA 3 HIP 13X340MM 125DEG RT 3325-3340S $5,351.00

IMP NAIL STRK GAMMA 3 HIP 13X360MM 125DEG RT 3325-3360S $5,351.00

IMP NAIL STRK GAMMA 3 HIP 13X400MM 125DEG RT 3325-3400S $5,351.00

IMP NAIL STRK T2 ANKLE ARTHRODESIS 10X200MM LT 1826-1020S $5,457.00

IMP NAIL STRK T2 ANKLE ARTHRODESIS 11X200MM LT 1826-1120S $5,457.00

IMP NAIL STRK TROCH IM GAMMA 120DEG 11X180MM 3120-1180S $3,293.00

IMP NAIL STRK TROCH IM GAMMA 125DEG 11MMX18CM 3125-1180S $3,293.00

IMP NAIL STRK TROCH IM GAMMA 130DEG 11X180MM 3130-1180S $3,293.00

IMP NAIL SYN CAN FEM LATERAL 10X360MM TI LT 04.003.353S $3,404.00

IMP NAIL SYN CAN FEM LATERAL 10X360MM TI RT 04.003.352S $3,404.00

IMP NAIL SYN CAN FEM LATERAL 11X360MM TI LT 04.003.453S $3,404.00

IMP NAIL SYN CAN FEM LATERAL 11X380MM TI LT 04.003.457S $3,404.00

IMP NAIL SYN CAN FEM LATERAL 12X360MM TI RT 04.003.552S $3,404.00

IMP NAIL SYN CAN FEM LATERAL 12X380MM TI LT 04.003.557S $3,404.00

IMP NAIL SYN CAN FEM LATERAL 13X400MM TI LT 04.003.661S $3,404.00

IMP NAIL SYN CAN FEM PROX TFNA 10X170MM 125D 04.037.012S $4,625.00

IMP NAIL SYN CAN FEM PROX TFNA 10X170MM 130D 04.037.042S $4,102.00

IMP NAIL SYN CAN FEM PROX TFNA 10X340MM 130D RT 04.037.054S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 10X360MM 130D LT 04.037.057S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 10X360MM 130D RT 04.037.056S $5,939.00

IMP NAIL SYN CAN FEM PROX TFNA 10X380MM 125D LT 04.037.029S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 10X400MM 130D LT 04.037.061S $5,939.00

Page 166: DESCRIPTION Price - Fairview

IMP NAIL SYN CAN FEM PROX TFNA 10X400MM 130D RT 04.037.060S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 10X420MM 125D LT 04.037.033S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 10X420MM 125D RT 04.037.029S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 10X420MM 130D LT 04.037.063S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 10X420MM 130D RT 04.037.062S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 10X440MM 130D LT 04.037.065S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X170MM 125D 04.037.112S $4,625.00

IMP NAIL SYN CAN FEM PROX TFNA 11X170MM 130D 04.037.142S $4,102.00

IMP NAIL SYN CAN FEM PROX TFNA 11X320MM 125D RT 04.037.122S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X320MM 130D RT 04.037.152S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X340MM 125D LT 04.037.125S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X340MM 125D RT 04.037.124S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X340MM 130D LT 04.037.155S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X340MM 130D RT 04.037.154S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X360MM 125D LT 04.037.127S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X360MM 125D RT 04.037.126S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X360MM 130D LT 04.037.157S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X360MM 130D RT 04.037.156S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X380MM 125D LT 04.037.129S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X380MM 125D RT 04.037.128S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X380MM 130D LT 04.037.159S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X380MM 130D RT 04.037.158S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X400MM 125D LT 04.037.131S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X400MM 125D RT 04.037.130S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X400MM 130D LT 04.037.161S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X400MM 130D RT 04.037.160S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X420MM 125D LT 04.037.133S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 11X420MM 130D RT 04.037.162S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 12X340MM 125D LT 04.037.225S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 12X360MM 125D LT 04.037.227S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 12X360MM 125D RT 04.037.226S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 12X380MM 125D LT 04.037.229S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 12X380MM 125D RT 04.037.228S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 12X400MM 125D LT 04.037.231S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 12X400MM 125D RT 04.037.230S $6,482.00

IMP NAIL SYN CAN FEM PROX TFNA 12X420MM 130D LT 04.037.263S $6,482.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 10X320MM 04.013.444S $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 10X340MM 04.013.448S $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 11X320MM 04.013.544S $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 11X340MM 04.013.548S $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 11X360MM 04.013.552S $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 11X380MM 04.013.556S $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 12X320MM $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 12X380MM $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 13X360MM 04.013.752S $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 13X380MM 04.013.756S $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 13X420MM 04.013.764S $3,484.00

Page 167: DESCRIPTION Price - Fairview

IMP NAIL SYN CAN FEMORAL RETROGRADE 13X440MM 04.013.768S $3,484.00

IMP NAIL SYN CAN FEMORAL RETROGRADE 15X440MM 04.013.968S $3,484.00

IMP NAIL SYN CAN TIBIAL 10MMX270MM 04.004.434S $3,051.00

IMP NAIL SYN CAN TIBIAL 10MMX300MM 04.004.440S $3,051.00

IMP NAIL SYN CAN TIBIAL 10MMX315MM 04.004.443S $3,051.00

IMP NAIL SYN CAN TIBIAL 10MMX330MM 04.004.446S $3,051.00

IMP NAIL SYN CAN TIBIAL 10MMX345MM 04.004.449S $3,051.00

IMP NAIL SYN CAN TIBIAL 10MMX360MM 04.004.452S $3,051.00

IMP NAIL SYN CAN TIBIAL 10MMX375MM 04.004.455S $3,051.00

IMP NAIL SYN CAN TIBIAL 10MMX390MM 04.004.458S $3,051.00

IMP NAIL SYN CAN TIBIAL 10MMX405MM 04.004.461S $3,051.00

IMP NAIL SYN CAN TIBIAL 11MMX300MM 04.004.540S $3,051.00

IMP NAIL SYN CAN TIBIAL 11MMX315MM 04.004.543S $3,051.00

IMP NAIL SYN CAN TIBIAL 11MMX330MM 04.004.546S $3,051.00

IMP NAIL SYN CAN TIBIAL 11MMX345MM 04.004.549S $3,051.00

IMP NAIL SYN CAN TIBIAL 11MMX360MM 04.004.552S $3,051.00

IMP NAIL SYN CAN TIBIAL 11MMX390MM 04.004.558S $3,051.00

IMP NAIL SYN CAN TIBIAL 12MMX285MM 04.004.637S $3,051.00

IMP NAIL SYN CAN TIBIAL 12MMX300MM 04.004.640S $3,051.00

IMP NAIL SYN CAN TIBIAL 12MMX345MM 04.004.649S $3,051.00

IMP NAIL SYN CAN TIBIAL 12MMX360MM 04.004.652S $3,051.00

IMP NAIL SYN CAN TIBIAL 13MMX375MM 04.004.755S $3,051.00

IMP NAIL SYN CAN TIBIAL 8MMX300MM 04.004.240S $3,051.00

IMP NAIL SYN CAN TIBIAL 8MMX315MM 04.004.243S $3,051.00

IMP NAIL SYN CAN TIBIAL 8MMX330MM 04.004.246S $3,051.00

IMP NAIL SYN CAN TIBIAL 8MMX345MM 04.004.249S $3,051.00

IMP NAIL SYN CAN TIBIAL 8MMX360MM 04.004.252S $3,051.00

IMP NAIL SYN CAN TIBIAL 9MMX270MM 04.004.334S $3,051.00

IMP NAIL SYN CAN TIBIAL 9MMX285MM 04.004.337S $3,051.00

IMP NAIL SYN CAN TIBIAL 9MMX300MM 04.004.340S $3,051.00

IMP NAIL SYN CAN TIBIAL 9MMX315MM 04.004.343S $3,051.00

IMP NAIL SYN CAN TIBIAL 9MMX330MM 04.004.346S $3,051.00

IMP NAIL SYN CAN TIBIAL 9MMX345MM 04.004.349S $3,051.00

IMP NAIL SYN CAN TIBIAL 9MMX360MM 04.004.352S $3,051.00

IMP NAIL SYN CAN TROCH 125DEG 11X170MM TI 456.317S $2,827.00

IMP NAIL SYN CAN TROCH 125DEG 11X340MM TI 456.395S $3,721.00

IMP NAIL SYN CAN TROCH 125DEG 12X70MM TI 456.321S $2,827.00

IMP NAIL SYN CAN TROCH 130DEG 10X170MM TI 456.315S $2,827.00

IMP NAIL SYN CAN TROCH 130DEG 11X170MM TI 456.318S $2,827.00

IMP NAIL SYN CAN TROCH 130DEG 12X170MM TI 456.322S $2,827.00

IMP NAIL SYN CAN TROCH 135DEG 12X170MM TI 456.323S $2,827.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X320MM LT $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X320MM RT $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X340MM LT $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X340MM RT 456.414S $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X360MM LT 456.417S $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X360MM RT $3,721.00

Page 168: DESCRIPTION Price - Fairview

IMP NAIL SYN CAN TROCH FIXATION 130D 11X380MM LT 456.419S $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X380MM RT 456.418S $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X400MM LT 456.421S $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X400MM RT 456.420S $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X420MM LT $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X420MM RT $3,721.00

IMP NAIL SYN CAN TROCH FIXATION 130D 11X440MM LT $3,721.00

IMP NAL SYN CAN FEM PROX TFNA 12X170MM 125D 04.037.212S $4,625.00

IMP NAL SYN CAN FEM PROX TFNA 12X170MM 130D 04.037.242S $4,625.00

IMP NUT SYN 5.0MM SS 222.578 $390.00

IMP OCCLUDER PLUG VASC AMPLATZER 2 14MM 9-AVP2-014 $2,080.00

IMP OCCLUDER PLUG VASC AMPLATZER 2 18MM 9-AVP2-018 $2,080.00

IMP PATCH PERICARDIUM PHOTOFIX BOVINE 0.8X8CM PFP0.8X8 $375.00

IMP PATCH PERICARDIUM PHOTOFIX BOVINE 6X8CM PFP6X8 $2,438.00

IMP PATELLA 3 PEG 35MM 200-02-35 $625.00

IMP PATELLA 3 PEG 38MM 200-02-38 $625.00

IMP PATELLA JJ ATTUNE DOME 29MM 151820029 $750.00

IMP PATELLA JJ ATTUNE DOME 32MM 151820032 $750.00

IMP PATELLA JJ ATTUNE DOME 35MM 151820035 $750.00

IMP PATELLA JJ ATTUNE DOME 38MM 151820038 $750.00

IMP PATELLA JJ ATTUNE DOME 41MM 151820041 $750.00

IMP PATELLA ZIM KNEE ALL POLLY 32MM 42-5400-000-32 $625.00

IMP PATELLA ZIM KNEE ALL POLLY 35MM 42-5400-000-35 $625.00

IMP PEG DEPUY STD 4.0X20MM STP20 $275.00

IMP PEG DEPUY STD 4.0X25MM STP25 $275.00

IMP PEG DEPUY STD 4.0X30MM STP30 $375.00

IMP PEG DEPUY STD 4.0X35MM STP35 $275.00

IMP PEG DEPUY STD 4.0X40MM STP40 $375.00

IMP PEG DEPUY STD 4.0X45MM STP45 $375.00

IMP PEG DEPUY STD 4.0X50MM STP50 $275.00

IMP PEG DEPUY STD 4.0X55MM STP55 $375.00

IMP PEG DEPUY STD 4.0X60MM STP60 $275.00

IMP PEG DEPUY STD 4.0X65MM STP65 $275.00

IMP PEG DEPUY THRD 4.0X20MM STPT20 $335.00

IMP PEG DEPUY THRD 4.0X25MM STPT25 $335.00

IMP PEG DEPUY THRD 4.0X30MM STPT30 $335.00

IMP PEG DEPUY THRD 4.0X35MM STPT35 $335.00

IMP PEG DEPUY THRD 4.0X37.5MM STPT375 $335.00

IMP PEG DEPUY THRD 4.0X40MM STPT40 $335.00

IMP PEG DEPUY THRD 4.0X42.5MM STPT425 $335.00

IMP PEG DEPUY THRD 4.0X45MM STPT45 $335.00

IMP PEG DEPUY THRD 4.0X50MM STPT50 $335.00

IMP PEG DEPUY THRD 4.0X55MM STPT55 $335.00

IMP PEG DEPUY THRD 4.0X60MM STPT60 $335.00

IMP PEG DEPUY THRD 4.0X65MM STPT65 $335.00

IMP PEG FIX HANDINN 2.5X10MM THRD FP10 $285.00

IMP PEG FIX HANDINN 2.5X12MM THRD FP12 $285.00

Page 169: DESCRIPTION Price - Fairview

IMP PEG FIX HANDINN 2.5X14MM THRD FP14 $285.00

IMP PEG FIX HANDINN 2.5X16MM THRD FP16 $285.00

IMP PEG FIX HANDINN 2.5X18MM THRD FP18 $285.00

IMP PEG FIX HANDINN 2.5X20MM THRD FP20 $285.00

IMP PEG FIX HANDINN 2.5X22MM THRD FP22 $285.00

IMP PEG FIX HANDINN 2.5X24MM THRD FP24 $285.00

IMP PEG FIX HANDINN 2.5X26MM THRD FP26 $285.00

IMP PEG FIX HANDINN 2.5X28MM THRD FP28 $285.00

IMP PEG FIX HANDINN 2.5X30MM THRD FP30 $285.00

IMP PEG HANDINN 2.5X10MM PT TP10000 $285.00

IMP PEG HANDINN 2.5X12MM PT TP12000 $285.00

IMP PEG HANDINN 2.5X14MM PT TP14000 $285.00

IMP PEG HANDINN 2.5X16MM PT TP16000 $285.00

IMP PEG HANDINN 2.5X18MM PT TP18000 $285.00

IMP PEG HANDINN 2.5X20MM PT TP20000 $285.00

IMP PEG HANDINN 2.5X22MM PT TP22000 $285.00

IMP PEG HANDINN 2.5X24MM PT TP24000 $285.00

IMP PEG HANDINN 2.5X26MM PT TP26000 $285.00

IMP PEG HANDINN 2.5X28MM PT TP28000 $285.00

IMP PEG HANDINN 2.5X30MM PT TP30000 $285.00

IMP PEG HANDINN MULDIR LOK 2.5X14MM 131211114 $505.00

IMP PEG HANDINN MULDIR LOK 2.5X16MM 131211116 $505.00

IMP PEG HANDINN MULDIR LOK 2.5X18MM 131211118 $505.00

IMP PEG HANDINN MULDIR LOK 2.5X20MM 131211120 $505.00

IMP PEG HANDINN MULDIR LOK 2.5X22MM 131211122 $505.00

IMP PEG HANDINN MULDIR LOK 2.5X24MM 131211124 $505.00

IMP PEG HANDINN MULDIR LOK 2.5X26MM 1312-11-126 $505.00

IMP PEG HANDINN MULDIR LOK 2.5X28MM 131211128 $505.00

IMP PEG HANDINN MULDIR LOK 2.5X30MM 131211130 $451.00

IMP PEG HANDINN SUBCHONDRAL 2.0X10MM P10000 $285.00

IMP PEG HANDINN SUBCHONDRAL 2.0X12MM P12000 $285.00

IMP PEG HANDINN SUBCHONDRAL 2.0X14MM P14000 $285.00

IMP PEG HANDINN SUBCHONDRAL 2.0X16MM P16000 $285.00

IMP PEG HANDINN SUBCHONDRAL 2.0X18MM P18000 $285.00

IMP PEG HANDINN SUBCHONDRAL 2.0X20MM P20000 $285.00

IMP PEG HANDINN SUBCHONDRAL 2.0X22MM P22000 $285.00

IMP PEG HANDINN SUBCHONDRAL 2.0X24MM P24000 $285.00

IMP PEG HANDINN SUBCHONDRAL 2.0X26MM P26000 $285.00

IMP PEG HANDINN SUBCHONDRAL 2.0X28MM P28000 $285.00

IMP PEG HANDINN SUBCHONDRAL 2.0X30MM P30000 $285.00

IMP PEG STRK LOCKING RADIUS 2.0X16MM 52-20616 $235.00

IMP PEG STRK LOCKING RADIUS 2.0X18MM 52-20618 $235.00

IMP PEG STRK LOCKING RADIUS 2.0X20MM 52-20620 $235.00

IMP PEG STRK LOCKING RADIUS 2.0X22MM 52-20622 $235.00

IMP PEG STRK LOCKING RADIUS 2.0X24MM 52-20624 $235.00

IMP PEG STRK LOCKING RADIUS 2.0X26MM 52-20626 $235.00

IMP PEG STRK LOCKING T7 2.0X16MM 53-20616E $254.00

Page 170: DESCRIPTION Price - Fairview

IMP PEG STRK LOCKING T7 2.0X18MM 53-20618E $254.00

IMP PEG STRK LOCKING T7 2.0X20MM 53-20620E $254.00

IMP PEG STRK LOCKING T7 2.0X22MM 53-20622E $254.00

IMP PEG STRK LOCKING T7 2.0X24MM 53-20624E $254.00

IMP PIN ARTHREX BIO TRIM IT 2.0X100MM AR-4152DS $4,375.00

IMP PIN ARTHREX TRIM IT 1.5X100MM AR-4151DS $4,375.00

IMP PIN BENDING FOR 2.4MM LOCKING PLATES 329.922 $296.00

IMP PIN HOWN NAVIGATION 3X100MM 6007-3-100 $2,083.00

IMP PIN HOWN NAVIGATION 3X150MM 6007-3-150 $417.00

IMP PIN PREFIXATION 8796003 $175.00

IMP PIN STRK SELF DRILL 1.65MM 45X12MM THRD SS 5080-1-612 $223.00

IMP PIN STRK SELF DRILL 2MM 45X12MM THRD SS 5080-2-012 $223.00

IMP PIN STRK SELF DRILL 2MM 45X20MM THRD SS 5080-2-020 $223.00

IMP PIN SYN 1.8 BUTTRESS 30MM 201.980 $130.00

IMP PIN SYN MOD HAND BUTTRESS 18MM TI 401.968.96 $130.00

IMP PIN SYN POSITION 4.5MM 298.803S $336.00

IMP PIN SYN SCHANZ LG 5.0X150MM SS 294.784 $343.00

IMP PIN SYN SCHANZ LG 5.0X175MM SS 294.785 $343.00

IMP PIN SYN SCHANZ LG 5.0X200MM SS 294.786 $343.00

IMP PIN SYN SHANTZ LG 4.0/3.0X100MM SS 294.772 $303.00

IMP PIN SYN SHANTZ LG 4.0/3.0X80MM SS 294.771 $303.00

IMP PIN SYN SHANTZ LG 4.5X175MM SS 294.75 $197.00

IMP PIN SYN SHANTZ LG 4.5X200MM SS 294.76 $197.00

IMP PIN SYN SHANTZ LG 5.0X125MM SS $177.00

IMP PIN SYN SHANTZ LG 5.0X150MM SS $177.00

IMP PIN SYN SHANTZ LG 5.0X170MM SS 294.55 $206.00

IMP PIN SYN SHANTZ LG 5.0X200MM SS 294.56 $206.00

IMP PIN SYN SHANTZ SM 4.0X80MM SS 294.30 $162.00

IMP PIN SYN SHANTZ SM 6.0X160MM 294.67 $177.00

IMP PIN SYN SHANTZ SM 6.0X190MM 294.68 $177.00

IMP PLATE ACUM ELBOW LATERAL 10H LOCK LT PL-LEL10L $2,875.00

IMP PLATE ACUM ELBOW LATERAL 14H LOCK RT PL-LEL14R $2,688.00

IMP PLATE ACUM ELBOW LATERAL 6H LOCK RT PL-LEL6R $2,875.00

IMP PLATE ACUM ELBOW MEDIAL LOCK 12H PL-LEM12 $2,370.00

IMP PLATE ACUM ELBOW MEDIAL LOCK 8H PL-LEM8 $2,875.00

IMP PLATE ACUM RT MCP FUSION PL-MCPR $1,048.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 21MM 7200021 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 23MM 7200023 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 25MM 7200025 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 27.5MM 7200027 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 27.5MM 7200127 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 30MM 7200030 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 32.5MM 7200132 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 35MM 7200035 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 37.5MM 7200037 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 40MM 7200040 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 42.5MM 7200042 $2,125.00

Page 171: DESCRIPTION Price - Fairview

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 45MM 7200045 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 45MM 7200145 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 47.5MM 7200047 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 50MM 7200150 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 52.5MM 7200052 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 57.5MM 7200057 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 60MM 7200060 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 62.5MM 7200062 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 65MM 7200065 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 77.5MM 7200077 $2,125.00

IMP PLATE ANT CERV MEDT ATLANTIS VISION ELITE 80MM 7200080 $2,125.00

IMP PLATE ANT CERV SKYLINE 1 LEVEL 12MM TI 186801012 $2,250.00

IMP PLATE ANT CERV SKYLINE 1 LEVEL 14MM TI 186801014 $2,250.00

IMP PLATE ANT CERV SKYLINE 1 LEVEL 28MM TI 186801028 $2,250.00

IMP PLATE ANT CERV SKYLINE 2 LEVEL 30MM TI 186802030 $2,250.00

IMP PLATE ANT CERV SKYLINE 2 LEVEL 32MM TI 186802032 $2,250.00

IMP PLATE ANT CERV SKYLINE 3 LEVEL 45MM TI 186803045 $2,250.00

IMP PLATE ARTHREX 08MM WEDGE H LT AR-8942L-08 $2,238.00

IMP PLATE ARTHREX 08MM WEDGE H RT AR-8942R-08 $2,238.00

IMP PLATE ARTHREX ANKLE FUSION ANTERIOR TT LT AR-8970AL $5,188.00

IMP PLATE ARTHREX ANKLE FUSION ANTERIOR TT RT AR-8970AR $5,188.00

IMP PLATE ARTHREX ANKLE FUSION LATERAL TTC AR-8970TTC $5,438.00

IMP PLATE ARTHREX LAPIDUS AR-8941 $2,238.00

IMP PLATE ARTHREX LISFRANC MED RT TI AR-8951ML $2,000.00

IMP PLATE ARTHREX LOCKING 1/3 TUBULAR 10H SS AR-8943T-10 $700.00

IMP PLATE ARTHREX LOCKING 1/3 TUBULAR 4H SS AR-8943T-04 $563.00

IMP PLATE ARTHREX LOCKING 1/3 TUBULAR 7H SS AR-8943T-07 $638.00

IMP PLATE ARTHREX LOCKING 1/3 TUBULAR 8H SS AR-8943T-08 $663.00

IMP PLATE ARTHREX LOCKING DIST FIBULA LT 5H SS AR-8943BL-05 $1,625.00

IMP PLATE ARTHREX LOCKING DIST FIBULA RT 5H SS AR-8943BR-05 $1,625.00

IMP PLATE ARTHREX LOCKING DIST FIBULA RT 6H SS AR-8943BR-06 $1,813.00

IMP PLATE ARTHREX LOCKING DIST FIBULA RT 8H SS AR-8943BR-08 $1,988.00

IMP PLATE ARTHREX LOCKING LATERAL HOOK 3H SS AR-8943TH-03 $1,750.00

IMP PLATE ARTHREX LOW PRO CONTOUR SHORT LT TI AR-8944CL-P $2,238.00

IMP PLATE ARTHREX LOW PRO LAPIDUS LONG 2H AR-8941L $2,238.00

IMP PLATE ARTHREX LOW PRO MTP CNTRD SHORT LT TI AR-8944CL-S $2,238.00

IMP PLATE ARTHREX LOW PRO MTP CNTRD SHORT RT TI AR-8944CR-P $2,000.00

IMP PLATE ARTHREX LOW PRO MTP CNTRD SHORT RT TI AR-8944CR-S $2,238.00

IMP PLATE ARTHREX MEDIAL COLUMN 3.5MM SM LEFT AR-8952MC-SL $3,738.00

IMP PLATE ARTHREX MIDFOOT FLAT H MED RT AR-8942R-M $2,238.00

IMP PLATE ARTHREX MIDFOOT FLAT H SM RT AR-8942R-S $2,238.00

IMP PLATE ARTHREX MTP LP CONTOUR LONG STD RT TI AR-8944CR-L $2,238.00

IMP PLATE ARTHREX STR LOW PRO 3.0MM 4H TI AR-8952TS-04 $2,000.00

IMP PLATE ARTHREX STR LOW PROFILE 2.4MM 5H TI AR-8952MS-05 $1,738.00

IMP PLATE ARTHREX STR LOW PROFILE 2.4MM 6H TI AR-8952MS-06 $1,738.00

IMP PLATE ARTHREX STR LOW PROFILE 2.4MM 7H TI AR-8952MS-07 $1,738.00

IMP PLATE ARTHREX T-SHAPE LOW PRO 2.4MM 3H TI AR-8952MT-03 $1,738.00

Page 172: DESCRIPTION Price - Fairview

IMP PLATE CERV MEDT ZEVO 17MM 1 LVL 3001017 $2,125.00

IMP PLATE CERV MEDT ZEVO 19MM 1 LVL 3001019 $2,125.00

IMP PLATE CERV MEDT ZEVO 21MM 1 LVL 3001021 $2,125.00

IMP PLATE CERV MEDT ZEVO 23MM 1 LVL 3001023 $2,125.00

IMP PLATE CERV MEDT ZEVO 25MM 1 LVL 3001025 $2,125.00

IMP PLATE CERV MEDT ZEVO 33MM 2 LVL 3002033 $2,125.00

IMP PLATE CERV MEDT ZEVO 35MM 2 LVL 3002035 $2,125.00

IMP PLATE CERV MEDT ZEVO 37MM 2 LVL 3002037 $2,125.00

IMP PLATE CERV MEDT ZEVO 39MM 2 LVL 3002039 $2,125.00

IMP PLATE CERV MEDT ZEVO 41MM 2 LVL 3002041 $2,125.00

IMP PLATE CERV MEDT ZEVO 43MM 2 LVL 3002043 $2,125.00

IMP PLATE CERV MEDT ZEVO 48MM 3 LVL 3003048 $2,250.00

IMP PLATE CERV MEDT ZEVO 51MM 3 LVL 3003051 $2,250.00

IMP PLATE CERV MEDT ZEVO 53MM 3 LVL 3003053 $2,250.00

IMP PLATE CERV MEDT ZEVO 59MM 3 LVL 3003059 $2,250.00

IMP PLATE CERV MEDT ZEVO 65MM 3 LVL 3003065 $2,250.00

IMP PLATE CHIN KLS GRIFFIN MODIFIED LINDORF 2.0X3MM SYS TI $463.00

IMP PLATE CHIN KLS GRIFFIN MODIFIED LINDORF 2.0X5MM SYS TI $463.00

IMP PLATE CHIN KLS GRIFFIN MODIFIED LINDORF 2.0X7MM SYS TI $463.00

IMP PLATE DANEK 39MM 4H 9874039 $7,500.00

IMP PLATE DANEK 41MM PYRAMID PLUS 4H 9874041 $7,500.00

IMP PLATE DANEK ZEPHIR 22MM 8799022 $2,375.00

IMP PLATE DEPUY ACE KYLE SUPRACONDYLAR 12H 14034 $1,097.00

IMP PLATE DEPUY ACE KYLE SUPRACONDYLAR STD 04H 14000-4 $1,300.00

IMP PLATE DEPUY ACE KYLE SUPRACONDYLAR STD 10H 14031 $1,097.00

IMP PLATE DEPUY ACE KYLE SUPRACONDYLAR STD 14H 14032 $1,264.00

IMP PLATE DEPUY LOCK COMPRSN TMX 3.5X111.6MM 8H 8162-35-008 $713.00

IMP PLATE DEPUY SEMI TUBE 100X3.5MM 03H 14355-3 $300.00

IMP PLATE DEPUY SHLDR 03H LT SSPL3 $5,225.00

IMP PLATE DEPUY SHLDR 04H LT SSPL4 $5,225.00

IMP PLATE DEPUY SHLDR 06H LT SSPL6 $5,310.00

IMP PLATE DEPUY SHLDR 08H LT SSPL8 $5,310.00

IMP PLATE DEPUY SHLDR 11H LT SSPL11 $6,280.00

IMP PLATE DEPUY SHLDR 11H RT SSPR11 $6,280.00

IMP PLATE DEPUY SHLDR 3H RT SSPR3 $5,225.00

IMP PLATE DEPUY SHLDR 4H RT SSPR4 $4,095.00

IMP PLATE DEPUY SHLDR 6H RT SSPR6 $5,310.00

IMP PLATE DEPUY SHLDR 8H RT SSPR8 $5,310.00

IMP PLATE FEMORAL OSTEOTOMY 7.5MM AR-13100-07.5 $1,825.00

IMP PLATE HANDINN HIGH FLEX LT 1312-17-101 $1,893.00

IMP PLATE HANDINN HIGH FLEX RT 1312-17-100 $1,893.00

IMP PLATE HANDINN HIGH FLEX STR 1312-17-102 $1,893.00

IMP PLATE HANDINN HIGH FLEX Y 1312-17-103 $1,893.00

IMP PLATE HANDINN HIGH STRENGTH LT 1312-17-001 $1,893.00

IMP PLATE HANDINN HIGH STRENGTH RT 1312-17-000 $1,893.00

IMP PLATE HANDINN HIGH STRENGTH STR 1312-17-002 $1,893.00

IMP PLATE HANDINN HIGH STRENGTH Y 1312-17-003 $1,893.00

Page 173: DESCRIPTION Price - Fairview

IMP PLATE HANDINN VOLAR EXTENDED LT DVRAXL $2,643.00

IMP PLATE HANDINN VOLAR EXTENDED RT DVRAXR $2,643.00

IMP PLATE HANDINN VOLAR NARROW LT DVRANL $2,643.00

IMP PLATE HANDINN VOLAR NARROW SHORT LT DVRANSL $2,643.00

IMP PLATE HANDINN VOLAR NARROW SHORT RT DVRANSR $2,643.00

IMP PLATE HANDINN VOLAR SHORT LT DVRASL $2,643.00

IMP PLATE HANDINN VOLAR SHORT RT DVRASR $2,643.00

IMP PLATE HANDINN VOLAR STANDARD LT DVRAL $2,643.00

IMP PLATE HANDINN VOLAR STANDARD RT DVRAR $2,643.00

IMP PLATE HANDINN VOLAR WIDE LT DVRAWL $2,643.00

IMP PLATE HANDINN VOLAR WIDE RT DVRAWR $2,643.00

IMP PLATE HANDINN VOLAR XX LONG LT DVRAXXL $5,123.00

IMP PLATE HANDINN VOLAR XX LONG RT DVRAXXR $5,123.00

IMP PLATE KLS 2.0MM MINIARNETT C-SHAPE 4H LG 0.8MM TI $575.00

IMP PLATE KLS 2.0MM MINIARNETT C-SHAPE 4H MED 0.8MM TI $575.00

IMP PLATE KLS 2.0MM MINIARNETT C-SHAPE 4H SM T0.8MM TI $575.00

IMP PLATE KLS 2.0MM MINIARNETT C-SHAPE 4H XLG 1.0MM TI $575.00

IMP PLATE KLS 2.0MM MINIARNETT L-SHAPE 4H EXTRA LG 1.0MM TI $575.00

IMP PLATE KLS 2.0MM MINIARNETT L-SHAPE 4H LG 0.8MM TI $575.00

IMP PLATE KLS 2.0MM MINIARNETT L-SHAPE 4H MED 0.8MM TI $575.00

IMP PLATE KLS 2.0MM MINIARNETT L-SHAPE 4H SM 0.8MM TI $575.00

IMP PLATE KLS 2.0MM MINIARNETT STR 1MM MARK 4H LG 1.0MM TI $813.00

IMP PLATE KLS 2.0MM MINIARNETT STR 1MM MARK 4H MED 1.0MM TI $777.00

IMP PLATE KLS 2.0MM MINIARNETT STR 1MM MARK 4H SM 1.0MM TI $741.00

IMP PLATE KLS CANTRELL ORBITAL FLOOR .3X1.5MM SYS TI $1,328.00

IMP PLATE KLS CANTRELL ORBITAL FLOOR GOLD 0.5X1.5MM SYS TI $1,328.00

IMP PLATE KLS LO L-SHAPE LT 5H 0.7MM TI $398.00

IMP PLATE KLS LO L-SHAPE LT 7H 0.7MM TI $398.00

IMP PLATE KLS LO L-SHAPE LT 9H .07MM TI $398.00

IMP PLATE KLS LO L-SHAPE RT 5H 0.7MM TI $398.00

IMP PLATE KLS LO L-SHAPE RT 7H 0.7MM TI $398.00

IMP PLATE KLS LO STR 20H 1.0MM 2.0 TRAUMA SYS TI $618.00

IMP PLATE KLS LO Y-SHAPE 8H 0.7MM 2.0 TRAUMA SYS TI $437.00

IMP PLATE KLS LOCKING 4H REG 1.0MM TI $727.00

IMP PLATE KLS LOCKING CVD 2X6MM 12H GRID 1.0MM TI $1,199.00

IMP PLATE KLS LOCKING FRAC 6H 43MM NON-COMP 1.5MM TI-6AL-4V $1,227.00

IMP PLATE KLS LOCKING FRAC CVD LONG NON-COMP 1.5MM TI-6AL-4V $1,390.00

IMP PLATE KLS LP DOUBLE Y-SHAPE REG 0.6MM TI $426.00

IMP PLATE KLS LP L-SHAPE LT LONG 0.6MM TI $398.00

IMP PLATE KLS LP L-SHAPE LT MED 0.6MM TI $398.00

IMP PLATE KLS LP L-SHAPE RT LONG 0.6MM TI $398.00

IMP PLATE KLS LP L-SHAPE RT MED 0.6MM TI $398.00

IMP PLATE KLS LP STR 16H REG 0.6MM TI $346.00

IMP PLATE KLS LP T-SHAPE 90DEG REG 0.6MM TI $398.00

IMP PLATE KLS LP Y-SHAPE REG 0.6MM TI $398.00

IMP PLATE KLS LP Z-SHAPE LT LONG 0.6MM TI $398.00

IMP PLATE KLS LP Z-SHAPE RT LONG 0.6MM TI $398.00

Page 174: DESCRIPTION Price - Fairview

IMP PLATE KLS MICRO DOUBLE Y-SHAPE SHORT TI $489.00

IMP PLATE KLS MICRO LINDORF LEFORT ONE LT 9MM TI $683.00

IMP PLATE KLS MICRO LINDORF LEFORT ONE RT 9MM TI $683.00

IMP PLATE KLS MICRO L-SHAPE 100 LT LONG 3X2MM TI $426.00

IMP PLATE KLS MICRO L-SHAPE 100 LT LONG 3X3MM TI $450.00

IMP PLATE KLS MICRO L-SHAPE 100 RT LONG 3X2MM TI $426.00

IMP PLATE KLS MICRO L-SHAPE 100 RT LONG 3X3MM TI $450.00

IMP PLATE KLS MICRO L-SHAPE LT LONG TI $426.00

IMP PLATE KLS MICRO L-SHAPE LT MED TI $426.00

IMP PLATE KLS MICRO L-SHAPE RT LONG TI $426.00

IMP PLATE KLS MICRO L-SHAPE RT MED TI $426.00

IMP PLATE KLS MICRO STR 16H TI $441.00

IMP PLATE KLS MICRO STR 4H SHORT TI $192.00

IMP PLATE KLS MICRO STR 4H TI $195.00

IMP PLATE KLS MICRO STR 6H SHORT TI $242.00

IMP PLATE KLS MICRO STR 6H TI $242.00

IMP PLATE KLS MICRO STR 8H REG TI $268.00

IMP PLATE KLS MICRO X-SHAPE REG TI $463.00

IMP PLATE KLS MICRO Y-SHAPE 5H 1.5MM TRAUMA SYS TI $450.00

IMP PLATE KLS MICRO Y-SHAPE LONG TI $430.00

IMP PLATE KLS MINI 4H LONG TI $192.00

IMP PLATE KLS MINI 4H REG TI $192.00

IMP PLATE KLS MINI 8H REG TI $242.00

IMP PLATE KLSM 16H 25-316-00 $448.00

IMP PLATE KLSM DBL Y SHAPE REG .6MM 50-396-06 $409.00

IMP PLATE KLSM DBL Y SHAPE REGULAR 25-322-55 $469.00

IMP PLATE KLSM L SHAPE 100DEG 3HX3H LONG RT 25-331-85 $432.00

IMP PLATE KLSM L SHAPE 7H RT 25-331-05 $432.00

IMP PLATE KLSM L SHAPE LONG 07H LT 50-407-07 $382.00

IMP PLATE KLSM L SHAPE LONG 07H RT 50-405-07 $382.00

IMP PLATE KLSM L SHAPE LONG 09H LT 50-407-09 $382.00

IMP PLATE KLSM L SHAPE LONG 09H RT 50-405-09 $382.00

IMP PLATE KLSM L SHAPE LONG 3HX2H 1.5MM LT 25-314-85 $409.00

IMP PLATE KLSM L SHAPE LONG 3HX2H 1.5MM RT 25-315-85 $409.00

IMP PLATE KLSM L SHAPE LONG LT 25-310-85 $409.00

IMP PLATE KLSM L SHAPE LONG RT 25-311-85 $409.00

IMP PLATE KLSM L SHAPE LT 5H .7MM 50-383-05 $382.00

IMP PLATE KLSM L SHAPE LT MED .6MM 50-377-04 $382.00

IMP PLATE KLSM L SHAPE LT NG .6MM 50-381-04 $382.00

IMP PLATE KLSM L SHAPE MED LT 25-310-70 $409.00

IMP PLATE KLSM L SHAPE MED RT 25-311-70 $409.00

IMP PLATE KLSM L SHAPE RT 5H .7MM 50-381-05 $382.00

IMP PLATE KLSM L SHAPE RT MED .6MM 50-375-04 $390.00

IMP PLATE KLSM L SHAPE RT NG .6MM 50-379-04 $382.00

IMP PLATE KLSM MED 04H 25-304-55 $185.00

IMP PLATE KLSM MED 06H 25-306-55 $232.00

IMP PLATE KLSM MINI LONG 2.0MM 04H 25-552-04-1 $815.00

Page 175: DESCRIPTION Price - Fairview

IMP PLATE KLSM MINI REGULAR 2.0MM 04H 25-550-04-1 $890.00

IMP PLATE KLSM MINI REGULAR 2.0MM 08H 25-550-08-1 $1,040.00

IMP PLATE KLSM ORBITAL 10H 25-325-10 $444.00

IMP PLATE KLSM ORBITAL 12H .7MM 50-405-12 $419.00

IMP PLATE KLSM REGULAR 04H 25-304-00 $187.00

IMP PLATE KLSM REGULAR 06H $232.00

IMP PLATE KLSM REGULAR 08H 25-308-00 $257.00

IMP PLATE KLSM STR 16H REG .6MM 50-368-16 $332.00

IMP PLATE KLSM STR 20H 1.0MM 50-405-17 $593.00

IMP PLATE KLSM STRAIGHT 4H 25-330-24 $606.00

IMP PLATE KLSM T SHAPE 90DEG REG .6MM 50-386-06 $382.00

IMP PLATE KLSM T SHAPE REGULAR 25-315-06 $409.00

IMP PLATE KLSM X SHAPE 8H .75MM 50-406-08 $409.00

IMP PLATE KLSM Y SHAPE LONG 25-320-70 $438.00

IMP PLATE KLSM Y SHAPE NG 8H RT 50-405-08 $419.00

IMP PLATE KLSM Y SHAPE REG .6MM 50-390-05 $382.00

IMP PLATE KLSM Z SHAPE LF LONG 2.0X0.6MM 50-408-04 $382.00

IMP PLATE KLSM Z SHAPE RT LONG 2.0X0.6MM 50-409-04 $382.00

IMP PLATE KLSMXSHAPE REGULAR 25-326-55 $444.00

IMP PLATE LCP CON CUR 4.5X422MM 20H RT 02.001.330 $4,337.00

IMP PLATE LDR ROI-A +0.5MM THICK MED IR2008T $4,000.00

IMP PLATE LDR ROI-A +0.5MM THICK SHORT IR2009T $4,000.00

IMP PLATE LDR ROI-C AWL STARTER ┬ÁLONG MC9095R-S $1,250.00

IMP PLATE LDR ROI-C AWL STARTER ┬ÁSHORT MC9096R-S $1,250.00

IMP PLATE LDR ROI-C STANDARD 5-7 CAGES MC1005T $3,000.00

IMP PLATE LDR ROI-C┬ÁLONG 8-10 CAGES MC1006T $3,000.00

IMP PLATE LG FRAG LCP METAPHYSEAL 118MM 3/5H 224.753 $2,143.00

IMP PLATE LG FRAG LCP METAPHYSEAL 136MM 4/5H 224.754 $2,179.00

IMP PLATE LG FRAG LCP METAPHYSEAL 154MM 5/5H 224.755 $2,212.00

IMP PLATE LG FRAG LCP METAPHYSEAL 172MM 5/6H 224.756 $2,249.00

IMP PLATE LG FRAG LCP METAPHYSEAL 190MM 7/5H 224.757 $2,905.00

IMP PLATE LG FRAG LCP METAPHYSEAL 209MM 8/5H 224.758 $2,934.00

IMP PLATE LG FRAG LCP METAPHYSEAL 298MM 13/5H 224.763 $3,123.00

IMP PLATE LG FRAG LCP METAPHYSEAL 334MM 15/5H 224.765 $3,264.00

IMP PLATE MEDT ANTERIOR LUMBAR PYRAMID 35MM 4H 9874035 $7,500.00

IMP PLATE MEDT MULIT-SPAN CROSSLINK X10 30MM 5442130 $1,250.00

IMP PLATE MEDT MULIT-SPAN CROSSLINK X10 32MM 5442132 $1,250.00

IMP PLATE MEDT MULIT-SPAN CROSSLINK X10 36MM 5442136 $1,250.00

IMP PLATE MEDT MULIT-SPAN CROSSLINK X10 38MM 5442138 $1,250.00

IMP PLATE MEDT MULIT-SPAN CROSSLINK X10 41MM 5442141 $1,250.00

IMP PLATE MEDT MULIT-SPAN CROSSLINK X10 47MM 5442147 $1,250.00

IMP PLATE MEDT MULIT-SPAN CROSSLINK X10 60MM 5442160 $1,250.00

IMP PLATE MEDT PEDICLE 39.6-44.5MM CROSSLINK 5.5 811-321 $1,250.00

IMP PLATE MEDT PEDICLE 44.5-54.7MM CROSSLINK 5.5MM 811-322 $1,250.00

IMP PLATE MEDT POST CERVICAL 10MM OVAL GRAFT 853-410 $938.00

IMP PLATE MEDT VENTURE ASSY CERVICAL 27.5MM 9790027 $2,375.00

IMP PLATE MESH SYN CONTOUR 1.5X100X100MM MAL TI 446.017 $2,885.00

Page 176: DESCRIPTION Price - Fairview

IMP PLATE MESH SYN CONTOUR 1.5X100X100MM RIGID TI 446.018 $2,885.00

IMP PLATE SPINE CERVICAL ANTERIOR 1 LVL 14MM 48651114 $2,375.00

IMP PLATE SPINE CERVICAL ANTERIOR 1LVL 16MM 48651116 $2,375.00

IMP PLATE SRTK RADIAL COLUMN LONG 54-25401 $1,704.00

IMP PLATE STRK 1.7MM S VARIAX 1.0MM 10H NAR T-PLATE 57-10310 $1,391.00

IMP PLATE STRK 1.7MM S VARIAX 1.0MM 4H STR 57-10304 $1,030.00

IMP PLATE STRK 1.7MM S VARIAX 1.0MM 4X2H 3D 57-10392 $1,391.00

IMP PLATE STRK 1.7MM S VARIAX 1.0MM 6H LT L-PLATE 57-10321 $1,030.00

IMP PLATE STRK 1.7MM S VARIAX 1.0MM 7H T-PLATE 57-10360 $1,391.00

IMP PLATE STRK 1.7MM S VARIAX 1.0MM 9H NAR Z-PLATE 57-10379 $1,391.00

IMP PLATE STRK 2.3MM M VARIAX 1.5MM 13H NAR Z-PLATE 57-15379 $1,391.00

IMP PLATE STRK 2.3MM M VARIAX 1.5MM 4H STR 57-15301 $1,030.00

IMP PLATE STRK 2.3MM M VARIAX 1.5MM 4H STR W/BAR 57-15302 $1,030.00

IMP PLATE STRK 2.3MM M VARIAX 1.5MM 4X2H 3D 57-15392 $1,391.00

IMP PLATE STRK 2.3MM M VARIAX 1.5MM 5H RT MC5 PLATE 57-15325 $1,391.00

IMP PLATE STRK 2.3MM M VARIAX 1.5MM 6H LT L-PLATE 57-15321 $1,030.00

IMP PLATE STRK 2.3MM M VARIAX 1.5MM 6H NAR T-PLATE 57-15340 $1,030.00

IMP PLATE STRK 2.3MM M VARIAX 1.5MM 6H RT L-PLATE 57-15320 $1,030.00

IMP PLATE STRK 2.3MM M VARIAX 1.5MM 7H NAR T-PLATE 57-15370 $1,391.00

IMP PLATE STRK 2.3MM M VARIAX 1.5MM 7H T-PLATE 57-15360 $1,391.00

IMP PLATE STRK 6H CHIN 1.7X6MM 5510706 $504.00

IMP PLATE STRK ANATOMICAL VOLAR DIST RAD NARROW LT 54-25374 $2,288.00

IMP PLATE STRK ANATOMICAL VOLAR DIST RAD NARROW RT 54-25384 $2,288.00

IMP PLATE STRK ANATOMICAL VOLAR DIST RAD NRW LT LNG 54-25375 $2,642.00

IMP PLATE STRK ANATOMICAL VOLAR DIST RAD NRW RT LNG 54-25385 $2,642.00

IMP PLATE STRK ANATOMICAL VOLAR DIST RAD STD LT LNG 54-25377 $2,642.00

IMP PLATE STRK ANATOMICAL VOLAR DIST RAD STD RT LNG 54-25387 $2,642.00

IMP PLATE STRK ANATOMICAL VOLAR DIST RADIAL STD LT 54-25376 $2,288.00

IMP PLATE STRK ANATOMICAL VOLAR DIST RADIAL STD RT 54-25386 $2,288.00

IMP PLATE STRK ANCHOR-L LOCKING 48667000 $1,250.00

IMP PLATE STRK AVIATOR 1 LEVEL SIZE 12 48811112 $2,125.00

IMP PLATE STRK AVIATOR 1 LEVEL SIZE 14 48811114 $2,375.00

IMP PLATE STRK AVIATOR 1 LEVEL SIZE 16 48811116 $2,375.00

IMP PLATE STRK AVIATOR 2 LEVEL SIZE 26 48811226 $2,375.00

IMP PLATE STRK AVIATOR 2 LEVEL SIZE 28 48811228 $2,375.00

IMP PLATE STRK AVIATOR 2 LEVEL SIZE 30 48811230 $2,125.00

IMP PLATE STRK AVIATOR 2 LEVEL SIZE 32 48811232 $2,375.00

IMP PLATE STRK AVIATOR 2 LEVEL SIZE 34 48811234 $2,375.00

IMP PLATE STRK AVIATOR 2 LEVEL SIZE 37 48811237 $2,375.00

IMP PLATE STRK AVIATOR 3 LEVEL SIZE 42 48811342 $2,375.00

IMP PLATE STRK AVIATOR 3 LEVEL SIZE 45 48811345 $2,375.00

IMP PLATE STRK AVIATOR 3 LEVEL SIZE 48 48811348 $2,375.00

IMP PLATE STRK AVIATOR 3 LEVEL SIZE 51 48811351 $2,375.00

IMP PLATE STRK AVIATOR 3 LEVEL SIZE 54 48811354 $2,375.00

IMP PLATE STRK AVIATOR 3 LEVEL SIZE 57 48811357 $2,375.00

IMP PLATE STRK AVIATOR 3 LEVEL SIZE 60 48811360 $2,375.00

IMP PLATE STRK AVIATOR 4 LEVEL SIZE 56 48811456 $2,375.00

Page 177: DESCRIPTION Price - Fairview

IMP PLATE STRK AVIATOR 4 LEVEL SIZE 60 48811460 $2,375.00

IMP PLATE STRK AVIATOR 4 LEVEL SIZE 64 48811464 $2,375.00

IMP PLATE STRK AVIATOR 4 LEVEL SIZE 68 48811468 $2,375.00

IMP PLATE STRK AVIATOR 4 LEVEL SIZE 72 48811472 $2,375.00

IMP PLATE STRK AVIATOR 4 LEVEL SIZE 76 48811476 $2,375.00

IMP PLATE STRK DORSAL DIST RADIAL STD LT 54-25291 $2,332.00

IMP PLATE STRK DORSAL DIST RADIAL STD LT XLONG 54-25295 $2,691.00

IMP PLATE STRK DORSAL DIST RADIAL STD RT 54-25290 $2,332.00

IMP PLATE STRK DORSAL DIST RADIAL STD RT XLONG 54-25294 $2,691.00

IMP PLATE STRK DORSAL DIST RADIAL WIDE LT 54-25293 $2,332.00

IMP PLATE STRK DORSAL DIST RADIAL WIDE LT XLONG 54-25297 $2,691.00

IMP PLATE STRK DORSAL DIST RADIAL WIDE RT 54-25292 $2,332.00

IMP PLATE STRK DORSAL DIST RADIAL WIDE RT XLONG 54-25296 $2,691.00

IMP PLATE STRK OASYS CROSS CONNECTOR 45MM 48551074 $1,875.00

IMP PLATE STRK RADIAL COLUMN SHORT 54-25400 $1,704.00

IMP PLATE STRK ULNAR COLUMN LONG LT 54-25405 $1,704.00

IMP PLATE STRK ULNAR COLUMN LONG RT 54-25404 $1,704.00

IMP PLATE STRK ULNAR COLUMN SHORT LT 54-25403 $1,704.00

IMP PLATE STRK ULNAR COLUMN SHORT RT 54-25402 $1,704.00

IMP PLATE STRK UNIV VOLAR DIST RADIAL NARROW LONG 54-25395 $1,933.00

IMP PLATE STRK UNIV VOLAR DIST RADIAL NARROW SHORT 54-25394 $1,933.00

IMP PLATE STRK UNIV VOLAR DIST RADIAL NARROW XLONG 54-25391 $2,068.00

IMP PLATE STRK UNIV VOLAR DIST RADIAL STD LONG 54-25397 $1,933.00

IMP PLATE STRK UNIV VOLAR DIST RADIAL STD SHORT 5H 54-25396 $1,933.00

IMP PLATE STRK UNIV VOLAR DIST RADIAL STD XLONG 54-25392 $2,068.00

IMP PLATE STRK UNIV VOLAR DIST RADIAL WIDE LONG 54-25399 $1,933.00

IMP PLATE STRK UNIV VOLAR DIST RADIAL WIDE SHORT 54-25398 $1,933.00

IMP PLATE STRK UNIV VOLAR DIST RADIAL WIDE XLONG 54-25393 $2,068.00

IMP PLATE SYN 1/3 TUBULAR 117MM 10H SS 241.401 $442.00

IMP PLATE SYN 1/3 TUBULAR 141MM 12H SS 241.421 $459.00

IMP PLATE SYN 1/3 TUBULAR 25MM 02H SS 241.33 $118.00

IMP PLATE SYN 1/3 TUBULAR 33MM 03H SS 241.331 $357.00

IMP PLATE SYN 1/3 TUBULAR 37MM 03H SS 241.33 $121.00

IMP PLATE SYN 1/3 TUBULAR 49MM 04H SS 241.34 $141.00

IMP PLATE SYN 1/3 TUBULAR 57MM 05H SS 241.351 $413.00

IMP PLATE SYN 1/3 TUBULAR 61MM 05H SS 241.35 $141.00

IMP PLATE SYN 1/3 TUBULAR 69MM 06H SS 241.361 $413.00

IMP PLATE SYN 1/3 TUBULAR 73MM 06H SS 241.36 $146.00

IMP PLATE SYN 1/3 TUBULAR 81MM 07H SS 241.371 $421.00

IMP PLATE SYN 1/3 TUBULAR 85MM 07H SS 241.37 $146.00

IMP PLATE SYN 1/3 TUBULAR 93MM 08H SS 241.381 $442.00

IMP PLATE SYN 1/3 TUBULAR 97MM 08H SS 241.38 $151.00

IMP PLATE SYN 1/3TUBULAR 121MM 10H SS 241.40 $151.00

IMP PLATE SYN 1/4 TUBULAR 03H SS 242.03 $166.00

IMP PLATE SYN 1/4 TUBULAR 04H SS 242.04 $179.00

IMP PLATE SYN 1/4 TUBULAR 05H SS 242.05 $188.00

IMP PLATE SYN 1/4 TUBULAR 06H SS 242.06 $204.00

Page 178: DESCRIPTION Price - Fairview

IMP PLATE SYN 1/4 TUBULAR 07H SS 242.07 $219.00

IMP PLATE SYN 1/4 TUBULAR 08H SS 242.08 $224.00

IMP PLATE SYN 4.5X159MM VA LCP CVD CNDYLR 6H LT 02.124.407 $4,042.00

IMP PLATE SYN 4.5X159MM VA LCP CVD CNDYLR 6H RT 02.124.406 $4,042.00

IMP PLATE SYN 4.5X195MM VA LCP CVD CNDYLR 8H LT 02.124.409 $4,120.00

IMP PLATE SYN 4.5X195MM VA LCP CVD CNDYLR 8H RT 02.124.408 $4,120.00

IMP PLATE SYN 4.5X230MM VA LCP CVD CNDYLR 10H LT 02.124.411 $4,314.00

IMP PLATE SYN 4.5X230MM VA LCP CVD CNDYLR 10H RT 02.124.410 $4,314.00

IMP PLATE SYN 4.5X266MM VA LCP CVD CNDYLR 12H LT 02.124.413 $4,405.00

IMP PLATE SYN 4.5X266MM VA LCP CVD CNDYLR 12H RT 02.124.412 $4,405.00

IMP PLATE SYN 4.5X301MM VA LCP CVD CNDYLR 14H LT 02.124.415 $4,701.00

IMP PLATE SYN 4.5X301MM VA LCP CVD CNDYLR 14H RT 02.124.414 $4,701.00

IMP PLATE SYN 4.5X336MM VA LCP CVD CNDYLR 16H LT 02.124.417 $4,792.00

IMP PLATE SYN 4.5X336MM VA LCP CVD CNDYLR 16H RT 02.124.416 $4,792.00

IMP PLATE SYN 4.5X370MM VA LCP CVD CNDYLR 18H LT 02.124.419 $5,105.00

IMP PLATE SYN 4.5X370MM VA LCP CVD CNDYLR 18H RT 02.124.418 $5,105.00

IMP PLATE SYN ADAPTION 90MM 20H TI 446.10 $871.00

IMP PLATE SYN ANGLE BLADE 95DEG 9H 60MM 237.092 $1,183.00

IMP PLATE SYN ANGLE BLADE 95DEG 9H 70MM 237.094 $1,183.00

IMP PLATE SYN ARCH LAMI DBL BEND 2.0X4.0X27MM 443.174 $938.00

IMP PLATE SYN BENDING 4.5MM 07H 329.97 $73.00

IMP PLATE SYN BENDING 4.5MM 09H 329.99 $73.00

IMP PLATE SYN BENDING 4.5MM 12H 329.92 $73.00

IMP PLATE SYN BONE LC-DCP 2.4X84MM 10H SS 247.364 $942.00

IMP PLATE SYN BONE LCP-DCP 04H 2.4X36MM 249.674 $942.00

IMP PLATE SYN BONE LCP-DCP 05H 2.4X44MM SS 247.375 $942.00

IMP PLATE SYN BONE LCP-DCP 06H 2.4X52MM 249.676 $942.00

IMP PLATE SYN BONE LCP-DCP 07H 2.4X60MM SS 247.377 $942.00

IMP PLATE SYN BONE LCP-DCP 08H 2.4X68MM 249.678 $942.00

IMP PLATE SYN BONE LOCKING CMPRSN 207MM 12H SS 02.127.251S $5,266.00

IMP PLATE SYN BOX 4 HOLE 14X14MM 04.503.065 $203.00

IMP PLATE SYN BURR HOLE COVER 17MM 04.503.023 $247.00

IMP PLATE SYN BURR HOLE STRAIGHT 12MM 4H 04.503.063 $133.00

IMP PLATE SYN CALC SHORT RT 69MM 241.622 $1,453.00

IMP PLATE SYN CALCANEAL 60MM SS 241.61 $1,111.00

IMP PLATE SYN CALCANEAL 70MM SS 241.62 $1,135.00

IMP PLATE SYN CALCANEAL LOCKING SYSTEM 241.618 $1,298.00

IMP PLATE SYN CALCANEAL Y SHAPE 87MM SS 241.65 $1,135.00

IMP PLATE SYN CLOVERLEAF 104MM 04H SS 241.84 $681.00

IMP PLATE SYN CLOVERLEAF 88MM 03H SS 241.83 $637.00

IMP PLATE SYN COND LCP 4.5X170MM 06H LT 222.657 $3,675.00

IMP PLATE SYN COND LCP 4.5X170MM 06H RT 222.656 $3,675.00

IMP PLATE SYN COND LCP 4.5X178MM 10H RT 222.660 $3,882.00

IMP PLATE SYN COND LCP 4.5X206MM 08H LT 222.659 $3,745.00

IMP PLATE SYN COND LCP 4.5X206MM 08H RT 222.658 $3,745.00

IMP PLATE SYN COND LCP 4.5X242MM 10H LT 222.661 $3,882.00

IMP PLATE SYN COND LCP 4.5X278MM 12H RT 222.662 $3,963.00

Page 179: DESCRIPTION Price - Fairview

IMP PLATE SYN CONDYLAR 2.4MM 08H RT 249.916 $580.00

IMP PLATE SYN CONDYLAR 2.4MM LF 449.917 $648.00

IMP PLATE SYN CONDYLAR 2.4MM RT 449.916 $648.00

IMP PLATE SYN CONDYLAR 2.7MM 07H LT 242.61 $611.00

IMP PLATE SYN CONDYLAR 2.7MM 07H RT 242.62 $611.00

IMP PLATE SYN CONDYLAR 2MM 07H LT 243.61 $529.00

IMP PLATE SYN CONDYLAR 2MM 07H RT 243.62 $529.00

IMP PLATE SYN CONDYLAR 95DEG 50MM 12H 237.20 $1,287.00

IMP PLATE SYN CONDYLAR 95DEG 60MM 07H 237.72 $1,128.00

IMP PLATE SYN CONDYLAR 95DEG 60MM 12H 237.22 $1,287.00

IMP PLATE SYN CONDYLAR 95DEG 70MM 07H 237.74 $1,128.00

IMP PLATE SYN CONDYLAR MOD FOOT 2.4M 08H 249.917 $580.00

IMP PLATE SYN CONDYLAR MOD HAND 1.5MM LF TI 446.63.96 $610.00

IMP PLATE SYN CONDYLAR MOD HAND 1.5MM RT TI 446.64.96 $610.00

IMP PLATE SYN CONDYLAR MOD HAND 2MM LF 443.61.96 $639.00

IMP PLATE SYN CONDYLAR MOD HAND 2MM RT 443.62.96 $639.00

IMP PLATE SYN CUBOID 2.4MM 249.921 $777.00

IMP PLATE SYN DCP 2.7MM 07H 244.07 $396.00

IMP PLATE SYN DCP 2.7MM 09H 244.09 $458.00

IMP PLATE SYN DCP 2.7MM 10H 244.10 $507.00

IMP PLATE SYN DCP 3.5X133MM 12H SS 248.12 $412.00

IMP PLATE SYN DCP 3.5X37MM 02H SS 248.02 $257.00

IMP PLATE SYN DCP 3.5X73MM 06H SS 248.06 $314.00

IMP PLATE SYN DCP 3.5X85MM 07H SS 248.07 $327.00

IMP PLATE SYN DCP BROAD 4.5X103MM 06H SS 226.06 $451.00

IMP PLATE SYN DCP BROAD 4.5X119MM 07H SS 226.07 $451.00

IMP PLATE SYN DCP BROAD 4.5X135MM 08H SS 226.08 $562.00

IMP PLATE SYN DCP BROAD 4.5X167MM 10H SS 226.10 $562.00

IMP PLATE SYN DCP BROAD 4.5X199MM 12H SS 226.12 $595.00

IMP PLATE SYN DCP BROAD 4.5X231MM 14H SS 226.14 $595.00

IMP PLATE SYN DCP NARROW 4.5X103MM 06H SS 224.06 $338.00

IMP PLATE SYN DCP NARROW 4.5X119MM 07H SS 224.07 $338.00

IMP PLATE SYN DCP NARROW 4.5X135MM 08H SS 224.08 $338.00

IMP PLATE SYN DCP NARROW 4.5X199MM 12H SS 224.12 $445.00

IMP PLATE SYN DCP NARROW 4.5X71MM 04H SS 224.04 $297.00

IMP PLATE SYN DCS 95DEG 06H 281.960 $1,984.00

IMP PLATE SYN DCS 95DEG 08H 281.980 $1,984.00

IMP PLATE SYN DCS 95DEG 12H 281.925 $2,241.00

IMP PLATE SYN DCS 95DEG 178MM 10H SS 281.900 $1,984.00

IMP PLATE SYN DCS 95DEG 242MM 14H SS 281.930 $2,241.00

IMP PLATE SYN DCS 95DEG 274MM 16H SS 281.940 $2,389.00

IMP PLATE SYN DHS 135DEG 110MM 06H SS 281.160 $1,069.00

IMP PLATE SYN DHS 135DEG 46M 02H 281.102S $1,161.00

IMP PLATE SYN DHS 135DEG 78MM 04H SS 218.140 $1,127.00

IMP PLATE SYN DHS 135DEG 94MM 05H SS 281.150 $1,069.00

IMP PLATE SYN DHS 140DEG 110MM 06H SS 281.260 $1,069.00

IMP PLATE SYN DHS 140DEG 78MM 04H SS 281.240 $1,069.00

Page 180: DESCRIPTION Price - Fairview

IMP PLATE SYN DHS 140DEG 94MM 05H SS 281.250 $1,069.00

IMP PLATE SYN DHS 145DEG 110MM 06H SS 281.360 $1,069.00

IMP PLATE SYN DHS 145DEG 78MM 04H SS 281.340 $1,069.00

IMP PLATE SYN DHS 150DEG 78MM 04H SS 281.440 $1,069.00

IMP PLATE SYN DHS SHORT 135DEG 78MM 04H 281.540 $1,069.00

IMP PLATE SYN DHS SHORT 40DEG 25MM 04H 281.640 $1,069.00

IMP PLATE SYN DIST HUM VA-LCP 2.7/3.5X75MM 3H LT 02.117.103S $3,154.00

IMP PLATE SYN EXTENDED H SHAPE 1.5MM LF 446.483 $495.00

IMP PLATE SYN EXTENDED H SHAPE 1.5MM RT 446.482 $495.00

IMP PLATE SYN H SHAPE EXTENDED 1.3MM LF 421.321 $495.00

IMP PLATE SYN H SHAPE EXTENDED 1.3MM RT 421.320 $495.00

IMP PLATE SYN L SHAPE 02H HD 2.7X32MM 03H LT 249.689 $944.00

IMP PLATE SYN L SHAPE 02H HD 2.7X32MM 03H RT 249.688 $944.00

IMP PLATE SYN L SHAPE 02H HD 2.7X40MM 04H LT 249.702 $944.00

IMP PLATE SYN L SHAPE 02H HD 2.7X40MM 04H RT 249.701 $944.00

IMP PLATE SYN L SHAPE BUTTRESS 85MM ANG RT 04H SS 240.54 $821.00

IMP PLATE SYN L SHAPE BUTTRESS 86MM ANG LT 04H SS 240.44 $821.00

IMP PLATE SYN L SHAPE OBLIQUE 02H HD 2.7X35MM 03H LT 249.687 $944.00

IMP PLATE SYN L SHAPE OBLIQUE 02H HD 2.7X35MM 03H RT 249.686 $944.00

IMP PLATE SYN L SHAPE OBLIQUE 02H HD 2.7X35MM 04H LT 249.699 $944.00

IMP PLATE SYN L SHAPE OBLIQUE 02H HD 2.7X35MM 04H RT 249.698 $944.00

IMP PLATE SYN L SHAPE OBLIQUE 06H LF 421.050 $587.00

IMP PLATE SYN L SHAPE OBLIQUE 1.5MM 07H LF 446.52 $714.00

IMP PLATE SYN L SHAPE OBLIQUE 2.7MM 03H LF 242.33 $130.00

IMP PLATE SYN L SHAPE OBLIQUE 2.7MM 03H RT 242.34 $130.00

IMP PLATE SYN L SHAPE OBLIQUE 2MM 02H LT 243.33 $118.00

IMP PLATE SYN L SHAPE OBLIQUE 2MM 02H RT 243.34 $118.00

IMP PLATE SYN LC DCP 3.5X103MM 08H SS 223.58 $341.00

IMP PLATE SYN LC DCP 3.5X116MM 09H SS 223.59 $360.00

IMP PLATE SYN LC DCP 3.5X129MM 10H SS 223.60 $365.00

IMP PLATE SYN LC DCP 3.5X77MM 06H SS 223.56 $314.00

IMP PLATE SYN LC DCP 3.5X90MM 07H SS 223.57 $325.00

IMP PLATE SYN LC DCP BROAD 4.5X229MM 12H SS 226.622 $1,716.00

IMP PLATE SYN LC DCP BROAD 4.5X265MM 14H SS 226.642 $1,915.00

IMP PLATE SYN LC DCP BROAD 4.5X300MM 16H SS 226.662 $2,330.00

IMP PLATE SYN LC DCP BROAD 4.5X332MM 18H SS 226.682 $2,652.00

IMP PLATE SYN LC DCP NARROW 4.5X170MM 09H SS 224.591 $1,206.00

IMP PLATE SYN LC DCP SEMI TUBULAR 103MM 06H SS 222.06 $175.00

IMP PLATE SYN LC DCP SEMI TUBULAR 119MM 07H SS 222.07 $182.00

IMP PLATE SYN LC DCP SEMI TUBULAR 71MM 04H SS 222.04 $155.00

IMP PLATE SYN LC DCP SEMI TUBULAR 87MM 05H SS 222.05 $164.00

IMP PLATE SYN LC-DCP 2MM 04H 243.584 $443.00

IMP PLATE SYN LC-DCP 2MM 06H 243.586 $522.00

IMP PLATE SYN LC-DCP 2MM 08H 243.588 $599.00

IMP PLATE SYN LC-DCP MOD HAND 2.0MM 04H TI 449.931 $495.00

IMP PLATE SYN LC-DCP MOD HAND 2.0MM 06H TI 449.936 $584.00

IMP PLATE SYN LC-DCP MOD HAND 2.0MM 08H TI 449.938 $662.00

Page 181: DESCRIPTION Price - Fairview

IMP PLATE SYN LC-DCP MOD HAND 2.4MM 04H TI 449.924 $692.00

IMP PLATE SYN LC-DCP MOD HAND 2.4MM 06H TI 449.926 $776.00

IMP PLATE SYN LC-DCP MOD HAND 2.4MM 08H TI 449.928 $838.00

IMP PLATE SYN LCP 1/3 TUBULAR W/COLLAR 57MM 5H 441.351 $413.00

IMP PLATE SYN LCP 1/3 TUBULAR W/COLLAR 69MM 6H 441.361 $413.00

IMP PLATE SYN LCP 2.0X31MM 04H SS 247.344 $587.00

IMP PLATE SYN LCP 2.0X38MM 05H SS 247.345 $587.00

IMP PLATE SYN LCP 2.0X45MM 06H SS 247.346 $587.00

IMP PLATE SYN LCP 2.0X52MM 07H SS 247.347 $587.00

IMP PLATE SYN LCP 2.0X59MM 08H SS 247.348 $587.00

IMP PLATE SYN LCP 2.0X73MM 10H SS 247.360 $587.00

IMP PLATE SYN LCP 2.7X40MM 04H 249.680 $994.00

IMP PLATE SYN LCP 2.7X49MM 05H 249.681 $994.00

IMP PLATE SYN LCP 2.7X58MM 06H 249.682 $994.00

IMP PLATE SYN LCP 2.7X67MM 07H 249.683 $994.00

IMP PLATE SYN LCP 2.7X76MM 08H SS 247.372 $994.00

IMP PLATE SYN LCP 2.7X94MM 10H SS 247.374 $994.00

IMP PLATE SYN LCP 3.5X111MM 08H SS 223.581 $836.00

IMP PLATE SYN LCP 3.5X129MM 9H SS 223.591 $872.00

IMP PLATE SYN LCP 3.5X137MM 10H SS 223.601 $896.00

IMP PLATE SYN LCP 3.5X163MM 12H SS 223.621 $988.00

IMP PLATE SYN LCP 3.5X189MM 14H SS 223.641 $1,484.00

IMP PLATE SYN LCP 3.5X72MM 05H SS 223.551 $716.00

IMP PLATE SYN LCP 3.5X85MM 06H SS 223.561 $764.00

IMP PLATE SYN LCP 3.5X85MM 6H TI 423.561 $764.00

IMP PLATE SYN LCP ADAPTION 2.0X81MM 12H SS 247.362 $996.00

IMP PLATE SYN LCP ADAPTION 2.4X88MM 12H SS 247.366 $1,096.00

IMP PLATE SYN LCP ADAPTION 2.7X97MM 12H SS 247.370 $1,096.00

IMP PLATE SYN LCP BROAD 4.5X116MM 06H SS 226.561 $1,002.00

IMP PLATE SYN LCP BROAD 4.5X134MM 07H SS 226.571 $1,064.00

IMP PLATE SYN LCP BROAD 4.5X152MM 08H SS 226.581 $1,303.00

IMP PLATE SYN LCP BROAD 4.5X170MM 09H SS 226.591 $1,411.00

IMP PLATE SYN LCP BROAD 4.5X188MM 10H SS 226.601 $1,515.00

IMP PLATE SYN LCP BROAD 4.5X206MM 11H SS 226.611 $1,614.00

IMP PLATE SYN LCP BROAD 4.5X224MM 12H SS 226.621 $1,712.00

IMP PLATE SYN LCP BROAD 4.5X260MM 13H SS 226.641 $1,909.00

IMP PLATE SYN LCP BROAD 4.5X296MM 16H SS 226.661 $2,324.00

IMP PLATE SYN LCP CON CUR 4.5X242MM 10H LT 02.001.300 $3,922.00

IMP PLATE SYN LCP CON CUR 4.5X242MM 10H RT 02.001.320 $3,922.00

IMP PLATE SYN LCP CON CUR 4.5X278MM 12H LT 02.001.302 $4,005.00

IMP PLATE SYN LCP CON CUR 4.5X278MM 12H RT 02.001.322 $4,005.00

IMP PLATE SYN LCP CON CUR 4.5X314MM 14H LT 02.001.304 $4,088.00

IMP PLATE SYN LCP CON CUR 4.5X314MM 14H RT 02.001.324 $4,088.00

IMP PLATE SYN LCP CON CUR 4.5X350MM 16H LT 02.001.306 $4,167.00

IMP PLATE SYN LCP CON CUR 4.5X350MM 16H RT 02.001.326 $4,167.00

IMP PLATE SYN LCP CON CUR 4.5X386MM 18H LT 02.001.308 $4,254.00

IMP PLATE SYN LCP CON CUR 4.5X458MM 22H LT 02.001.312 $4,422.00

Page 182: DESCRIPTION Price - Fairview

IMP PLATE SYN LCP CONDYLAR 2.0X54MM 07H SS 247.349 $1,855.00

IMP PLATE SYN LCP CONDYLAR 2.4MM 249.679 $1,415.00

IMP PLATE SYN LCP CONDYLAR 2.7X66MM 07H 249.684 $1,542.00

IMP PLATE SYN LCP CONN CUR 4.5X386MM 18H RT 02.001.328 $4,254.00

IMP PLATE SYN LCP DIST THRD 323.029 $683.00

IMP PLATE SYN LCP LAT DIST FIB 2.7/3.5X73MM 3H LT 02.112.137 $1,469.00

IMP PLATE SYN LCP LAT DIST FIB 2.7/3.5X73MM 3H RT 02.112.136 $1,469.00

IMP PLATE SYN LCP LAT DIST FIB 2.7/3.5X86MM 4H LT 02.112.139 $1,492.00

IMP PLATE SYN LCP LAT DIST FIB 2.7/3.5X86MM 4H RT 02.112.138 $1,492.00

IMP PLATE SYN LCP LAT DIST FIB 2.7/3.5X99MM 5H LT 02.112.141 $1,513.00

IMP PLATE SYN LCP LAT DIST FIB 2.7/3.5X99MM 5H RT 02.112.140 $1,513.00

IMP PLATE SYN LCP LAT DST FB 2.7/3.5X177MM 11H LT 02.112.153 $1,604.00

IMP PLATE SYN LCP LAT DST FB 2.7/3.5X177MM 11H RT 02.112.152 $1,604.00

IMP PLATE SYN LCP LAT DST FIB 2.7/3.5X112MM 6H LT 02.112.143 $1,536.00

IMP PLATE SYN LCP LAT DST FIB 2.7/3.5X112MM 6H RT 02.112.142 $1,536.00

IMP PLATE SYN LCP LAT DST FIB 2.7/3.5X125MM 7H LT 02.112.145 $1,558.00

IMP PLATE SYN LCP LAT DST FIB 2.7/3.5X125MM 7H RT 02.112.144 $1,558.00

IMP PLATE SYN LCP LAT DST FIB 2.7/3.5X151MM 9H LT 02.112.149 $1,581.00

IMP PLATE SYN LCP LAT DST FIB 2.7/3.5X151MM 9H RT 02.112.148 $1,581.00

IMP PLATE SYN LCP LG PROX HUM 12H 241.925 $4,420.00

IMP PLATE SYN LCP MDL DISTAL HUM 3.5MM 03H LT 241.283 $2,216.00

IMP PLATE SYN LCP MDL DISTAL HUM 3.5MM 03H RT 241.282 $2,216.00

IMP PLATE SYN LCP MDL DISTAL HUM 3.5MM 05H LT 241.285 $2,459.00

IMP PLATE SYN LCP MDL DISTAL HUM 3.5MM 05H RT 241.284 $2,459.00

IMP PLATE SYN LCP MDL DISTAL HUM 3.5MM 07H LT 241.287 $2,706.00

IMP PLATE SYN LCP MDL DISTAL HUM 3.5MM 07H RT 241.286 $2,706.00

IMP PLATE SYN LCP MDL DISTAL HUM 3.5MM 09H LT 241.289 $2,922.00

IMP PLATE SYN LCP MDL DISTAL HUM 3.5MM 09H RT 241.288 $2,922.00

IMP PLATE SYN LCP MDL DISTAL HUM 3.5MM 14H LT 241.305 $3,007.00

IMP PLATE SYN LCP MDL DISTAL HUM 3.5MM 14H RT 241.304 $3,007.00

IMP PLATE SYN LCP METAPHYSEAL 4.5MM/3.5MM 16H 224.761 $3,065.00

IMP PLATE SYN LCP NARROW 4.5X116MM 06H SS 224.561 $940.00

IMP PLATE SYN LCP NARROW 4.5X134MM 07H SS 224.571 $1,087.00

IMP PLATE SYN LCP NARROW 4.5X152MM 08H SS 224.581 $1,150.00

IMP PLATE SYN LCP NARROW 4.5X188MM 10H SS 224.601 $1,309.00

IMP PLATE SYN LCP NARROW 4.5X206MM 11H SS 224.611 $1,411.00

IMP PLATE SYN LCP NARROW 4.5X224MM 12H SS 224.621 $1,515.00

IMP PLATE SYN LCP NARROW 4.5X260MM 14H SS 224.641 $1,702.00

IMP PLATE SYN LCP NARROW 4.5X296MM 16H SS 224.661 $1,988.00

IMP PLATE SYN LCP NARROW 4.5X80MM 03H SS 224.541 $830.00

IMP PLATE SYN LCP NARROW 4.5X98MM 05H SS 224.551 $886.00

IMP PLATE SYN LCP NRW VOLAR DIST RAD 42MM 6H LT 02.111.521 $2,233.00

IMP PLATE SYN LCP NRW VOLAR DIST RAD 42MM 6H RT 02.111.520 $2,233.00

IMP PLATE SYN LCP NRW VOLAR DIST RAD 51MM 6H LT 02.111.531 $2,322.00

IMP PLATE SYN LCP NRW VOLAR DIST RAD 51MM 6H RT 02.111.530 $2,322.00

IMP PLATE SYN LCP NRW VOLAR DIST RAD 63MM 6H LT 02.111.541 $2,409.00

IMP PLATE SYN LCP NRW VOLAR DIST RAD 63MM 6H RT 02.111.540 $2,409.00

Page 183: DESCRIPTION Price - Fairview

IMP PLATE SYN LCP NRW VOLAR DIST RAD 72MM 6H LT 02.111.551 $2,498.00

IMP PLATE SYN LCP NRW VOLAR DIST RAD 72MM 6H RT 02.111.550 $2,498.00

IMP PLATE SYN LCP OLECRANON 2.5X216MM 12H RT 236.512 $2,492.00

IMP PLATE SYN LCP OLECRANON 3.5X112MM 04H LT 236.505 $2,239.00

IMP PLATE SYN LCP OLECRANON 3.5X112MM 04H RT 236.504 $2,239.00

IMP PLATE SYN LCP OLECRANON 3.5X138MM 06H LT 236.507 $2,309.00

IMP PLATE SYN LCP OLECRANON 3.5X138MM 06H RT 236.506 $2,309.00

IMP PLATE SYN LCP OLECRANON 3.5X164MM 08H LT 236.509 $2,384.00

IMP PLATE SYN LCP OLECRANON 3.5X164MM 08H RT 236.508 $2,384.00

IMP PLATE SYN LCP OLECRANON 3.5X190MM 10H LT 236.511 $2,446.00

IMP PLATE SYN LCP OLECRANON 3.5X190MM 10H RT 236.510 $2,446.00

IMP PLATE SYN LCP OLECRANON 3.5X216MM 12H LT 236.513 $2,492.00

IMP PLATE SYN LCP OLECRANON 3.5X86MM 02H LT 236.503 $2,146.00

IMP PLATE SYN LCP OLECRANON 3.5X86MM 02H RT 236.502 $2,146.00

IMP PLATE SYN LCP OLECRANON VA 2.7/3.5X90MM 2H LT 02.107.302 $2,683.00

IMP PLATE SYN LCP PROX FEMUR 4.5X175MM 04H LT 242.104 $3,415.00

IMP PLATE SYN LCP PROX FEMUR 4.5X283MM 10H RT 242.810 $3,913.00

IMP PLATE SYN LCP PROX FEMUR 4.5X319MM 12H RT $4,146.00

IMP PLATE SYN LCP PROX HUM 3.5MM 03H SS 241.901 $3,660.00

IMP PLATE SYN LCP PROX HUM 3.5MM 05H SS 241.903 $3,777.00

IMP PLATE SYN LCP PROX TIB LT 3.5X102MM 6H SS 02.124.205 $3,453.00

IMP PLATE SYN LCP PROXIMAL TIBIA 3.5MM 8H LT 239.959 $3,488.00

IMP PLATE SYN LCP PROXIMAL TIBIA 3.5X197MM 12H RT 239.962 $3,567.00

IMP PLATE SYN LCP PROXIMAL TIBIA 3.5X93MM 4H LT 239.955 $3,403.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 03H LT 241.263 $2,216.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 03H RT 241.262 $2,216.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 05H LT 241.265 $2,459.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 05H RT 241.264 $2,459.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 07H LT 241.267 $2,706.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 07H RT 241.266 $2,706.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 09H LT 241.269 $2,922.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 09H RT 241.268 $2,922.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 14H LT 241.301 $3,007.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 14H LT 241.303 $3,177.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 14H RT 241.300 $3,007.00

IMP PLATE SYN LCP PST DISTAL HUM 3.5MM 14H RT 241.302 $3,177.00

IMP PLATE SYN LCP PST DISTAL HUM LAT 3.5MM 03H LT 241.273 $2,542.00

IMP PLATE SYN LCP PST DISTAL HUM LAT 3.5MM 03H RT 241.272 $2,542.00

IMP PLATE SYN LCP PST DISTAL HUM LAT 3.5MM 05H LT 241.275 $2,772.00

IMP PLATE SYN LCP PST DISTAL HUM LAT 3.5MM 05H RT 241.274 $2,772.00

IMP PLATE SYN LCP PST DISTAL HUM LAT 3.5MM 07H LT 241.277 $3,007.00

IMP PLATE SYN LCP PST DISTAL HUM LAT 3.5MM 07H RT 241.276 $3,007.00

IMP PLATE SYN LCP PST DISTAL HUM LAT 3.5MM 09H LT 241.279 $3,262.00

IMP PLATE SYN LCP PST DISTAL HUM LAT 3.5MM 09H RT 241.278 $3,262.00

IMP PLATE SYN LCP RECON 3.5MM 05H SS 245.051 $1,058.00

IMP PLATE SYN LCP RECON 3.5MM 06H SS 245.061 $1,224.00

IMP PLATE SYN LCP RECON 3.5MM 07H SS 245.071 $1,287.00

Page 184: DESCRIPTION Price - Fairview

IMP PLATE SYN LCP RECON 3.5MM 08H SS 245.081 $1,343.00

IMP PLATE SYN LCP RECON 3.5MM 10H SS 245.101 $1,390.00

IMP PLATE SYN LCP RECON3.5MM 12H SS 245.121 $1,511.00

IMP PLATE SYN LCP SUP ANT CLAVICLE W/LAT EXT 3.5X69MM 3H LT $2,081.00

IMP PLATE SYN LCP SUP ANT CLAVICLE W/LAT EXT 3.5X69MM 3H RT $2,081.00

IMP PLATE SYN LCP SUP ANT CLAVICLE W/LAT EXT 3.5X81MM 4H LT $2,117.00

IMP PLATE SYN LCP SUP ANT CLAVICLE W/LAT EXT 3.5X81MM 4H RT $2,117.00

IMP PLATE SYN LCP SUP ANT CLAVICLE W/LAT EXT 3.5X94MM 5H LT $2,152.00

IMP PLATE SYN LCP SUP ANT CLAVICLE W/LAT EXT 3.5X94MM 5H RT $2,152.00

IMP PLATE SYN LCP SUP CLAVICLE W/LAT EXT 3.5X105MM 6H LT $2,177.00

IMP PLATE SYN LCP SUP CLAVICLE W/LAT EXT 3.5X105MM 6H RT $2,177.00

IMP PLATE SYN LCP SUP CLAVICLE W/LAT EXT 3.5X120MM 7H LT $2,233.00

IMP PLATE SYN LCP SUP CLAVICLE W/LAT EXT 3.5X120MM 7H RT $2,233.00

IMP PLATE SYN LCP SUP CLAVICLE W/LAT EXT 3.5X130MM 8H LT $2,291.00

IMP PLATE SYN LCP SUP CLAVICLE W/LAT EXT 3.5X130MM 8H RT $2,291.00

IMP PLATE SYN LCP SUPERIOR CLAVICLE 3.5X100MM 7H LT $2,233.00

IMP PLATE SYN LCP SUPERIOR CLAVICLE 3.5X100MM 7H RT $2,233.00

IMP PLATE SYN LCP SUPERIOR CLAVICLE 3.5X115MM 8H LT $2,291.00

IMP PLATE SYN LCP SUPERIOR CLAVICLE 3.5X115MM 8H RT $2,291.00

IMP PLATE SYN LCP SUPERIOR CLAVICLE 3.5X85MM 6H LT $2,177.00

IMP PLATE SYN LCP SUPERIOR CLAVICLE 3.5X85MM 6H RT $2,177.00

IMP PLATE SYN LCP T SHAPE 02H HD 2.0X53MM 07H SS 247.351 $1,040.00

IMP PLATE SYN LCP T SHAPE 02H HD 2.4X58MM 07H 249.670 $1,731.00

IMP PLATE SYN LCP T SHAPE 03H HD 2.0X53MM 07H SS 247.615 $1,040.00

IMP PLATE SYN LCP T SHAPE 03H HD 2.4X58MM 07H 249.615 $1,731.00

IMP PLATE SYN LCP T SHAPE OBLIQUE ANG 03H LT 241.931 $869.00

IMP PLATE SYN LCP T SHAPE OBLIQUE ANG 03H RT 241.031 $867.00

IMP PLATE SYN LCP T SHAPE OBLIQUE ANG 04H LT 241.941 $911.00

IMP PLATE SYN LCP T SHAPE OBLIQUE ANG 04H RT 241.041 $907.00

IMP PLATE SYN LCP T SHAPE OBLIQUE ANG 05H LT 241.951 $950.00

IMP PLATE SYN LCP T SHAPE OBLIQUE ANG 05H RT 241.051 $946.00

IMP PLATE SYN LCP T SHAPE OBLIQUE ANG 07H LT 241.971 $1,031.00

IMP PLATE SYN LCP T SHAPE OBLIQUE ANG 07H RT 241.071 $1,029.00

IMP PLATE SYN LCP T SHAPE RT ANG 50MM 03HX03H 241.131 $766.00

IMP PLATE SYN LCP T SHAPE RT ANG 56MM 04HX04H 241.141 $799.00

IMP PLATE SYN LCP T SHAPE RT ANG 67MM 03HX05H 241.151 $874.00

IMP PLATE SYN LCP T SHAPE RT ANG 78MM 04HX06H 241.161 $1,019.00

IMP PLATE SYN LCP T SHAPE RT ANG 87MM 03HX07H 241.171 $1,276.00

IMP PLATE SYN LCP TIBIAL 4.5X118MM 06H LT SS 240.039 $3,436.00

IMP PLATE SYN LCP TIBIAL 4.5X118MM 06H RT SS 240.038 $3,436.00

IMP PLATE SYN LCP TIBIAL 4.5X154MM 08H LT SS 240.041 $3,476.00

IMP PLATE SYN LCP TIBIAL 4.5X154MM 08H RT SS 240.040 $3,476.00

IMP PLATE SYN LCP TIBIAL 4.5X190MM 10H LT SS 240.043 $3,513.00

IMP PLATE SYN LCP TIBIAL 4.5X190MM 10H RT SS 240.042 $3,513.00

IMP PLATE SYN LCP TIBIAL 4.5X226MM 12H LT SS 240.045 $3,552.00

IMP PLATE SYN LCP TIBIAL 4.5X226MM 12H RT SS 240.044 $3,552.00

IMP PLATE SYN LCP TIBIAL 4.5X82MM 04H LT SS 240.037 $3,395.00

Page 185: DESCRIPTION Price - Fairview

IMP PLATE SYN LCP TIBIAL 4.5X82MM 04H RT SS 240.036 $3,395.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 45MM 6H LT 02.111.621 $2,233.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 45MM 6H RT 02.111.620 $2,233.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 47MM 7H LT 02.111.721 $2,233.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 47MM 7H RT 02.111.720 $2,233.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 54MM 6H LT 02.111.631 $2,322.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 55MM 7H LT 02.111.731 $2,322.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 55MM 7H RT 02.111.730 $2,322.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 5H HD 43MM 4H 242.493 $1,919.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 66MM 6H LT 02.111.641 $2,409.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 66MM 6H RT 02.111.640 $2,409.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 68MM 7H LT 02.111.741 $2,409.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 68MM 7H LT 02.111.751 $2,498.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 68MM 7H RT 02.111.740 $2,409.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 68MM 7H RT 02.111.750 $2,498.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 75MM 6H LT 02.111.651 $2,498.00

IMP PLATE SYN LCP VOLAR DIST RADIUS 75MM 6H RT 02.111.650 $2,498.00

IMP PLATE SYN LCP VOLAR RIM RADIUS 6H 57MM LT 02.115.751 $2,322.00

IMP PLATE SYN LCP VOLAR RIM RADIUS 7H 57MM RT 02.115.850 $2,322.00

IMP PLATE SYN LCP Y SHAPE 03H HD 2.0X55MM 07H SS 247.350 $1,040.00

IMP PLATE SYN LCP Y SHAPE 03H HD 2.4X60MM 07H 249.669 $1,731.00

IMP PLATE SYN LOCKING LCP 91MM PROX HUMERAL 2H RT 02.123.020 $3,660.00

IMP PLATE SYN LOCKING LR STR 2.0MM 02H TI 447.103 $1,778.00

IMP PLATE SYN MATRIXNEURO ADAPTION STR 7 HOLE 04.503.071 $592.00

IMP PLATE SYN MATRIXNEURO BOX PLATE 10X16MM 04.503.073 $507.00

IMP PLATE SYN MATRIXNEURO DOUBLE Y 6H 21MM 04.503.069 $528.00

IMP PLATE SYN MATRIXNEURO STR 2 HOLE 12MM 04.503.062 $87.00

IMP PLATE SYN MATRIXNEURO STRUT 2X3 HOLE 04.503.074 $921.00

IMP PLATE SYN MATRIXNEURO X-PLATE 04.503.064 $528.00

IMP PLATE SYN MATRIXNEURO Y-PLATE 5H 18MM 04.503.067 $528.00

IMP PLATE SYN MEDIAL DISTAL TIBIA 3.5X135MM 6H LT 02.112.515 $3,372.00

IMP PLATE SYN MEDIAL DISTAL TIBIA 3.5X135MM 6H RT 02.112.514 $3,372.00

IMP PLATE SYN MEDIAL DISTAL TIBIA 3.5X161MM 8H LT 02.112.519 $3,405.00

IMP PLATE SYN MEDIAL DISTAL TIBIA 3.5X161MM 8H RT 02.112.518 $3,405.00

IMP PLATE SYN MEDIAL DISTAL TIBIA 3.5X187MM 8H LT 02.112.523 $3,440.00

IMP PLATE SYN MEDIAL DISTAL TIBIA 3.5X187MM 8H RT 02.112.522 $3,440.00

IMP PLATE SYN METAPHYSEAL 09H 4.5X226MM 224.759 $3,000.00

IMP PLATE SYN MOD HAND STR 2.0MM 06H TI 447.031 $451.00

IMP PLATE SYN MOD HAND STR 2.0MM 12H TI 447.032 $540.00

IMP PLATE SYN ORBITAL RIM 09H TI 421.021 $634.00

IMP PLATE SYN RECON 08X26MM 03H TI 489.402 $1,870.00

IMP PLATE SYN RECON 12X22MM 02H NOTHCED TI 489.415 $1,870.00

IMP PLATE SYN RECON 12X34MM 03H NOTCHED TI 489.418 $1,870.00

IMP PLATE SYN RECON 16X42MM 03H TI 489.403 $1,870.00

IMP PLATE SYN RECON 16X58MM 04H NOTCHED TI 489.412 $2,108.00

IMP PLATE SYN RECON 3.5MM 10H SS 245.00 $911.00

IMP PLATE SYN RECON 3.5MM 12H SS 245.02 $998.00

Page 186: DESCRIPTION Price - Fairview

IMP PLATE SYN RECON 3.5MM 14H SS 245.04 $1,084.00

IMP PLATE SYN RECON 3.5MM 16H SS 245.06 $1,173.00

IMP PLATE SYN RECON 3.5X106MM 09H SS 245.19 $903.00

IMP PLATE SYN RECON 3.5X58MM 05H SS 245.15 $701.00

IMP PLATE SYN RECON 3.5X70MM 06H SS 245.16 $807.00

IMP PLATE SYN RECON 3.5X82MM 07H SS 245.17 $847.00

IMP PLATE SYN RECON 3.5X94MM 08H SS 245.18 $881.00

IMP PLATE SYN RECON PROX TIB LT 3.5X76MM 4H SS 02.124.201 $3,411.00

IMP PLATE SYN RECON PROX TIB RT 3.5X76MM 4H SS 02.124.200 $3,411.00

IMP PLATE SYN SPOON 100MM 05H 240.05 $622.00

IMP PLATE SYN STR 1.3MM 06H 421.306 $411.00

IMP PLATE SYN STR 1.3MM 12H 421.312 $516.00

IMP PLATE SYN STR 1.5MM 06H 446.031 $411.00

IMP PLATE SYN STR 1.5MM 12H 446.032 $516.00

IMP PLATE SYN STR 2.4MM 06H 449.906 $495.00

IMP PLATE SYN STR 2.4MM 12H 449.912 $584.00

IMP PLATE SYN STR MINI 2MM 03H SS 243.13 $118.00

IMP PLATE SYN STR MINI 2MM 04H SS 243.14 $130.00

IMP PLATE SYN STR MINI 2MM 05H SS 243.15 $139.00

IMP PLATE SYN T 2.4MM 03H SHAFT 10H 66MM 249.919 $531.00

IMP PLATE SYN T PLATE 2MM 02H 243.41 $118.00

IMP PLATE SYN T SHAPE 1.3MM 03H 421.333 $475.00

IMP PLATE SYN T SHAPE 1.3MM 04H 421.334 $495.00

IMP PLATE SYN T SHAPE 1.5MM 03H TI 446.233 $475.00

IMP PLATE SYN T SHAPE 1.5MM 04H 446.234 $495.00

IMP PLATE SYN T SHAPE 2.0MM 3H 243.234 $529.00

IMP PLATE SYN T SHAPE 2.4MM 02H SS 449.913 $555.00

IMP PLATE SYN T SHAPE 2.4MM 03H SS 449.914 $591.00

IMP PLATE SYN T SHAPE 2.7MM 03H SS 242.41 $130.00

IMP PLATE SYN T SHAPE 84MM 04H 240.14 $599.00

IMP PLATE SYN T SHAPE ANG RT SM 67MM 04H SS 241.15 $303.00

IMP PLATE SYN T SHAPE LCP 4.5MM 04H 240.141 $1,455.00

IMP PLATE SYN T SHAPE LCP 4.5MM 06H 240.161 $1,668.00

IMP PLATE SYN T SHAPE LCP 4.5MM 08H 240.181 $1,926.00

IMP PLATE SYN T SHAPE MOD HAND 2.0MM 02H TI 447.232 $495.00

IMP PLATE SYN T SHAPE MOD HAND 2.0MM 03H TI 447.233 $540.00

IMP PLATE SYN T SHAPE OBLIQUE 3.5X53MM 3HX3H 241.23 $454.00

IMP PLATE SYN T SHAPE OBLIQUE 3.5X63MM 3HX4H 241.24 $480.00

IMP PLATE SYN T SHAPE OBLIQUE 3.5X75MM 3HX5H 241.25 $496.00

IMP PLATE SYN TIBIA SM BEND LOCKING LT 117MM 6H 02.127.221S $4,130.00

IMP PLATE SYN TIBIA SM BEND LOCKING LT 177MM 10H 02.127.241 $4,608.00

IMP PLATE SYN TIBIA SM BEND LOCKING LT 207MM 12H 02.127.251 $5,141.00

IMP PLATE SYN TIBIA SM BEND LOCKING LT 87MM 4H 02.127.211 $3,960.00

IMP PLATE SYN TIBIA SM BEND LOCKING RT 177MM 10H 02.127.240 $4,608.00

IMP PLATE SYN TIBIA SM BEND LOCKING RT 207MM 12H 02.127.250 $5,141.00

IMP PLATE SYN VECTRA LEVEL 1 14MM TI $2,125.00

IMP PLATE SYN VECTRA LEVEL 2 30MM TI 04.613.130 $2,125.00

Page 187: DESCRIPTION Price - Fairview

IMP PLATE SYN WRIST TI 8H SHORT BEND 442.52 $2,214.00

IMP PLATE SYN Y 1.5MM X3H HEAD 8H SHAFT 447.612 $540.00

IMP PLATE SYN Y SHAPE 05H 421.061 $284.00

IMP PLATE SYN Y SHAPE 1.3MM 421.335 $475.00

IMP PLATE SYN Y SHAPE 2.4MM 449.915 $573.00

IMP PLATE SYN Y SHAPE MOD HAND 1.5MM TI 446.612 $475.00

IMP PLATE ZIM 1/3 TUBULAR 3.5X73MM 06H 00-4935-006-03 $169.00

IMP PLUG BIOM IM MED 16MM 130611 $385.00

IMP PLUG CEMENT BIOM IM SM 8-10MM 130609 $385.00

IMP PLUG CEMENT OSTEONICS SIZED 18.5MM SZ 6 UHMPE B006-0185 $125.00

IMP PROBE DOPPLER FLOW STD CUFF DP-SDP001 $1,240.00

IMP PROSTHESIS AMS PENILE CX PRECON MS 12CM IP IZ 72404235 $20,958.00

IMP PROSTHESIS AMS PENILE CX PRECON MS 12CM PS IZ 72404230 $20,958.00

IMP PROSTHESIS AMS PENILE CX PRECON MS 15CM IP IZ 72404236 $20,958.00

IMP PROSTHESIS AMS PENILE CX PRECON MS 15CM PS IZ 72404231 $24,765.00

IMP PROSTHESIS AMS PENILE CX PRECON MS 18CM IP IZ 72404237 $22,898.00

IMP PROSTHESIS AMS PENILE CX PRECON MS 18CM PS IZ 72404232 $23,813.00

IMP PROSTHESIS AMS PENILE CX PRECON MS 21CM IP IZ 72404238 $25,763.00

IMP PROSTHESIS AMS PENILE CX PRECON MS 21CM PS IZ 72404233 $20,958.00

IMP PROSTHESIS AMS PENILE CXR PRECON MS 12CM IP IZ 72404266 $21,610.00

IMP PROSTHESIS AMS PENILE CXR PRECON MS 12CM PS IZ 72404261 $21,610.00

IMP PROSTHESIS AMS PENILE CXR PRECON MS 14CM IP IZ 72404267 $21,610.00

IMP PROSTHESIS AMS PENILE CXR PRECON MS 14CM PS IZ 72404262 $21,610.00

IMP PROSTHESIS AMS PENILE CXR PRECON MS 16CM IP IZ 72404268 $21,610.00

IMP PROSTHESIS AMS PENILE CXR PRECON MS 16CM PS IZ 72404263 $21,610.00

IMP PROSTHESIS AMS PENILE LGX PRECON MS 12CM IP 72404255 $21,353.00

IMP PROSTHESIS AMS PENILE LGX PRECON MS 12CM PS 72404250 $25,233.00

IMP PROSTHESIS AMS PENILE LGX PRECON MS 15CM IP 72404256 $21,353.00

IMP PROSTHESIS AMS PENILE LGX PRECON MS 15CM PS 72404251 $25,233.00

IMP PROSTHESIS AMS PENILE LGX PRECON MS 18CM IP 72404257 $25,233.00

IMP PROSTHESIS AMS PENILE LGX PRECON MS 18CM PS 72404252 $25,233.00

IMP PROSTHESIS AMS PENILE LGX PRECON MS 21CM IP 72404258 $21,353.00

IMP PROSTHESIS AMS PENILE LGX PRECON MS 21CM PS 72404253 $21,353.00

IMP PROSTHESIS AMS PENILE PUMP MS 72404209 $10,748.00

IMP PROSTHESIS AMS PENILE RESERVOIR PC IZ 100ML 72404156 $6,073.00

IMP PROSTHESIS AMS PENILE SPECTRA CONCEALABLE 12MMX12CM $17,755.00

IMP PROSTHESIS AMS PENILE SPECTRA CONCEALABLE 12MMX16CM $17,755.00

IMP PROSTHESIS AMS PENILE SPECTRA CONCEALABLE 12MMX20CM $17,755.00

IMP PROSTHESIS AMS PENILE SPECTRA CONCEALABLE 14MMX12CM $13,750.00

IMP PROSTHESIS AMS PENILE SPECTRA CONCEALABLE 14MMX16CM $17,755.00

IMP PROSTHESIS AMS PENILE SPECTRA CONCEALABLE 14MMX20CM $17,755.00

IMP PROSTHESIS AMS PENILE SPECTRA CONCEALABLE 9.5MMX12CM $17,755.00

IMP PROSTHESIS AMS PENILE SPECTRA CONCEALABLE 9.5MMX16CM $17,755.00

IMP PROSTHESIS AMS PENILE SPECTRA CONCEALABLE 9.5MMX20CM $17,755.00

IMP PROSTHESIS PENILE MALLEABLE TACTRA 13MM 720082-01 $28,738.00

IMP PROSTHESIS PENILE TITAN STD ASSEMBLY KIT 91-9480SC $1,368.00

IMP ROD CONNECTOR 50-67MM 4107050 $1,875.00

Page 188: DESCRIPTION Price - Fairview

IMP ROD DANEK 5.5MM LEGACY TI 869-021 $1,250.00

IMP ROD DANEK 5.5X100MM TI 8690100 $488.00

IMP ROD DANEK 5.5X30MM TI 8690030 $488.00

IMP ROD DANEK 5.5X40MM TI 8690040 $488.00

IMP ROD DANEK 5.5X50MM TI 8690050 $488.00

IMP ROD DANEK 5.5X60MM TI 8690060 $488.00

IMP ROD DANEK 5.5X70MM TI 8690070 $488.00

IMP ROD DANEK 5.5X80MM TI 8690080 $488.00

IMP ROD DANEK 5.5X90MM TI 8690090 $488.00

IMP ROD DANEK HORIZON PREBENT SEXTANT 35MM 8672035 $1,108.00

IMP ROD DANEK LATERAL CONNECTOR 5.5MMX20MM CLSD 7041320 $1,500.00

IMP ROD DANEK LATERAL CONNECTOR 5.5X30MM CLOSED 7041330 $1,500.00

IMP ROD DANEK LEGACY 5.5X500MM TI 869-022 $1,250.00

IMP ROD DANEK SEXT 40MM TI 8672040 $713.00

IMP ROD DANEK SEXT 45MM TI 8672045 $1,108.00

IMP ROD DANEK SEXT 50MM TI 8672050 $1,108.00

IMP ROD DANEK SEXT 55MM TI 8672055 $1,108.00

IMP ROD DANEK SEXT 60MM TI 8672060 $1,108.00

IMP ROD DANEK SEXT 65MM TI 8672065 $1,108.00

IMP ROD DANEK SEXT 70MM TI 8672070 $1,108.00

IMP ROD DANEK SEXT 75MM TI 8672075 $1,108.00

IMP ROD DANEK SEXT 80MM TI 8672080 $1,108.00

IMP ROD DANEK SEXT 85MM TI 8672085 $1,108.00

IMP ROD DANEK SPINE STR SEXTANT 5.5X100MM TI 7571100 $1,666.00

IMP ROD DANEK SPINE STR SEXTANT 5.5X110MM TI 7571110 $1,666.00

IMP ROD DANEK SPINE STR SEXTANT 5.5X130MM TI 7571130 $1,666.00

IMP ROD DANEK SPINE STR SEXTANT 5.5X40MM TI 7571040 $750.00

IMP ROD DANEK SPINE STR SEXTANT 5.5X50MM TI 7571050 $750.00

IMP ROD DANEK SPINE STR SEXTANT 5.5X80MM TI 7571080 $1,666.00

IMP ROD MEDT 3.5CM 1475501030 $488.00

IMP ROD MEDT 3.5CM 1475501035 $488.00

IMP ROD MEDT 4.0CM 1475501040 $488.00

IMP ROD MEDT 5CM 1475501050 $488.00

IMP ROD MEDT 6CM 1475501060 $488.00

IMP ROD MEDT 7CM 1475501070 $488.00

IMP ROD MEDT 8CM 1475501080 $488.00

IMP ROD MEDT CAPPED COCR-MOLYBDM 4.75X40MM 641003040 $1,000.00

IMP ROD MEDT CAPPED VOYAGER 4.75X35MM 641000035 $750.00

IMP ROD MEDT COCR-MOLYBDM CVD LVL1 4.75X90MM 1475501090 $488.00

IMP ROD MEDT COCR-MOLYBDM STR 4.75X500MM 1476200500 $488.00

IMP ROD MEDT LONGITUDE II STR 5.5X210MM 1555006210 $750.00

IMP ROD MEDT LONGITUDE II STR 5.5X40MM 1555006040 $750.00

IMP ROD MEDT LONGITUDE II STR 5.5X50MM 1555006050 $750.00

IMP ROD MEDT LONGITUDE II STR 5.5X70MM 1555006070 $750.00

IMP ROD MEDT PRE-BENT PRE-CUT VERTEX 3.5X40MM 7753740 $488.00

IMP ROD MEDT PRE-CUT VERTEX 3.5X25MM 7753725 $488.00

IMP ROD MEDT SOLERA CHROMALOY STR 1475000500 $1,000.00

Page 189: DESCRIPTION Price - Fairview

IMP ROD MEDT SOLERA CHROMALOY STR PLUS 1476000500 $1,000.00

IMP ROD MEDT SOLERA CVD 5.5X100MM CHR 1555501100 $488.00

IMP ROD MEDT SOLERA CVD 5.5X110MM CHR 1555501110 $488.00

IMP ROD MEDT SOLERA CVD 5.5X110MM TI 1553201110 $488.00

IMP ROD MEDT SOLERA CVD 5.5X120MM CHR 1555501120 $488.00

IMP ROD MEDT SOLERA CVD 5.5X120MM TI 1553201120 $488.00

IMP ROD MEDT SOLERA CVD 5.5X30MM CHR 1555501030 $488.00

IMP ROD MEDT SOLERA CVD 5.5X35MM CHR 1555501035 $488.00

IMP ROD MEDT SOLERA CVD 5.5X35MM TI 1553201035 $488.00

IMP ROD MEDT SOLERA CVD 5.5X40MM CHR 1555501040 $488.00

IMP ROD MEDT SOLERA CVD 5.5X40MM TI 1553201040 $488.00

IMP ROD MEDT SOLERA CVD 5.5X45MM CHR 1555501045 $488.00

IMP ROD MEDT SOLERA CVD 5.5X45MM TI 1553201045 $488.00

IMP ROD MEDT SOLERA CVD 5.5X50MM CHR 1555501050 $488.00

IMP ROD MEDT SOLERA CVD 5.5X50MM TI 1553201050 $488.00

IMP ROD MEDT SOLERA CVD 5.5X60MM CHR 1555501060 $488.00

IMP ROD MEDT SOLERA CVD 5.5X60MM TI 1553201060 $488.00

IMP ROD MEDT SOLERA CVD 5.5X70MM CHR 1555501070 $488.00

IMP ROD MEDT SOLERA CVD 5.5X70MM TI 1553201070 $488.00

IMP ROD MEDT SOLERA CVD 5.5X80MM CHR 1555501080 $488.00

IMP ROD MEDT SOLERA CVD 5.5X80MM TI 1553201080 $488.00

IMP ROD MEDT SOLERA CVD 5.5X90MM TI 1553201090 $488.00

IMP ROD MEDT SOLERA LINED 5.5X500MM CHR 1555200500 $1,000.00

IMP ROD MEDT SOLERA PRE-BENT COBALT CHROME 45MM 1475501045 $488.00

IMP ROD MEDT SOLERA PRE-BENT COBLAT CHROME 55MM 1475501055 $488.00

IMP ROD MEDT SOLERA STR 5.5X500MM CHR 1556200500 $1,000.00

IMP ROD MEDT SOLERA STR 5.5X500MM TI 1553200500 $1,000.00

IMP ROD MEDT SOLERA TIAL STR LINED 5.5X500MM 1554200500 $1,000.00

IMP ROD MEDT SPINE VERTEX CHRMLY PLUS 3.5X240MM 7750087 $488.00

IMP ROD MEDT TAPERED PRE-CUT VERTEX 3.5X50MM 7753750 $488.00

IMP ROD MEDT TAPERED VERTEX 3.5X420MM 7753706 $750.00

IMP ROD MEDT TSRH PREBENT 03.0CM 8370030 $488.00

IMP ROD MEDT TSRH PREBENT 03.5CM 8370035 $488.00

IMP ROD MEDT TSRH PREBENT 04.0CM 8370040 $488.00

IMP ROD MEDT TSRH PREBENT 05.0CM 8370050 $488.00

IMP ROD MEDT TSRH PREBENT 06.0CM 8370060 $488.00

IMP ROD MEDT TSRH PREBENT 07.0CM 8370070 $488.00

IMP ROD MEDT TSRH PREBENT 08.0CM 8370080 $488.00

IMP ROD MEDT TSRH PREBENT 09.0CM 8370090 $488.00

IMP ROD MEDT TSRH PREBENT 10.0CM 8370100 $488.00

IMP ROD MEDT VERTEX 3.2X240MM TI 6900240 $488.00

IMP ROD SNR GUIDE 3.2MMX1000MM BALL TIP 71631626 $441.00

IMP ROD SPINAL 06X45MM TI 48218045 $488.00

IMP ROD SPINAL 06X70MM TI 48218070 $488.00

IMP ROD SPINAL 40X108MM RADIUS BEND 48218040 $488.00

IMP ROD SPINAL DANEK 06X60MM TI 48218060 $488.00

IMP ROD SPINE MEDT VERTEX 3.5X240MM TI 7750015 $488.00

Page 190: DESCRIPTION Price - Fairview

IMP ROD STRK DIAPSON 110MM 665110 $488.00

IMP ROD STRK DIAPSON 120MM 665120 $488.00

IMP ROD STRK DIAPSON 130MM 665130 $488.00

IMP ROD STRK DIAPSON 40MM 665040 $488.00

IMP ROD STRK DIAPSON 50MM 665050 $488.00

IMP ROD STRK DIAPSON 60MM 665060 $488.00

IMP ROD STRK DIAPSON 80MM 665080 $488.00

IMP ROD STRK MAX DBL RADIUS BEND 60X40MM 48219060 $488.00

IMP ROD STRK MAX DBL RADIUS BEND 70X40MM 48219070 $488.00

IMP ROD STRK MAX DBL RADIUS BEND 80X40MM 48219080 $488.00

IMP ROD STRK OASYS 3.5X120MM 48552120 $488.00

IMP ROD STRK OASYS 3.5X240MM 48552240 $488.00

IMP ROD STRK OASYS 3.5X25MM 48552025 $488.00

IMP ROD STRK OASYS 3.5X30MM 48552030 $488.00

IMP ROD STRK OASYS 3.5X40MM 48552040 $488.00

IMP ROD STRK OASYS 3.5X50MM 48552050 $488.00

IMP ROD STRK OASYS 3.5X60MM 48552060 $488.00

IMP ROD STRK OASYS 3.5X70MM 48552070 $488.00

IMP ROD STRK OASYS 3.5X80MM 48552080 $488.00

IMP ROD STRK PEDICLE THORACOLUMBAR 5.5X45MM 486615045 $488.00

IMP ROD STRK PEDICLE THORACOLUMBAR 5.5X50MM 486615050 $488.00

IMP ROD STRK PEDICLE THORACOLUMBAR 5.5X70MM 486615070 $488.00

IMP ROD STRK PRE-BENT 5.5X30MM W/HEX ES2 482806030 $750.00

IMP ROD STRK PRE-BENT 6X45MM W/HEX ES2 482806045 $750.00

IMP ROD STRK PRE-BENT 6X50MM W/HEX ES2 482806050 $1,000.00

IMP ROD STRK PRE-BENT THORACOLUMBAR 5.5X60MM 486615560 $488.00

IMP ROD STRK SGL RADIUS BEND 30X32MM 48218030 $488.00

IMP ROD STRK SGL RADIUS BEND 35X32MM 48218035 $488.00

IMP ROD STRK SGL RADIUS BEND 50X108MM 48218050 $488.00

IMP ROD STRK SGL RADIUS BEND 80X127MM 48218080 $488.00

IMP ROD STRK SGL RADIUS BEND 90X127MM 48218090 $488.00

IMP ROD STRK VITALLIUM 03822601 $488.00

IMP ROD STRK XIA 3 6X100MM TI 48238100 $488.00

IMP ROD STRK XIA 3 6X110MM TI 48232110 $488.00

IMP ROD STRK XIA 3 6X110MM TI 48238110 $488.00

IMP ROD STRK XIA 3 6X120MM TI 48232120 $488.00

IMP ROD STRK XIA 3 6X120MM TI 48238120 $488.00

IMP ROD STRK XIA 3 6X35MM TI 48238035 $419.00

IMP ROD STRK XIA 3 6X40MM TI 48232040 $488.00

IMP ROD STRK XIA 3 6X40MM TI 48238040 $419.00

IMP ROD STRK XIA 3 6X45MM TI 48238045 $419.00

IMP ROD STRK XIA 3 6X480MM TI 48232480 $419.00

IMP ROD STRK XIA 3 6X50MM TI 48238050 $488.00

IMP ROD STRK XIA 3 6X60MM TI 48232060 $488.00

IMP ROD STRK XIA 3 6X60MM TI 48238060 $488.00

IMP ROD STRK XIA 3 6X70MM TI 48238070 $488.00

IMP ROD STRK XIA 3 6X80MM TI 48232080 $488.00

Page 191: DESCRIPTION Price - Fairview

IMP ROD STRK XIA 3 6X80MM TI 48238080 $488.00

IMP ROD STRK XIA 3 6X90MM TI 48238090 $488.00

IMP ROD STRK XIA 3 MAX 6X100MM TI 48239100 $488.00

IMP ROD STRK XIA 3 MAX 6X110MM TI 48239110 $488.00

IMP ROD STRK XIA 3 MAX 6X120MM TI 48239120 $488.00

IMP ROD STRK XIA 3 MAX 6X50MM TI 48239050 $488.00

IMP ROD STRK XIA 3 MAX 6X60MM TI 48239060 $488.00

IMP ROD STRK XIA 3 MAX 6X70MM TI 48239070 $488.00

IMP ROD STRK XIA 3 MAX 6X80MM TI 48239080 $488.00

IMP ROD STRK XIA 3 MAX 6X90MM TI 48239090 $488.00

IMP ROD STRK XIA 480MM 03802480 $488.00

IMP ROD SYN CALIBRATED REAMING 850MM TI 359.083S $325.00

IMP ROD SYN CVD SOFT 6.0X55MM TI 498.140 $663.00

IMP ROD SYN ELASTIC NAIL 4.0MM TI VIOLET 475.940S $721.00

IMP ROD SYN ELASTIC NAIL TI 1.5MM PURPLE 475.915S $522.00

IMP ROD SYN ELASTIC NAIL TI 2.0MM GREEN 475.920S $558.00

IMP ROD SYN ELASTIC NAIL TI 2.5MM PINK 475.925S $599.00

IMP ROD SYN ELASTIC NAIL TI 3.0MM GOLD 475.930S $635.00

IMP ROD SYN ELASTIC NAIL TI 3.5MM BLUE 475.935S $672.00

IMP ROD SYN POST THORACOLUMBAR CVD 5.5X125MM TI 04.636.125 $625.00

IMP ROD SYN POST THORACOLUMBAR CVD 5.5X40MM TI 04.636.040 $488.00

IMP SCR ACE CAN 6.5 22X100MM 14196-100 $1,075.00

IMP SCR ACE CAN 6.5 22X105MM 14196-105 $835.00

IMP SCR ACE CAN 6.5 22X110MM 14196-110 $835.00

IMP SCR ACE CAN 6.5 22X115MM 14196-115 $835.00

IMP SCR ACE CAN 6.5 22X120MM 14196-120 $835.00

IMP SCR ACE CAN 6.5 22X25MM 14196-25 $835.00

IMP SCR ACE CAN 6.5 22X30MM 14196-30 $835.00

IMP SCR ACE CAN 6.5 22X35MM 14196-35 $1,075.00

IMP SCR ACE CAN 6.5 22X40MM 14196-40 $1,075.00

IMP SCR ACE CAN 6.5 22X45MM 14196-45 $1,075.00

IMP SCR ACE CAN 6.5 22X50MM 14196-50 $1,075.00

IMP SCR ACE CAN 6.5 22X55MM 14196-55 $1,075.00

IMP SCR ACE CAN 6.5 22X60MM 14196-60 $835.00

IMP SCR ACE CAN 6.5 22X65MM 14196-65 $1,075.00

IMP SCR ACE CAN 6.5 22X70MM 14196-70 $684.00

IMP SCR ACE CAN 6.5 22X75MM 14196-75 $1,075.00

IMP SCR ACE CAN 6.5 22X80MM 14196-80 $835.00

IMP SCR ACE CAN 6.5 22X85MM 14196-85 $835.00

IMP SCR ACE CAN 6.5 22X90MM 14196-90 $1,075.00

IMP SCR ACE CAN 6.5 22X95MM 14196-95 $835.00

IMP SCR ACE CAN 6.5 40X080MM THRD 1419780 $787.00

IMP SCR ACE CAN 8.0X24X80MM THRD 14192-80 $865.00

IMP SCR ACE CAN 8.0X24X85MM THRD 14192-85 $865.00

IMP SCR ACE CAN CANC 8.0X24X040MM THRD 1419240 $816.00

IMP SCR ACE CAN CANC 8.0X24X045MM THRD 1419245 $816.00

IMP SCR ACE CAN CANC 8.0X24X050MM THRD 1419250 $816.00

Page 192: DESCRIPTION Price - Fairview

IMP SCR ACE CAN CANC 8.0X24X055MM THRD 1419255 $816.00

IMP SCR ACE CAN CANC 8.0X24X065MM THRD 1419265 $816.00

IMP SCR ACE CAN CANC 8.0X24X070MM THRD 1419270 $816.00

IMP SCR ACE CAN CANC 8.0X24X090MM THRD 1419290 $816.00

IMP SCR ACE CAN CANC 8.0X24X095MM THRD 1419295 $816.00

IMP SCR ACE CAN CANC 8.0X24X100MM THRD 14192100 $816.00

IMP SCR ACE CAN CANC 8.0X24X105MM THRD 14192105 $865.00

IMP SCR ACE CAN CANC 8.0X24X110MM THRD 14192110 $865.00

IMP SCR ACE CAN CANC 8.0X24X60MM THRD 14192-60 $865.00

IMP SCR ACET SNN SPHERICAL HEAD 6.5X15MM 71332515 $25.00

IMP SCR ACET SNN SPHERICAL HEAD 6.5X20MM 71332520 $25.00

IMP SCR ACET SNN SPHERICAL HEAD 6.5X25MM 71332525 $25.00

IMP SCR ACET SNN SPHERICAL HEAD 6.5X30MM 71332530 $25.00

IMP SCR ACET SNN SPHERICAL HEAD 6.5X35MM 71332535 $25.00

IMP SCR ACET SNN SPHERICAL HEAD 6.5X40MM 71332540 $25.00

IMP SCR ACUM CLAVICAL CORTIC 2.7X08MM LOCKING CO-F2708 $103.00

IMP SCR ACUM CLAVICAL CORTIC 2.7X10MM LOCKING CO-F2710 $103.00

IMP SCR ACUM CLAVICAL CORTIC 2.7X12MM LOCKING CO-F2712 $103.00

IMP SCR ACUM CLAVICAL CORTIC 2.7X14MM LOCKING CO-F2714 $103.00

IMP SCR ACUM MICRO 14MM TI ACUTRAK 2 AT2-C14-S $1,225.00

IMP SCR ACUM MICRO 16MM TI ACUTRAK 2 AT2-C16-S $1,225.00

IMP SCR ACUM MICRO 18MM TI ACUTRAK 2 AT2-C18-S $1,225.00

IMP SCR ACUM MICRO 24MM TI ACUTRAK 2 AT2-C24-S $1,200.00

IMP SCR ACUM MICRO 28MM TI ACUTRAK 2 AT2-C28-S $1,200.00

IMP SCR ACUM MINI 16MM TI ACUTRAK 2 AT2-M16-S $1,225.00

IMP SCR ACUM MINI 26MM TI ACUTRAK 2 AT2-M26-S $1,225.00

IMP SCR ACUM STD 34MM TI ACUTRAK 2 AT2-S34-S $1,200.00

IMP SCR ARTHREX BI-CORTICAL POST 4.5X50MM TI AR-1365-50 $250.00

IMP SCR ARTHREX BI-CORTICAL POST 4.5X57.5MM TI AR-1365-575 $250.00

IMP SCR ARTHREX BIOCOMPOSITE DELTA RND 08X28MM AR-5028C-08 $588.00

IMP SCR ARTHREX BIOCOMPOSITE DELTA RND 09X28MM AR-5028C-09 $588.00

IMP SCR ARTHREX BIOCOMPOSITE DELTA RND 10X28MM AR-5028C-10 $588.00

IMP SCR ARTHREX BIOCOMPOSITE INTERFERENCE 6X23MM AR-1360C $588.00

IMP SCR ARTHREX BIOCOMPOSITE INTERFERENCE 7X23MM AR-1370C $588.00

IMP SCR ARTHREX BIOCOMPOSITE INTERFERENCE 8X23MM AR-1380C $588.00

IMP SCR ARTHREX BIO-COMPRESSION 2.7X20MM AR-5025B-20 $988.00

IMP SCR ARTHREX BIO-COMPRESSION 3.0X22MM AR-5025B-22 $988.00

IMP SCR ARTHREX BIO-COMPRESSION 3.0X24MM AR-5025B-24 $988.00

IMP SCR ARTHREX BIO-TENODESIS BIOCOMP 07X23MM AR-1570BC $863.00

IMP SCR ARTHREX BIO-TENODESIS BIOCOMP 4.75X15MM AR-1547BC $863.00

IMP SCR ARTHREX BIO-TENODESIS BIOCOMP 4X10MM AR-1540BC $863.00

IMP SCR ARTHREX BIO-TENODESIS BIOCOMP 5.5X15MM AR-1555BC $863.00

IMP SCR ARTHREX BIOTENODESIS BIOCOMP 6.25X15MM AR-1562BC $863.00

IMP SCR ARTHREX BLUE LOCKING 3.5X14MM AR-8935L-14 $375.00

IMP SCR ARTHREX BLUE LOCKING 3.5X16MM AR-8935L-16 $375.00

IMP SCR ARTHREX BLUE LOCKING 3.5X18MM AR-8935L-18 $375.00

IMP SCR ARTHREX BLUE LOCKING 3.5X20MM AR-8935L-20 $375.00

Page 193: DESCRIPTION Price - Fairview

IMP SCR ARTHREX BLUE LOCKING 3.5X22MM AR-8935L-22 $375.00

IMP SCR ARTHREX BLUE LOCKING 3.5X24MM AR-8935L-24 $375.00

IMP SCR ARTHREX BLUE LOCKING 3.5X26MM AR-8935L-26 $375.00

IMP SCR ARTHREX BLUE LOCKING 3.5X28MM AR-8935L-28 $375.00

IMP SCR ARTHREX BLUE LOCKING 3.5X30MM AR-8935L-30 $375.00

IMP SCR ARTHREX BLUE LOCKING 3.5X32MM AR-8935L-32 $375.00

IMP SCR ARTHREX BLUE LOCKING 3.5X34MM AR-8935L-34 $375.00

IMP SCR ARTHREX BONE LOCKING LP 24X4.5MM TI AR-8545L-24 $488.00

IMP SCR ARTHREX BONE LOCKING LP 26X4.5MM TI AR-8545L-26 $488.00

IMP SCR ARTHREX BONE LOCKING LP 28X4.5MM TI AR-8545L-28 $488.00

IMP SCR ARTHREX BONE LOCKING LP 30X4.5MM TI AR-8545L-30 $488.00

IMP SCR ARTHREX BONE LOCKING LP 32X4.5MM TI AR-8545L-32 $488.00

IMP SCR ARTHREX BONE LOCKING LP 34X4.5MM TI AR-8545L-34 $488.00

IMP SCR ARTHREX BONE LOCKING LP 36X4.5MM TI AR-8545L-36 $488.00

IMP SCR ARTHREX BONE LOCKING LP 38X4.5MM TI AR-8545L-38 $488.00

IMP SCR ARTHREX BONE LOCKING LP 40X4.5MM TI AR-8545L-40 $488.00

IMP SCR ARTHREX BONE LOCKING LP 44X4.5MM TI AR-8545L-44 $488.00

IMP SCR ARTHREX BONE LOCKING LP 46X4.5MM TI AR-8545L-46 $488.00

IMP SCR ARTHREX BONE LOCKING LP 50X4.5MM TI AR-8545L-50 $488.00

IMP SCR ARTHREX BONE LOCKING LP 55X4.5MM TI AR-8545L-55 $488.00

IMP SCR ARTHREX BONE LOCKING LP 60X4.5MM TI AR-8545L-60 $488.00

IMP SCR ARTHREX BONE LOW PROFILE 26X4.5MM TI AR-8545-26 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 28X4.5MM TI AR-8545-28 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 30X4.5MM TI AR-8545-30 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 30X5.5MM TI AR-8555-30 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 32X4.5MM TI AR-8545-32 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 34X4.5MM TI AR-8545-34 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 35X5.5MM TI AR-8555-35 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 36X4.5MM TI AR-8545-36 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 38X4.5MM TI AR-8545-38 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 45X5.5MM TI AR-8555-45 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 50X5.5MM TI AR-8555-50 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 55X5.5MM TI AR-8555-55 $188.00

IMP SCR ARTHREX BONE LOW PROFILE 60X5.5MM TI AR-8555-60 $188.00

IMP SCR ARTHREX CAN 07X20MM AR-1370E $288.00

IMP SCR ARTHREX CAN 07X25MM AR-1371E $288.00

IMP SCR ARTHREX CAN 08X20MM AR-1380E $288.00

IMP SCR ARTHREX CAN 08X25MM AR-1381E $288.00

IMP SCR ARTHREX CAN 09X20MM AR-1390E $288.00

IMP SCR ARTHREX CAN 09X25MM AR-1391E $288.00

IMP SCR ARTHREX CAN 4.0X26MM AR-8940-26 $150.00

IMP SCR ARTHREX CAN 4.0X30MM AR-8940-30 $150.00

IMP SCR ARTHREX CAN 4.0X34MM AR-8940-34 $150.00

IMP SCR ARTHREX CAN 4.0X36MM AR-8940-36 $150.00

IMP SCR ARTHREX CAN FULL THRD 07X20MM AR-1370T $238.00

IMP SCR ARTHREX CAN FULL THRD 08X20MM AR-1380T $238.00

IMP SCR ARTHREX CAN FULL THRD 09X20MM AR-1390T $238.00

Page 194: DESCRIPTION Price - Fairview

IMP SCR ARTHREX CAN FULL THRD 10X20MM AR-1400T $238.00

IMP SCR ARTHREX CAN LP 3X16MM PART THRD TI AR-8933-16PT $300.00

IMP SCR ARTHREX CAN LP 3X26MM PART THRD TI AR-8933-26PT $300.00

IMP SCR ARTHREX CAN LP 4.5X24MM PART THRD TI AR-8945-24PT $438.00

IMP SCR ARTHREX CAN LP 4.5X34MM PART THRD TI AR-8945-34PT $438.00

IMP SCR ARTHREX CAN LP 4.5X38MM PART THRD TI AR-8945-38PT $438.00

IMP SCR ARTHREX CAN LP 4.5X40MM PART THRD TI AR-8945-40PT $438.00

IMP SCR ARTHREX CAN LP 4.5X45MM FULL THRD TI AR-8945-45FT $438.00

IMP SCR ARTHREX CAN LP 4.5X45MM PART THRD TI AR-8945-45PT $438.00

IMP SCR ARTHREX CAN LP 4.5X50MM PART THRD TI AR-8945-50PT $438.00

IMP SCR ARTHREX CAN LP 4.5X65MM PART THRD TI AR-8945-65PT $438.00

IMP SCR ARTHREX CAN LP 4.5X70MM PART THRD TI AR-8945-70PT $438.00

IMP SCR ARTHREX CAN LP 6.7X100MM 18MM THRD TI AR-8967-18100 $625.00

IMP SCR ARTHREX CAN LP 6.7X70MM 18MM THRD AR-8967-1870 $625.00

IMP SCR ARTHREX CAN LP 6.7X75MM 28MM THRD TI AR-8967-2875 $625.00

IMP SCR ARTHREX CAN LP 6.7X80MM 18MM THRD AR-8967-1880 $625.00

IMP SCR ARTHREX CAN LP 6.7X85MM 18MM THRD AR-8967-1885 $625.00

IMP SCR ARTHREX CAN LP 6.7X90MM 18MM THRD AR-8967-1890 $625.00

IMP SCR ARTHREX CANC FT 3X18MM SS AR-8830-18 $88.00

IMP SCR ARTHREX CANC FT 3X20MM SS AR-8830-20 $88.00

IMP SCR ARTHREX CANC LOCKING 4X34MM AR-14234 $280.00

IMP SCR ARTHREX CANC LOCKING 4X38MM AR-14238 $280.00

IMP SCR ARTHREX CANC LOCKING 4X40MM AR-14240 $280.00

IMP SCR ARTHREX CANC LOCKING 4X48MM AR-14248 $280.00

IMP SCR ARTHREX CANC LOCKING 4X50MM AR-14250 $280.00

IMP SCR ARTHREX CANC LOCKING 4X52MM AR-14252 $280.00

IMP SCR ARTHREX CORTEX LOW PROFILE 2.4X12MM AR-8724-12 $275.00

IMP SCR ARTHREX CORTEX LOW PROFILE 2.4X14MM AR-8724-14 $275.00

IMP SCR ARTHREX CORTEX LOW PROFILE 2.4X16MM AR-8724-16 $275.00

IMP SCR ARTHREX CORTEX LOW PROFILE 2.4X24MM AR-8724-24 $275.00

IMP SCR ARTHREX CORTICAL 3.5MMX14MM AR-8935-14 $150.00

IMP SCR ARTHREX CORTICAL 3.5MMX16MM AR-8935-16 $150.00

IMP SCR ARTHREX CORTICAL 3.5MMX18MM AR-8935-18 $150.00

IMP SCR ARTHREX CORTICAL 3.5MMX20MM AR-8935-20 $150.00

IMP SCR ARTHREX CORTICAL 3.5MMX22MM AR-8935-22 $150.00

IMP SCR ARTHREX CORTICAL 3.5MMX26MM AR-8935-26 $150.00

IMP SCR ARTHREX CORTICAL 3.5MMX28MM AR-8935-28 $150.00

IMP SCR ARTHREX CORTICAL 3.5MMX30MM AR-8935-30 $150.00

IMP SCR ARTHREX CORTICAL 3.5MMX32MM AR-8935-32 $150.00

IMP SCR ARTHREX CORTICAL 3.5MMX34MM AR-8935-34 $150.00

IMP SCR ARTHREX CORTICAL 3.5MMX36MM AR-8935-36 $150.00

IMP SCR ARTHREX CORTICAL LOW PROFILE 3.0X30MM TI AR-8933-30 $275.00

IMP SCR ARTHREX CORTICAL LP 3X12MM TI AR-8933-12 $275.00

IMP SCR ARTHREX CORTICAL LP 3X14MM TI AR-8933-14 $275.00

IMP SCR ARTHREX CORTICAL LP 3X18MM TI AR-8933-18 $275.00

IMP SCR ARTHREX LP 4.0X30MM LONG THRD SS AR-8840PL-30 $88.00

IMP SCR ARTHREX LP 4.0X38MM LONG THRD SS AR-8840PL-38 $125.00

Page 195: DESCRIPTION Price - Fairview

IMP SCR ARTHREX LP 4.0X42MM LONG THRD SS AR-8840PL-42 $88.00

IMP SCR ARTHREX LP CAN 4.0X40MM LONG THRD SS AR-8840CL-40 $413.00

IMP SCR ARTHREX LP CAN 4.0X42MM LONG THRD SS AR-8840CL-42 $413.00

IMP SCR ARTHREX LP CAN 4.0X42MM SHORT THRD SS AR-8840C-42 $413.00

IMP SCR ARTHREX LP CAN 4.0X44MM LONG THRD SS AR-8840CL-44 $413.00

IMP SCR ARTHREX LP CAN 4.0X44MM SHORT THRD SS AR-8840C-44 $413.00

IMP SCR ARTHREX LP CAN 4.0X48MM SHORT THRD SS AR-8840C-48 $413.00

IMP SCR ARTHREX LP CAN 4.0X50MM LONG THRD SS AR-8840CL-50 $413.00

IMP SCR ARTHREX LP CAN 4.0X50MM SHORT THRD SS AR-8840C-50 $413.00

IMP SCR ARTHREX LP CAN 4.0X55MM LONG THRD SS AR-8840CL-55 $413.00

IMP SCR ARTHREX LP CAN 4.0X55MM SHORT THRD SS AR-8840C-55 $413.00

IMP SCR ARTHREX LP CAN 4.0X60MM LONG THRD SS AR-8840CL-60 $413.00

IMP SCR ARTHREX LP CAN 4.0X60MM SHORT THRD SS AR-8840C-60 $413.00

IMP SCR ARTHREX LP CANC 4.0X16MM SS AR-8840-16 $88.00

IMP SCR ARTHREX LP CANC 4.0X18MM SS AR-8840-18 $88.00

IMP SCR ARTHREX LP CANC 4.0X50MM SS AR-8840-50 $88.00

IMP SCR ARTHREX LP CANC 4.0X55MM SS AR-8840-55 $88.00

IMP SCR ARTHREX LP CANC 4.0X60MM SS AR-8840-60 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X12MM SS AR-8835-12 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X14MM SS AR-8835-14 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X16MM SS AR-8835-16 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X18MM SS AR-8835-18 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X20MM SS AR-8835-20 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X22MM SS AR-8835-22 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X24MM SS AR-8835-24 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X26MM SS AR-8835-26 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X30MM SS AR-8835-30 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X46MM SS AR-8835-46 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X48MM SS AR-8835-48 $88.00

IMP SCR ARTHREX LP CORT TM 3.5X50MM SS AR-8835-50 $88.00

IMP SCR ARTHREX LP LOCKING 2.4X16MM AR-8724L-16 $340.00

IMP SCR ARTHREX LP LOCKING 2.4X22MM AR-8724L-22 $313.00

IMP SCR ARTHREX LP LOCKING 2.4X24MM AR-8724L-24 $340.00

IMP SCR ARTHREX LP LOCKING 2.4X26MM AR-8724L-26 $313.00

IMP SCR ARTHREX LP LOCKING 2.7X12MM SS AR-8827L-12 $288.00

IMP SCR ARTHREX LP LOCKING 2.7X14MM SS AR-8827L-14 $288.00

IMP SCR ARTHREX LP LOCKING 2.7X16MM SS AR-8827L-16 $288.00

IMP SCR ARTHREX LP LOCKING 2.7X18MM SS AR-8827L-18 $288.00

IMP SCR ARTHREX LP LOCKING 2.7X20MM SS AR-8827L-20 $288.00

IMP SCR ARTHREX LP LOCKING 3.5X10MM SS AR-8835L-10 $288.00

IMP SCR ARTHREX LP LOCKING 3.5X12MM SS AR-8835L-12 $288.00

IMP SCR ARTHREX LP LOCKING 3.5X14MM SS AR-8835L-14 $288.00

IMP SCR ARTHREX LP LOCKING 3.5X16MM SS AR-8835L-16 $288.00

IMP SCR ARTHREX LP LOCKING 3.5X18MM SS AR-8835L-18 $288.00

IMP SCR ARTHREX LP LOCKING 3.5X20MM SS AR-8835L-20 $288.00

IMP SCR ARTHREX LP LOCKING 3.5X22MM SS AR-8835L-22 $288.00

IMP SCR ARTHREX LP VAR ANG LOCKING 2.4X10MM AR-8724V-10 $245.00

Page 196: DESCRIPTION Price - Fairview

IMP SCR ARTHREX LP VAR ANG LOCKING 2.4X12MM AR-8724V-12 $245.00

IMP SCR ARTHREX LP VAR ANG LOCKING 2.4X14MM AR-8724V-14 $245.00

IMP SCR ARTHREX LP VAR ANG LOCKING 2.4X16MM AR-8724V-16 $245.00

IMP SCR ARTHREX LP VAR ANG LOCKING 2.4X18MM AR-8724V-18 $245.00

IMP SCR ARTHREX LP VAR ANG LOCKING 2.4X20MM AR-8724V-20 $245.00

IMP SCR ARTHREX LP VAR ANG LOCKING 2.4X22MM AR-8724V-22 $245.00

IMP SCR ARTHREX LP VAR ANG LOCKING 2.4X24MM AR-8724V-24 $245.00

IMP SCR ARTHREX MTP LP CAN PT 3X38MM TI AR-8933-38PT $300.00

IMP SCR ARTHREX MTP LP CORTICAL 3X16MM TI AR-8933-16 $275.00

IMP SCR ARTHREX MTP LP CORTICAL 3X20MM TI AR-8933-20 $275.00

IMP SCR ARTHREX MTP LP CORTICAL 3X22MM TI AR-8933-22 $275.00

IMP SCR ARTHREX MTP LP CORTICAL 3X24MM TI AR-8933-24 $275.00

IMP SCR ARTHREX MTP LP LOCKING 3X14MM TI AR-8933L-14 $375.00

IMP SCR ARTHREX MTP LP LOCKING 3X16MM TI AR-8933L-16 $375.00

IMP SCR ARTHREX MTP LP LOCKING 3X18MM TI AR-8933L-18 $375.00

IMP SCR ARTHREX MTP LP LOCKING 3X20MM TI AR-8933L-20 $375.00

IMP SCR ARTHREX QUICKFIX CAN PT 2.0X28MM TI AR-8720-28PT $350.00

IMP SCR ARTHREX QUICKFIX CAN PT 2.4X14MM TI AR-8724-14PT $363.00

IMP SCR ARTHREX QUICKFIX CAN PT 2.4X18MM TI AR-8724-18PT $363.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X32MM TI AR-8740-32PTS $413.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X34MM TI AR-8740-34PTS $413.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X38MM TI AR-8740-38PTS $413.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X40MM TI AR-8740-40PTS $413.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X42MM TI AR-8740-42PTS $413.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X44MM TI AR-8740-44PTS $413.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X46MM TI AR-8740-46PTS $413.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X50MM TI AR-8740-50PTS $413.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X54MM TI AR-8740-54PTS $413.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X56MM TI AR-8740-56PTS $413.00

IMP SCR ARTHREX QUICKFIX CAN ST 4.0X60MM TI AR-8740-60PTS $413.00

IMP SCR ARTHREX QUICKFIX CANC PT 3.0X22MM TI AR-8730-22PT $375.00

IMP SCR ARTHREX QUICKFIX CANC PT 3.0X24MM TI AR-8730-24PT $375.00

IMP SCR ARTHREX QUICKFIX CANC PT 3.0X26MM TI AR-8730-26PT $375.00

IMP SCR ARTHREX QUICKFIX CANC PT 3.0X28MM TI AR-8730-28PT $375.00

IMP SCR ARTHREX QUICKFIX CANC PT 3.0X30MM TI AR-8730-30PT $375.00

IMP SCR ARTHREX QUICKFIX CANC PT 3.0X32MM TI AR-8730-32PT $375.00

IMP SCR ARTHREX QUICKFIX CANC PT 3.0X34MM TI AR-8730-34PT $375.00

IMP SCR ARTHREX QUICKFIX CANC PT 3.0X36MM TI AR-8730-36PT $375.00

IMP SCR ARTHREX QUICKFIX CANC PT 3.0X38MM TI AR-8730-38PT $375.00

IMP SCR ARTHREX QUICKFIX CANC PT 3.0X40MM TI AR-8730-40PT $375.00

IMP SCR ARTHREX QUICKFIX TI 2X11MM AR-8930-11 $600.00

IMP SCR ARTHREX QUICKFIX TI 2X12MM AR-8930-12 $600.00

IMP SCR ARTHREX QUICKFIX TI 2X13MM AR-8930-13 $600.00

IMP SCR ARTHREX SOLID LP 4.5X45MM TI AR-8955-45PT $750.00

IMP SCR ARTHREX TENODESIS BIOCOMP 3X8MM AR-1530BC $1,013.00

IMP SCR ARTHREX VAL 3.0X10MM TI AR-8933V-10 $438.00

IMP SCR ARTHREX VAL 3.0X12MM TI AR-8933V-12 $438.00

Page 197: DESCRIPTION Price - Fairview

IMP SCR ARTHREX VAL 3.0X14MM TI AR-8933V-14 $438.00

IMP SCR ARTHREX VAL 3.0X16MM TI AR-8933V-16 $438.00

IMP SCR ARTHREX VAL 3.0X18MM TI AR-8933V-18 $438.00

IMP SCR ARTHREX VAL 3.0X20MM TI AR-8933V-20 $438.00

IMP SCR BIOM 6.5X20MM LOW PROF TI 103531 $63.00

IMP SCR BIOM 6.5X30MM LOW PROF TI 103533 $63.00

IMP SCR BIOM 6.5X45MM LOW PROF TI 103536 $63.00

IMP SCR BIOM G7 ACETABULAR DOME 6.5X20MM LOW PRO 010000997 $63.00

IMP SCR BIOM G7 ACETABULAR DOME 6.5X25MM LOW PRO 010000998 $63.00

IMP SCR BIOM G7 ACETABULAR DOME 6.5X30MM LOW PRO 010000999 $63.00

IMP SCR BIOM G7 ACETABULAR DOME 6.5X35MM LOW PRO 010001000 $63.00

IMP SCR BIOM G7 ACETABULAR DOME 6.5X40MM LOW PRO 010001001 $63.00

IMP SCR BIOM G7 ACETABULAR DOME 6.5X45MM LOW PRO 010001002 $63.00

IMP SCR BIOM G7 ACETABULAR DOME 6.5X50MM LOW PRO 010001003 $63.00

IMP SCR BONE 4.0X14MM SELF DRILL 48654014 $375.00

IMP SCR BONE CAN ACE 6.5X20MM 1217-20-500 $88.00

IMP SCR BONE CAN ACE 6.5X25MM 1217-25-500 $88.00

IMP SCR BONE CAN ACE 6.5X30MM 1217-30-500 $88.00

IMP SCR BONE CAN ACE 6.5X35MM 1217-35-500 $88.00

IMP SCR BONE CAN ACE 6.5X40MM 1217-40-500 $88.00

IMP SCR BONE CAN ACE 6.5X45MM 1217-45-500 $88.00

IMP SCR BONE PLOYAXIAL XIA 6.5MMX35MM TI $2,000.00

IMP SCR BONE POLYAXIAL XIA 6.5MMX40MM TI 03821640 $2,000.00

IMP SCR BONE POLYAXIAL XIA 6.5MMX45MM TI 03821645 $2,000.00

IMP SCR BONE POLYAXIAL XIA 6.5MMX50MM TI 03821650 $2,000.00

IMP SCR BONE POLYAXIAL XIA 7.5MMX40MM TI 03821740 $2,000.00

IMP SCR BONE STRK G3 LAG 10.5X100MM TI 3060-0100S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X105MM TI 3060-0105S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X110MM TI 3060-0110S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X115MM TI 3060-0115S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X120MM TI 3060-0120S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X125MM TI 3060-0125S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X130MM TI 3060-0130S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X75MM TI 3060-0075S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X80MM TI 3060-0080S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X85MM TI 3060-0085S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X90MM TI 3060-0090S $1,247.00

IMP SCR BONE STRK G3 LAG 10.5X95MM TI 3060-0095S $1,247.00

IMP SCR BREAK OFF SET ILIAC 6.27X25MM 7049855 $163.00

IMP SCR CANN SET 4.5MM FULL THREAD 68MM 311.59 $965.00

IMP SCR CANN SET 7.3X32MM FULL THREAD 130MM 311.689 $1,177.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X12MM ST FA 3120212 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X13MM SD FA 3120413 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X13MM ST FA 3120213 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X13MM VA 3120513 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X14MM SD FA 3120414 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X14MM SD VA 3120514 $375.00

Page 198: DESCRIPTION Price - Fairview

IMP SCR CERVICAL MEDT ATLANTIS 4.0X14MM ST FA 3120214 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X14MM ST VA 3120314 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X15MM FA 3120415 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X15MM ST FA 3120215 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X15MM ST VA 3120315 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X15MM VA 3120515 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X16MM SD FA 3120416 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X16MM SD VA 3120516 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.0X17MM SD FA 3120417 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.5X11MM SD FA 3125411 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.5X13MM SD FA 3125413 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.5X15MM SD FA 3125415 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.5X15MM SD VA 3125515 $375.00

IMP SCR CERVICAL MEDT ATLANTIS 4.5X17MM SD FA 3125417 $375.00

IMP SCR CORTICAL HANDINN 3.5X10MM CS10000 $285.00

IMP SCR CORTICAL HANDINN 3.5X12MM CS12000 $285.00

IMP SCR CORTICAL HANDINN 3.5X13MM CS13000 $285.00

IMP SCR CORTICAL HANDINN 3.5X14MM CS14000 $285.00

IMP SCR CORTICAL HANDINN 3.5X15MM CS15000 $285.00

IMP SCR CORTICAL HANDINN 3.5X16MM CS16000 $285.00

IMP SCR CORTICAL HANDINN 3.5X18MM CS18000 $285.00

IMP SCR CORTICAL HANDINN 3.5X20MM CS20000 $285.00

IMP SCR DANEK 3.5X13MM ZEPHIR 8792113 $375.00

IMP SCR DANEK 3.5X15MM SELF DRILLING 8792115 $375.00

IMP SCR DANEK 3.5X15MM SELF DRILLING 8792815 $375.00

IMP SCR DANEK 4.0X13MM SELF DRILLING 8792913 $375.00

IMP SCR DANEK 4.5X20MM LEGACY TI 75444520 $2,000.00

IMP SCR DANEK 4.5X25MM LEGACY TI 75444525 $2,000.00

IMP SCR DANEK 4.5X30MM LEGACY TI 75444530 $2,000.00

IMP SCR DANEK 4.5X35MM LEGACY TI 75444535 $2,000.00

IMP SCR DANEK 4.5X40MM LEGACY TI 75444540 $2,000.00

IMP SCR DANEK 4.5X45MM LEGACY TI 75444545 $2,000.00

IMP SCR DANEK 5.5X25MM LEGACY TI 75445525 $2,000.00

IMP SCR DANEK 5.5X30MM LEGACY TI 75445530 $2,000.00

IMP SCR DANEK 5.5X35MM LEGACY TI 75445535 $2,000.00

IMP SCR DANEK 5.5X40MM LEGACY TI 75445540 $2,000.00

IMP SCR DANEK 5.5X45MM LEGACY TI $2,000.00

IMP SCR DANEK 5.5X50MM LEGACY TI 75445550 $2,000.00

IMP SCR DANEK 5.5X55MM LEGACY TI 75445555 $2,000.00

IMP SCR DANEK 5X25MM LEGACY MA TI 75445025 $2,000.00

IMP SCR DANEK 5X30MM LEGACY MA TI 75445030 $2,000.00

IMP SCR DANEK 5X35MM LEGACY MA TI $2,000.00

IMP SCR DANEK 5X40MM LEGACY MA TI $2,000.00

IMP SCR DANEK 5X45MM LEGACY MA TI $2,000.00

IMP SCR DANEK 6.5X25MM LEGACY TI 75446525 $2,000.00

IMP SCR DANEK 6.5X30MM LEGACY TI 75446530 $2,000.00

IMP SCR DANEK 6.5X35MM LEGACY TI $2,000.00

Page 199: DESCRIPTION Price - Fairview

IMP SCR DANEK 6.5X40MM LEGACY TI 75446540 $2,000.00

IMP SCR DANEK 6.5X45MM LEGACY TI 75446545 $2,000.00

IMP SCR DANEK 6.5X50MM LEGACY TI $2,000.00

IMP SCR DANEK 6.5X55MM LEGACY TI $2,000.00

IMP SCR DANEK 6.5X60MM LEGACY TI 75446560 $2,000.00

IMP SCR DANEK 7.5X30MM LEGACY TI 75447530 $2,000.00

IMP SCR DANEK 7.5X35MM LEGACY TI 75447535 $2,000.00

IMP SCR DANEK 7.5X40MM LEGACY TI 75447540 $2,000.00

IMP SCR DANEK 7.5X45MM LEGACY TI 75447545 $2,000.00

IMP SCR DANEK 7.5X50MM LEGACY TI 75447550 $2,000.00

IMP SCR DANEK 7.5X55MM LEGACY TI 75447555 $2,000.00

IMP SCR DANEK 7.5X60MM LEGACY TI 75447560 $2,000.00

IMP SCR DANEK 8.5X45MM LEGACY TI 75448545 $2,000.00

IMP SCR DANEK 8.5X50MM LEGACY TI 75448550 $2,000.00

IMP SCR DANEK 8.5X55MM LEGACY TI 75448555 $2,000.00

IMP SCR DANEK CAN 4.0X13MM 8792713 $375.00

IMP SCR DANEK LEGACY BREAKOFF SET 5.5MM TI 7540020 $163.00

IMP SCR DANEK LEGACY OFFSET SET T25 88901000 $163.00

IMP SCR DANEK MULTI-AXIAL 5.0X50MM LEGACY TI 75445050 $2,000.00

IMP SCR DANEK MULTI-AXIAL 7.5X25MM LEGACY TI 75445050 $2,000.00

IMP SCR DANEK SET G4 INTERNAL HEX 7570955 $163.00

IMP SCR DANEK SEXT CAN 5.5X40MM LEGACY TI 7575540 $3,000.00

IMP SCR DANEK SEXT CAN 5.5X45MM LEGACY TI 7575545 $3,000.00

IMP SCR DANEK SEXT CAN 5.5X50MM LEGACY TI 7575550 $3,000.00

IMP SCR DANEK SEXT CAN 6.5X40MM LEGACY TI 7576540 $3,000.00

IMP SCR DANEK SEXT CAN 6.5X45MM LEGACY TI 7576545 $3,000.00

IMP SCR DANEK SEXT CAN 6.5X50MM LEGACY TI 7576550 $3,000.00

IMP SCR DANEK SEXT CAN 6.5X55MM LEGACY TI 7576555 $3,000.00

IMP SCR DANEK SEXT CAN 7.5X35MM LEGACY TI 7577535 $3,000.00

IMP SCR DANEK SEXT CAN 7.5X40MM LEGACY TI 7577540 $3,000.00

IMP SCR DANEK SEXT CAN 7.5X45MM LEGACY TI 7577545 $3,000.00

IMP SCR DANEK SEXT CAN 7.5X50MM LEGACY TI 7577550 $3,000.00

IMP SCR DANEK SPINAL REDUCTION MULTI-AXIAL 6.5X25MM 98716250 $938.00

IMP SCR DANEK SPINAL REDUCTION MULTI-AXIAL 6.5X30MM 98716300 $938.00

IMP SCR DEPUY 90DEG LOCKING 3.8X20MM NL20 $335.00

IMP SCR DEPUY 90DEG LOCKING 3.8X22MM NL22 $335.00

IMP SCR DEPUY 90DEG LOCKING 3.8X24MM NL24 $335.00

IMP SCR DEPUY 90DEG LOCKING 3.8X26MM NL26 $335.00

IMP SCR DEPUY 90DEG LOCKING 3.8X28MM NL28 $450.00

IMP SCR DEPUY 90DEG LOCKING 3.8X30MM NL30 $335.00

IMP SCR DEPUY 90DEG LOCKING 3.8X32MM NL32 $335.00

IMP SCR DEPUY 90DEG LOCKING 3.8X34MM NL34 $335.00

IMP SCR DEPUY 90DEG LOCKING 3.8X36MM NL36 $335.00

IMP SCR DEPUY 90DEG LOCKING 3.8X38MM NL38 $335.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X32MM TI 14022-32 $130.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X34MM TI 14022-34 $123.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X36MM TI 14022-36 $175.00

Page 200: DESCRIPTION Price - Fairview

IMP SCR DEPUY ACE KYLE CORTEX 4.5X38MM TI 14022-38 $175.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X40MM TI 14022-40 $175.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X42MM TI 14022-42 $175.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X44MM TI 14022-44 $123.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X46MM TI 14022-46 $175.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X48MM TI 14022-48 $175.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X50MM TI 14022-50 $123.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X52MM TI 14022-52 $175.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X56MM TI 14022-56 $175.00

IMP SCR DEPUY ACE KYLE CORTEX 4.5X60MM TI 14022-60 $123.00

IMP SCR DEPUY ACE KYLE LAG 090MM 135DEG 14033-0 $1,520.00

IMP SCR DEPUY ACE KYLE LAG 100MM 145DEG 14033-4 $1,520.00

IMP SCR DEPUY ACE KYLE LAG 130MM 135DEG $1,605.00

IMP SCR DEPUY ACE KYLE LAG 130MM 140DEG 140072 $5,313.00

IMP SCR DEPUY ACE KYLE LAG 130MM 145DEG 14033-5 $1,520.00

IMP SCR DEPUY ACE KYLE LAG 130MM 150DEG 14007-5 $5,313.00

IMP SCR DEPUY ACE KYLE LAG 160MM 135DEG 14033-3 $1,520.00

IMP SCR DEPUY ACE KYLE LAG 160MM 140DEG 14007-3 $5,313.00

IMP SCR DEPUY CORT LOCK TMX SM FRAG 3.5X18MM FT 8161-35-018 $349.00

IMP SCR DEPUY CORT LOCK TMX SM FRAG 3.5X22MM FT 8161-35-022 $550.00

IMP SCR DEPUY CORT LOCK TMX SM FRAG 3.5X24MM FT 8161-35-024 $425.00

IMP SCR DEPUY CORT LOCK TMX SM FRAG 3.5X30MM FT 8161-35-030 $425.00

IMP SCR DEPUY CORT LOCK TMX SM FRAG 3.5X36MM FT 8161-35-036 $425.00

IMP SCR DEPUY CORT LOCK TMX SM FRAG 3.5X40MM FT 8161-35-040 $425.00

IMP SCR DEPUY CORT LOCK TMX SM FRAG 3.5X42MM FT 8161-35-042 $425.00

IMP SCR DEPUY CORT LOCK TMX SM FRAG 3.5X44MM FT 8161-35-044 $425.00

IMP SCR DEPUY CORT LOCK TMX SM FRAG 3.5X50MM FT 8161-35-050 $425.00

IMP SCR DEPUY CORTIC 3.5X18MM FT TI 8150-37-018 $200.00

IMP SCR DEPUY CORTIC 3.5X20MM FT TI 8150-37-020 $200.00

IMP SCR DEPUY CORTIC 3.5X46MM FT TI 8150-37-046 $200.00

IMP SCR DEPUY CORTIC 3.5X55MM FT TI 8150-37-055 $200.00

IMP SCR DEPUY LOCKING DXTEND 4.5X24MM 130790024 $250.00

IMP SCR DEPUY LOCKING DXTEND 4.5X30MM 130790030 $250.00

IMP SCR DEPUY LOCKING DXTEND 4.5X36MM 130790036 $250.00

IMP SCR DEPUY LOCKING DXTEND 4.5X42MM 130790042 $250.00

IMP SCR DEPUY LOCKING DXTEND 4.5X48MM 130790048 $250.00

IMP SCR DEPUY MULT-DIR 3.8X38MM MD38 $335.00

IMP SCR DEPUY MULTI-DIR 3.8X20MM MD20 $335.00

IMP SCR DEPUY MULTI-DIR 3.8X22MM MD22 $335.00

IMP SCR DEPUY MULTI-DIR 3.8X24MM MD24 $335.00

IMP SCR DEPUY MULTI-DIR 3.8X28MM MD28 $335.00

IMP SCR DEPUY MULTI-DIR 3.8X30MM MD30 $335.00

IMP SCR DEPUY MULTI-DIR 3.8X32MM MD32 $335.00

IMP SCR DEPUY MULTI-DIR 3.8X34MM MD34 $335.00

IMP SCR DEPUY MUTLI-DIR 3.8X26MM MD26 $335.00

IMP SCR DEPUY MUTLI-DIR 3.8X36MM MD36 $335.00

IMP SCR DEPUY NON-LOCKING DXTEND 4.5X18MM 130770018 $250.00

Page 201: DESCRIPTION Price - Fairview

IMP SCR DEPUY NON-LOCKING DXTEND 4.5X24MM 130770024 $250.00

IMP SCR DEPUY NON-LOCKING DXTEND 4.5X30MM 130770030 $250.00

IMP SCR DEPUY PINNACLE CANC 6.5X15MM 1217-15-500 $88.00

IMP SCR DEPUY TAP CAN CANC 6.5MM 14627 $1,153.00

IMP SCR DEPUY TAP CAN CANC 8.0MM 14634 $1,153.00

IMP SCR FIXATION 4.5X38MM AQLS VDV238 $163.00

IMP SCR HIP HOWM 6.5X15MM GAP 2080-0015 $314.00

IMP SCR HIP HOWM 6.5X20MM GAP 2080-0020 $314.00

IMP SCR HIP HOWM 6.5X25MM GAP 2080-0025 $314.00

IMP SCR HIP HOWM 6.5X30MM GAP 2080-0030 $314.00

IMP SCR HIP HOWM 6.5X35MM GAP 2080-0035 $314.00

IMP SCR HIP HOWM 6.5X40MM GAP 2080-0040 $314.00

IMP SCR HIP HOWM 6.5X45MM GAP 2080-0045 $314.00

IMP SCR HIP HOWM 6.5X50MM GAP 2080-0050 $314.00

IMP SCR HIP HOWM 6.5X60MM GAP 2080-0060 $314.00

IMP SCR ILIAC SOLERA 8.5X70MM TI 70468570 $2,000.00

IMP SCR ILIAC SOLERA 8.5X80MM TI 70468580 $2,000.00

IMP SCR KLS DRILL-FREE MAXDRIVE MICRO 1.5X4MM TI-6AL-4V $139.00

IMP SCR KLS DRILL-FREE MAXDRIVE MICRO 1.5X5MM TI-6AL-4V $139.00

IMP SCR KLS DRILL-FREE MAXDRIVE MICRO 1.5X7MM TI-6AL-4V $139.00

IMP SCR KLS DRILL-FREE MAXDRIVE MICRO EMERG 1.8X5MM $139.00

IMP SCR KLS DRILL-FREE MAXDRIVE MINI 2.0X7MM TI-6AL-4V $133.00

IMP SCR KLS EMERG MAXDRIVE 2.3X5MM TI-6AL-4V TI $154.00

IMP SCR KLS LOCKING MAXDRIVE 2.0X5 MM TI-6AL-4V TI $282.00

IMP SCR KLS LOCKING MAXDRIVE 2.0X7 MM TI-6AL-4V TI $282.00

IMP SCR KLS LOCKING MAXDRIVE 2.0X9 MM TI-6AL-4V TI $282.00

IMP SCR KLS MAXDRIVE MICRO 1.5X11MM TI-6AL-4V TI $122.00

IMP SCR KLS MAXDRIVE MICRO 1.5X9MM TI-6AL-4V TI $122.00

IMP SCR KLS MAXDRIVE MINI 2.0X11MM TI-6AL-4V TI $122.00

IMP SCR KLS MAXDRIVE MINI 2.0X13MM TI-6AL-4V TI $122.00

IMP SCR KLS MAXDRIVE MINI 2.0X15MM TI-6AL-4V TI $122.00

IMP SCR KLS MAXDRIVE MINI 2.0X17MM TI-6AL-4V TI $122.00

IMP SCR KLS MAXDRIVE MINI 2.0X19MM TI-6AL-4V TI $122.00

IMP SCR KLS MAXDRIVE MINI 2.0X9MM TI-6AL-4V TI $122.00

IMP SCR KLS MMF MD DF 2.0X12MM 8MM THRD TI6AL4V $234.00

IMP SCR KLS MMF MD DF 2.0X16MM 12MM THRD TI6AL4V $234.00

IMP SCR LOCKING BIOM REV SHLDR 3.5 HEX 4.75X15MM 180550 $138.00

IMP SCR LOCKING BIOM REV SHLDR 3.5 HEX 4.75X20MM 180551 $138.00

IMP SCR LOCKING BIOM REV SHLDR 3.5 HEX 4.75X25MM 180552 $138.00

IMP SCR LOCKING BIOM REV SHLDR 3.5 HEX 4.75X30MM 180553 $138.00

IMP SCR LOCKING BIOM REV SHLDR 3.5 HEX 4.75X35MM 180554 $138.00

IMP SCR LOCKING BIOM REV SHLDR 3.5 HEX 4.75X40MM 180555 $138.00

IMP SCR MEDT 4.5X40MM SOLERA SAG ADJ F/5.5MM ROD 55811004540 $2,250.00

IMP SCR MEDT 4.75MM SOLERA 4.5X30MM MA 54840004530 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 4.5X35MM MA 54840004535 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 4.5X40MM MA 54840004540 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 4.5X45MM MA 54840004545 $2,000.00

Page 202: DESCRIPTION Price - Fairview

IMP SCR MEDT 4.75MM SOLERA 5.0X30MM MA 54840005030 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.0X35MM MA 54840005035 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.0X40MM MA 54840005040 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.0X45MM MA 54840005045 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.5X20MM MA 54840005520 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.5X25MM MA 54840005525 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.5X30MM MA 54840005530 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.5X35MM MA 54840005535 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.5X40MM MA 54840005540 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.5X45MM MA 54840005545 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.5X50MM MA 54840005550 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 5.5X55MM MA 54840005555 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 6.5X25MM MA 54840006525 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 6.5X30MM MA 54840006530 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 6.5X35MM MA 54840006535 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 6.5X40MM MA 54840006540 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 6.5X45MM MA 54840006545 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 6.5X50MM MA 54840006550 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 6.5X55MM MA 54840006555 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 6.5X60MM MA 54840006560 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 7.5X30MM MA 54840007530 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 7.5X35MM MA 54840007535 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 7.5X40MM MA 54840007540 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 7.5X45MM MA 54840007545 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 7.5X50MM MA 54840007550 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 7.5X55MM MA 54840007555 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 8.5X45MM MA 54840008545 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 8.5X50MM MA 54840008550 $2,000.00

IMP SCR MEDT 4.75MM SOLERA 8.5X55MM MA 54840008555 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 4.5X20MM MA 55840004520 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 4.5X35MM MA 55840004535 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 4.5X40MM MA 55840004540 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 4.5X45MM MA 55840004545 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 4.5X50MM MA 55840004550 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 5.0X40MM MA 55840005040 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 5.5X25MM MA 55840005525 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 5.5X30MM MA 55840005530 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 5.5X35MM MA 55840005535 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 5.5X40MM MA 55840005540 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 5.5X45MM HA MA 55740105545 $2,250.00

IMP SCR MEDT 5.5/6.0MM SOLERA 5.5X45MM MA 55840005545 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 5.5X45MM MARS 55890005545 $2,750.00

IMP SCR MEDT 5.5/6.0MM SOLERA 5.5X50MM MA 55840005550 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 5.5X55MM MA 55840005555 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 6.5X30MM MA 55840006530 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 6.5X35MM MA 55840006535 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 6.5X40MM MA 55840006540 $2,000.00

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IMP SCR MEDT 5.5/6.0MM SOLERA 6.5X45MM MA 55840006545 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 6.5X50MM MA 55840006550 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 6.5X55MM MA 55840006555 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 6.5X60MM MA 55840006560 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 7.5X30MM MA 55840007530 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 7.5X35MM MA 55840007535 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 7.5X40MM MA 55840007540 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 7.5X45MM MA 55840007545 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 7.5X50MM MA 55840007550 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 7.5X50MM MARS 55890007550 $2,750.00

IMP SCR MEDT 5.5/6.0MM SOLERA 7.5X55MM MA 55840007555 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 7.5X60MM MA 55840007560 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 8.5X40MM MA 55840008540 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 8.5X45MM MA 55840008545 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 8.5X50MM MA 55840008550 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 8.5X55MM MA 55840008555 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 8.5X60MM MA 55840008560 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 8.5X70MM MA 55840008570 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 9.5X40MM MA 55840009540 $2,000.00

IMP SCR MEDT 5.5/6.0MM SOLERA 9.5X70MM MA 55840009570 $2,000.00

IMP SCR MEDT 5.5X40MM SOLERA SAG ADJ F/5.5MM ROD 55811005540 $2,250.00

IMP SCR MEDT 5.5X45MM SOLERA SAG ADJ F/5.5MM ROD 55811005545 $2,250.00

IMP SCR MEDT BREAK-OFF SET SOLERA 4.75MM TI 5440030 $163.00

IMP SCR MEDT LONGITUDE II 4.5X40MM CAN MA 55840014540 $2,250.00

IMP SCR MEDT LONGITUDE II 5.5X45MM CAN MA 55840015545 $2,250.00

IMP SCR MEDT LONGITUDE II 5.5X50MM CAN MA 55840015550 $2,250.00

IMP SCR MEDT LONGITUDE II 6.5X35MM CAN MA 55840016535 $2,250.00

IMP SCR MEDT LONGITUDE II 6.5X40MM CAN MA 55840016540 $2,250.00

IMP SCR MEDT LONGITUDE II 6.5X45MM CAN MA 55840016545 $2,250.00

IMP SCR MEDT LONGITUDE II 6.5X50MM CAN MA 55840016550 $2,250.00

IMP SCR MEDT LONGITUDE II 6.5X55MM CAN MA 55840016555 $2,250.00

IMP SCR MEDT LONGITUDE II 7.5X40MM CAN MA 55840017540 $2,250.00

IMP SCR MEDT LONGITUDE II 7.5X45MM CAN MA 55840017545 $2,250.00

IMP SCR MEDT LONGITUDE II 7.5X50MM CAN MA 55840017550 $2,250.00

IMP SCR MEDT LONGITUDE II 7.5X55MM CAN MA 55840017555 $2,250.00

IMP SCR MEDT LONGITUDE II 9.5X100MM CAN MA 55840019500 $2,250.00

IMP SCR MEDT LONGITUDE II 9.5X90MM CAN MA 55840019590 $2,250.00

IMP SCR MEDT OCCIPITOCERVICAL VERTEX SELECT 4.5X10MM 7750510 $438.00

IMP SCR MEDT PEDICLE 5X29MM MA LOCK FOR 3.2/3.5 ROD 7752529 $163.00

IMP SCR MEDT POST PEDICLE CENTERPIECE 2.6X5MM ST 853-465 $138.00

IMP SCR MEDT POST PEDICLE CENTERPIECE 2.6X7MM ST 853-467 $138.00

IMP SCR MEDT SOLERA CAN LP 5.5X45MM THRD MA 54840015545 $2,250.00

IMP SCR MEDT SOVEREIGN SELF TAP 5.5X20MM 7975520 $750.00

IMP SCR MEDT SOVEREIGN SELF TAP 5.5X25MM 7975525 $750.00

IMP SCR MEDT SOVEREIGN SELF TAP 5.5X30MM 7975530 $750.00

IMP SCR MEDT SOVEREIGN SELF TAP 5.5X35MM 7975535 $750.00

IMP SCR MEDT SOVEREIGN SELF TAP 6.0X30MM 7976030 $750.00

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IMP SCR MEDT TSRH 3DX OG THIN 5.5X30MM TI 83555309 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 5.5X35MM TI 83555359 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 5.5X40MM TI 83555409 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 5.5X45MM TI 83555459 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 5.5X50MM TI 83555509 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 6.5X30MM TI 83565309 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 6.5X35MM TI 83565359 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 6.5X40MM TI 83565409 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 6.5X45MM TI 83565459 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 6.5X50MM TI 83565509 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 6.5X55MM TI 83565559 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 7.5X30MM TI 83575309 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 7.5X35MM TI 83575359 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 7.5X40MM TI 83575409 $750.00

IMP SCR MEDT TSRH 3DX OG THIN 7.5X45MM TI 83575459 $750.00

IMP SCR MEDT VERTEX CAN 3.5X28MM FT MA ST GREEN 6958728 $2,000.00

IMP SCR MEDT VERTEX CAN 4.5X24MM FT MA ST MAGENTA 6958924 $2,000.00

IMP SCR MEDT VERTEX CAN 4.5X26MM FT MA ST MAGENTA 6958926 $2,000.00

IMP SCR MEDT VERTEX CAN 4.5X28MM FT MA ST MAGENTA 6958928 $2,000.00

IMP SCR MEDT VOYAGER 4.75MM 6440530 $163.00

IMP SCR MEDT ZEVO 3.5X13MM SD VA 7713513 $375.00

IMP SCR MEDT ZEVO 3.5X13MM ST VA 7723513 $375.00

IMP SCR MEDT ZEVO 3.5X15MM SD VA 7713515 $375.00

IMP SCR MEDT ZEVO 3.5X15MM ST VA 7723515 $375.00

IMP SCR MEDT ZEVO 3.5X17MM SD VA 7713517 $375.00

IMP SCR MEDT ZEVO 3.5X17MM ST VA 7723517 $375.00

IMP SCR MEDT ZEVO 4.0X13MM SD VA 7714013 $375.00

IMP SCR MEDT ZEVO 4.0X13MM ST VA 7724013 $375.00

IMP SCR MEDT ZEVO 4.0X15MM SD VA 7714015 $375.00

IMP SCR MEDT ZEVO 4.0X15MM ST VA 7724015 $375.00

IMP SCR MEDT ZEVO 4.0X17MM SD VA 7714017 $375.00

IMP SCR NON-LOCK BIOM REV SHLDR 3.5 HEX 4.75X15MM 180557 $138.00

IMP SCR NON-LOCK BIOM REV SHLDR 3.5 HEX 4.75X20MM 180558 $138.00

IMP SCR NON-LOCK BIOM REV SHLDR 3.5 HEX 4.75X25MM 180559 $138.00

IMP SCR NON-LOCK BIOM REV SHLDR 3.5 HEX 4.75X30MM 180560 $138.00

IMP SCR NON-LOCK BIOM REV SHLDR 3.5 HEX 4.75X35MM 180561 $138.00

IMP SCR OSTEOMED CAN LAG 3.0X22MM TI 319-3022 $400.00

IMP SCR OSTEOMED CAN LAG 3.0X30MM TI 319-3030 $400.00

IMP SCR OSTEOMED CAN LAG 3.0X36MM TI 319-3036 $425.00

IMP SCR PEDICLE MEDT VOYAGER 6.5X45MM 54850016545 $2,500.00

IMP SCR PEDICLE MEDT VOYAGER 6.5X50MM 54850016550 $2,500.00

IMP SCR PEDICLE MEDT VOYAGER 7.5X45MM 54850017545 $2,500.00

IMP SCR PEDICLE MEDT VOYAGER 7.5X50MM 54850017550 $2,500.00

IMP SCR PEG HANDINN 2.5X10MM SP10000 $285.00

IMP SCR PEG HANDINN 2.5X12MM SP12000 $285.00

IMP SCR PEG HANDINN 2.5X14MM SP14000 $285.00

IMP SCR PEG HANDINN 2.5X16MM SP16000 $285.00

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IMP SCR PEG HANDINN 2.5X18MM SP18000 $285.00

IMP SCR PEG HANDINN 2.5X20MM SP20000 $285.00

IMP SCR PEG HANDINN 2.5X22MM SP22000 $285.00

IMP SCR PEG HANDINN 2.5X24MM SP24000 $285.00

IMP SCR PEG HANDINN 2.5X26MM SP26000 $285.00

IMP SCR PEG HANDINN 2.5X28MM SP28000 $285.00

IMP SCR PEG HANDINN 2.5X30MM SP30000 $285.00

IMP SCR SET DEPUY 90DEG NLSS $213.00

IMP SCR SET DOMINO MEDT 5.5 TO 5.5MM 779170005 $163.00

IMP SCR SET MEDT MULTIAXIAL MASS CONN VERTEX SELECT 7753500 $163.00

IMP SCR SET MEDT PEDICLE BREAK-OFF FOR 4.75MM ROD 5440430 $163.00

IMP SCR SET MEDT SOLERA BREAK OFF 5.5MM TI 5540030 $163.00

IMP SCR SET MEDT TSRH 3DX FLUSH BREAK 8351500 $163.00

IMP SCR SET MEDT VERTEX M6 6950315 $163.00

IMP SCR SET STRK GAMMA 3 TI 3003-0822S $447.00

IMP SCR SKYLINE VARIABLE LG -D 14MM TI 186854014 $375.00

IMP SCR SKYLINE VARIABLE LG -D 16MM TI 186854016 $375.00

IMP SCR SKYLINE VARIABLE S-D 14MM TI 186850014 $375.00

IMP SCR SKYLINE VARIABLE S-D 16MM TI 186850016 $375.00

IMP SCR SKYLINE VARIABLE S-T 14MM TI 186852014 $375.00

IMP SCR SNR KIT LAG/COMP 100/95 71677100 $1,161.00

IMP SCR SNR KIT LAG/COMP 80/75 71677080 $1,161.00

IMP SCR SNR KIT LAG/COMP 85/80 71677085 $1,559.00

IMP SCR SNR KIT LAG/COMP 90/85 71677090 $1,559.00

IMP SCR SNR KIT LAG/COMP 95/90 71677095 $1,161.00

IMP SCR STRK 2.0X08MM 5020408 $122.00

IMP SCR STRK 2.0X10MM 5020410 $122.00

IMP SCR STRK 2.0X12MM 5020412 $122.00

IMP SCR STRK ASNIS III CAN 4X28MM TI 604628S $455.00

IMP SCR STRK ASNIS MICRO CAN COUNTERSINK 3.0X3.8MM AO 45-300 $519.00

IMP SCR STRK AVIATOR FIXED SELF DRILL 4X12MM PURPLE 48844012 $375.00

IMP SCR STRK AVIATOR FIXED SELF DRILL 4X14MM PURPLE 48844014 $375.00

IMP SCR STRK AVIATOR FIXED SELF DRILL 4X16MM PURPLE 48844016 $375.00

IMP SCR STRK AVIATOR FIXED SELF DRILL 4X18MM PURPLE 48844018 $375.00

IMP SCR STRK AVIATOR FIXED SELF TAP 4X12MM PINK 48834012 $375.00

IMP SCR STRK AVIATOR FIXED SELF TAP 4X14MM PINK 48834014 $375.00

IMP SCR STRK AVIATOR FIXED SELF TAP 4X16MM PINK 48834016 $375.00

IMP SCR STRK AVIATOR FIXED SELF TAP 4X18MM PINK 48834018 $375.00

IMP SCR STRK AVIATOR FIXED ST 4.35X12MM ORANGE 48834512 $375.00

IMP SCR STRK AVIATOR FIXED ST 4.35X14MM ORANGE 48834514 $375.00

IMP SCR STRK AVIATOR VARI SELF DRILL 4X12MM BLUE 48824012 $375.00

IMP SCR STRK AVIATOR VARI SELF DRILL 4X14MM BLUE 48824014 $375.00

IMP SCR STRK AVIATOR VARI SELF DRILL 4X16MM BLUE 48824016 $375.00

IMP SCR STRK AVIATOR VARI SELF DRILL 4X18MM BLUE 48824018 $375.00

IMP SCR STRK AVIATOR VARI SELF TAP 4.35X12MM LIME 48814512 $375.00

IMP SCR STRK AVIATOR VARI SELF TAP 4.35X14MM LIME 48814514 $375.00

IMP SCR STRK AVIATOR VARI SELF TAP 4.35X16MM LIME 48814516 $375.00

Page 206: DESCRIPTION Price - Fairview

IMP SCR STRK AVIATOR VARI SELF TAP 4X12MM GREEN 48814012 $375.00

IMP SCR STRK AVIATOR VARI SELF TAP 4X14MM GREEN 48814014 $375.00

IMP SCR STRK AVIATOR VARI SELF TAP 4X16MM GREEN 48814016 $375.00

IMP SCR STRK AVIATOR VARI SELF TAP 4X18MM GREEN 48814018 $375.00

IMP SCR STRK BONE 1.7X11MM 58-17011E $201.00

IMP SCR STRK BONE 1.7X12MM 58-17012E $201.00

IMP SCR STRK BONE 1.7X13MM 58-17013E $201.00

IMP SCR STRK BONE 1.7X14MM 58-17014E $201.00

IMP SCR STRK BONE 1.7X18MM 58-17018E $201.00

IMP SCR STRK BONE 1.7X20MM 58-17020E $201.00

IMP SCR STRK BONE 1.7X22MM 58-17022E $201.00

IMP SCR STRK BONE 1.7X24MM 58-17024E $201.00

IMP SCR STRK BONE 1.7X7MM 58-17007E $201.00

IMP SCR STRK BONE 2.3X10MM 53-23010E $245.00

IMP SCR STRK BONE 2.3X10MM 58-23010E $203.00

IMP SCR STRK BONE 2.3X11MM 53-23011E $245.00

IMP SCR STRK BONE 2.3X11MM 58-23011E $203.00

IMP SCR STRK BONE 2.3X12MM 53-23012E $245.00

IMP SCR STRK BONE 2.3X12MM 58-23012E $203.00

IMP SCR STRK BONE 2.3X13MM 53-23013E $245.00

IMP SCR STRK BONE 2.3X13MM 58-23013E $203.00

IMP SCR STRK BONE 2.3X14MM 53-23014E $245.00

IMP SCR STRK BONE 2.3X14MM 58-23014E $203.00

IMP SCR STRK BONE 2.3X15MM 58-23015E $203.00

IMP SCR STRK BONE 2.3X15MM 58-23015E $203.00

IMP SCR STRK BONE 2.3X16MM 58-23016E $203.00

IMP SCR STRK BONE 2.3X18MM 53-23018E $245.00

IMP SCR STRK BONE 2.3X20MM 53-23020E $245.00

IMP SCR STRK BONE 2.3X20MM 58-23020E $203.00

IMP SCR STRK BONE 2.3X22MM 58-23022E $203.00

IMP SCR STRK BONE 2.3X24MM 58-23024E $203.00

IMP SCR STRK BONE 2.3X26MM 53-23026E $245.00

IMP SCR STRK BONE 2.3X26MM 58-23026E $203.00

IMP SCR STRK BONE 2.3X6MM 53-23006E $245.00

IMP SCR STRK BONE 2.3X8MM 53-23008E $245.00

IMP SCR STRK BONE 2.3X9MM 53-23009E $245.00

IMP SCR STRK BONE 2.3X9MM 58-23009E $203.00

IMP SCR STRK BONE ANCHOR-L 5.0X20MM 48665020 $378.00

IMP SCR STRK BONE ANCHOR-L 5.0X25MM 48665025 $378.00

IMP SCR STRK BONE ANCHOR-L 5.0X30MM 48665030 $378.00

IMP SCR STRK BONE ANCHOR-L 6.0X20MM 48666020 $378.00

IMP SCR STRK BONE ANCHOR-L 6.0X25MM 48666025 $875.00

IMP SCR STRK BONE ANCHOR-L 6.0X30MM 48666030 $875.00

IMP SCR STRK BONE LOCKING T7 2.3X14MM 53-23614E $254.00

IMP SCR STRK BONE LOCKING T7 2.3X16MM 53-23616E $254.00

IMP SCR STRK BONE LOCKING T7 2.3X18MM 53-23618E $254.00

IMP SCR STRK BONE LOCKING T7 2.3X20MM 53-23620E $254.00

Page 207: DESCRIPTION Price - Fairview

IMP SCR STRK BONE LOCKING T7 2.3X22MM 53-23622E $254.00

IMP SCR STRK BONE LOCKING T7 2.7X10MM 53-27210E $190.00

IMP SCR STRK BONE LOCKING T7 2.7X12MM 53-27212E $190.00

IMP SCR STRK BONE LOCKING T7 2.7X14MM 53-27214E $190.00

IMP SCR STRK BONE LOCKING T7 2.7X16MM 53-27216E $190.00

IMP SCR STRK BONE LOCKING T7 2.7X18MM 53-27218E $190.00

IMP SCR STRK BONE LOCKING T7 2.7X20MM 53-27220E $190.00

IMP SCR STRK BONE LOCKING T7 2.7X22MM 53-27222E $190.00

IMP SCR STRK BONE LOCKING T7 2.7X24MM 53-27224E $190.00

IMP SCR STRK BONE LOCKING T7 2.7X26MM 53-27226E $190.00

IMP SCR STRK BONE OASYS 3.5X10MM 48554310 $238.00

IMP SCR STRK BONE OASYS 3.5X6MM 48554306 $238.00

IMP SCR STRK BONE OASYS 3.5X8MM 48554308 $238.00

IMP SCR STRK BONE OASYS 4.0X6MM 48554406 $238.00

IMP SCR STRK BONE OASYS 4.0X8MM 48554408 $238.00

IMP SCR STRK BONE T7 2.3X10MM 53-23210E $190.00

IMP SCR STRK BONE T7 2.3X12MM 53-23212E $190.00

IMP SCR STRK BONE T7 2.3X14MM 53-23214E $190.00

IMP SCR STRK BONE T7 2.3X16MM 53-23216E $190.00

IMP SCR STRK BONE T7 2.3X18MM 53-23218E $190.00

IMP SCR STRK BONE T7 2.3X20MM 53-23220E $190.00

IMP SCR STRK BONE T7 2.3X32MM 53-23232E $190.00

IMP SCR STRK CAN 3.2X22MM 58-30422 $1,050.00

IMP SCR STRK CAN 3.2X34MM 58-30434 $1,050.00

IMP SCR STRK CERVICAL AVS ANCHOR 3.5X12MM SD FA 48335312 $625.00

IMP SCR STRK COUNTERSINK 3.5MM 702811 $988.00

IMP SCR STRK CROSS 1.7X4MM SELF TAP 5017004 $129.00

IMP SCR STRK CROSS 1.7X5MM SELF TAP 5017005 $129.00

IMP SCR STRK CROSS 1.7X6MM SELF TAP 5017006 $129.00

IMP SCR STRK CROSS 1.9X5MM EMERG SELF TAP 5019005 $141.00

IMP SCR STRK CROSS PIN 2.3X10MM 52-23610 $268.00

IMP SCR STRK CROSS PIN 2.3X12MM 52-23612 $252.00

IMP SCR STRK CROSS PIN 2.3X14MM 52-23614 $252.00

IMP SCR STRK CROSS PIN 2.3X16MM 52-23616 $268.00

IMP SCR STRK CROSS PIN 2.3X18MM 52-23618 $268.00

IMP SCR STRK CROSS PIN 2.3X20MM 52-23620 $268.00

IMP SCR STRK CROSS PIN 2.3X22MM 52-23622 $268.00

IMP SCR STRK CROSS PIN 2.3X24MM 52-23624 $268.00

IMP SCR STRK CROSS PIN 2.3X26MM 52-23626 $268.00

IMP SCR STRK CROSS PIN 2.3X26MM 52-27626 $268.00

IMP SCR STRK CROSS PIN 2.3X28MM 52-23628 $268.00

IMP SCR STRK CROSS PIN 2.3X30MM 52-23630 $268.00

IMP SCR STRK CROSS PIN 2.3X32MM 52-23632 $268.00

IMP SCR STRK CROSS PIN 2.3X34MM 52-23634 $268.00

IMP SCR STRK CROSS PIN 2.3X38MM 52-23638 $235.00

IMP SCR STRK CROSS PIN 2.7X10MM 52-27610 $268.00

IMP SCR STRK CROSS PIN 2.7X12MM 52-27612 $268.00

Page 208: DESCRIPTION Price - Fairview

IMP SCR STRK CROSS PIN 2.7X14MM 52-27614 $390.00

IMP SCR STRK CROSS PIN 2.7X16MM 52-27616 $268.00

IMP SCR STRK CROSS PIN 2.7X18MM 52-27618 $268.00

IMP SCR STRK CROSS PIN 2.7X20MM 52-27620 $268.00

IMP SCR STRK CROSS PIN 2.7X22MM 52-27622 $268.00

IMP SCR STRK CROSS PIN 2.7X24MM 52-27624 $268.00

IMP SCR STRK CROSS PIN LOCKING 2.3X18MM 52-23618E $268.00

IMP SCR STRK CROSS PIN LOCKING 2.3X20MM 52-23620E $268.00

IMP SCR STRK CROSS PIN LOCKING 2.7X14MM 52-27614E $268.00

IMP SCR STRK CROSS PIN LOCKING 2.7X20MM 52-27620E $268.00

IMP SCR STRK CROSS PIN PART THRD 2.7X 16MM 52-27116 $268.00

IMP SCR STRK CROSS PIN PART THRD 2.7X 18MM 52-27118 $268.00

IMP SCR STRK CROSS PIN PART THRD 2.7X 20MM 52-27120 $268.00

IMP SCR STRK CROSS PIN PART THRD 2.7X 22MM 52-27122 $268.00

IMP SCR STRK CROSS PIN PART THRD 2.7X 24MM 52-27124 $268.00

IMP SCR STRK CROSS PIN PART THRD 2.7X 26MM 52-27126 $268.00

IMP SCR STRK CROSS PIN RADIUS 2.3X10MM 52-23010 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X12MM 52-23012 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X18MM 52-23018 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X20MM 52-23020 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X22MM 52-23022 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X24MM 52-23024 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X26MM 52-23026 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X28MM 52-23028 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X30MM 52-23030 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X32MM 52-23032 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X34MM 52-23034 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X36MM 52-23036 $235.00

IMP SCR STRK CROSS PIN RADIUS 2.3X38MM 52-23038 $235.00

IMP SCR STRK CROSS PIN SELF TAP 2.7X14MM 52-27014E $235.00

IMP SCR STRK CROSS PIN SELF TAP 2.7X18MM 52-27018E $235.00

IMP SCR STRK EMERG 1.9X10MM 58-19010E $201.00

IMP SCR STRK EMERG 2.5X12MM 58-25012E $201.00

IMP SCR STRK ILIOS & REV POLYAXIAL 8.5X35MM 482318535 $2,750.00

IMP SCR STRK ILIOS & REV POLYAXIAL 8.5X40MM 482318540 $2,750.00

IMP SCR STRK ILIOS & REV POLYAXIAL 8.5X45MM 482318545 $2,750.00

IMP SCR STRK ILIOS & REV POLYAXIAL 8.5X50MM 482318550 $2,750.00

IMP SCR STRK ILIOS & REV POLYAXIAL 8.5X55MM 482318555 $2,750.00

IMP SCR STRK LOCK 4.0X24MM FT 1896-4024S $432.00

IMP SCR STRK LOCK 5.0X100MM FT 1896-5100S $426.00

IMP SCR STRK LOCK 5.0X25MM FT 1896-5025S $430.00

IMP SCR STRK LOCK 5.0X27.5MM FT 1896-5027S $426.00

IMP SCR STRK LOCK 5.0X30MM FT 1896-5030S $426.00

IMP SCR STRK LOCK 5.0X32.5MM FT 1896-5032S $426.00

IMP SCR STRK LOCK 5.0X35MM FT 1896-5035S $426.00

IMP SCR STRK LOCK 5.0X37.5MM FT 1896-5037S $426.00

IMP SCR STRK LOCK 5.0X40MM FT 1896-5040S $426.00

Page 209: DESCRIPTION Price - Fairview

IMP SCR STRK LOCK 5.0X42.5MM FT 1896-5042S $426.00

IMP SCR STRK LOCK 5.0X45MM FT 1896-5045S $426.00

IMP SCR STRK LOCK 5.0X50MM FT 1896-5050S $426.00

IMP SCR STRK LOCK 5.0X55MM FT 1896-5055S $426.00

IMP SCR STRK LOCK 5.0X60MM FT 1896-5060S $426.00

IMP SCR STRK LOCK 5.0X65MM FT 1896-5065S $426.00

IMP SCR STRK LOCK 5.0X70MM FT 1896-5070S $426.00

IMP SCR STRK LOCK 5.0X75MM FT 1896-5075S $426.00

IMP SCR STRK LOCK 5.0X80MM FT 1896-5080S $426.00

IMP SCR STRK LOCK 5.0X85MM FT 1896-5085S $426.00

IMP SCR STRK LOCK 5.0X90MM FT 1896-5090S $426.00

IMP SCR STRK LOCK 5.0X95MM FT 1896-5095S $426.00

IMP SCR STRK LOCKING 1.7X10MM 53-17010E $244.00

IMP SCR STRK LOCKING 1.7X11MM 53-17011E $244.00

IMP SCR STRK LOCKING 1.7X14MM 53-17014E $244.00

IMP SCR STRK LOCKING 1.7X16MM 53-17016E $244.00

IMP SCR STRK LOCKING 1.7X18MM 53-17018E $244.00

IMP SCR STRK LOCKING 1.7X6MM 53-17006E $244.00

IMP SCR STRK LOCKING 1.7X7MM 53-17007E $244.00

IMP SCR STRK LOCKING 1.7X9MM 53-17009E $244.00

IMP SCR STRK LOCKING T7 2.7X10MM 53-27610E $254.00

IMP SCR STRK LOCKING T7 2.7X12MM 53-27612E $254.00

IMP SCR STRK LOCKING T7 2.7X14MM 53-27614E $254.00

IMP SCR STRK LOCKING T7 2.7X16MM 53-27616E $254.00

IMP SCR STRK LOCKING T7 2.7X18MM 53-27618E $254.00

IMP SCR STRK LOCKING T7 2.7X20MM 53-27620E $254.00

IMP SCR STRK LOCKING T7 2.7X22MM 53-27622E $254.00

IMP SCR STRK LOCKING T7 2.7X24MM 53-27624E $254.00

IMP SCR STRK LOCKING T7 2.7X26MM 53-27626E $254.00

IMP SCR STRK MONOAXIAL XIA 7.5X50MM TI 03820750 $1,500.00

IMP SCR STRK MONOAXIAL XIA 7.5X55MM TI 03820755 $1,500.00

IMP SCR STRK NON-LOCKING 2.7X18MM 40-27018 $183.00

IMP SCR STRK OASYS 3.5X10MM PA BIASED 48552310 $1,500.00

IMP SCR STRK OASYS 3.5X12MM PA BIASED 48552312 $2,000.00

IMP SCR STRK OASYS 3.5X14MM PA BIASED 48552314 $1,500.00

IMP SCR STRK OASYS 3.5X16MM PA BIASED 48552316 $1,500.00

IMP SCR STRK OASYS 3.5X18MM PA BIASED 48552318 $1,500.00

IMP SCR STRK OASYS 4.0X10MM PA BIASED 48552410 $1,500.00

IMP SCR STRK OASYS 4.0X12MM PA BIASED 48552412 $1,500.00

IMP SCR STRK OASYS 4.0X14MM PA BIASED 48552414 $1,500.00

IMP SCR STRK OASYS 4.0X24MM PA BIASED 48552424 $1,500.00

IMP SCR STRK OASYS 4.0X28MM PA BIASED 48552428 $1,500.00

IMP SCR STRK OASYS 4.5X24MM PA NON-BIASED 48558524 $2,000.00

IMP SCR STRK OASYS 4.5X28MM PA NON-BIASED 48558528 $2,000.00

IMP SCR STRK OASYS 4.5X32MM PA NON-BIASED 48558532 $2,000.00

IMP SCR STRK PEDICLE CAN CORT 7.5X50MM 15MM THRD 482802750 $3,000.00

IMP SCR STRK POLYAXIAL XIA 4.5X35MM TI 03821435 $2,000.00

Page 210: DESCRIPTION Price - Fairview

IMP SCR STRK POLYAXIAL XIA 5.5X35MM TI 03821535 $2,000.00

IMP SCR STRK POLYAXIAL XIA 5.5X45MM TI 03821545 $2,000.00

IMP SCR STRK POLYAXIAL XIA 5.5X50MM TI 03821550 $2,000.00

IMP SCR STRK POLYAXIAL XIA 5.5X55MM TI 03821555 $2,000.00

IMP SCR STRK POLYAXIAL XIA 6.5X30MM TI 03821630 $2,000.00

IMP SCR STRK POLYAXIAL XIA 6.5X55MM TI 03821655 $2,000.00

IMP SCR STRK POLYAXIAL XIA 7.5MMX45MM TI 03821745 $2,000.00

IMP SCR STRK POLYAXIAL XIA 7.5X50MM TI 03821750 $2,000.00

IMP SCR STRK POLYAXIAL XIA 7.5X55MM TI 03821755 $2,000.00

IMP SCR STRK POLYAXIAL XIA 7.5X60MM TI 03821760 $2,000.00

IMP SCR STRK STD POST 6.5X40MM 48900640 $1,500.00

IMP SCR STRK STD POST 6.5X45MM 48900645 $1,500.00

IMP SCR STRK VARIAX CROSS PIN 2.7X10MM 52-27010 $235.00

IMP SCR STRK VARIAX CROSS PIN 2.7X18MM 52-27018 $235.00

IMP SCR STRK VARIAX CROSS PIN 2.7X20MM 52-27020 $235.00

IMP SCR STRK VARIAX CROSS PIN 2.7X22MM 52-27022 $235.00

IMP SCR STRK XIA 3 POLYAXIAL 4.5X20MM TI 482314520 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 4.5X25MM TI 482314525 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 4.5X30MM TI 482314530 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 4.5X35MM TI 482314535 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 4.5X40MM TI 482314540 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 4.5X45MM TI 482314545 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 5.5X25MM TI 482315525 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 5.5X30MM TI 482315530 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 5.5X35MM TI 482315535 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 5.5X40MM TI 482315540 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 5.5X45MM TI 482315545 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 5.5X50MM TI 482315550 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 5.5X55MM TI 482315555 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 6.5X25MM TI 482316525 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 6.5X30MM TI 482316530 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 6.5X35MM TI 482316535 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 6.5X40MM TI 482316540 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 6.5X45MM TI 482316545 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 6.5X50MM TI 482316550 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 6.5X55MM TI 482316555 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 7.5X35MM TI 482317535 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 7.5X40MM TI 482317540 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 7.5X45MM TI 482317545 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 7.5X50MM TI 482317550 $2,750.00

IMP SCR STRK XIA 3 POLYAXIAL 7.5X55MM TI 482317555 $2,750.00

IMP SCR STRK XIA BLOCKER SET TI 48230000 $163.00

IMP SCR STRK XIA ILIOS/REV POLYAXIAL 8.5X60MM 482318560 $2,750.00

IMP SCR STRK XIA ILIOS/REV POLYAXIAL 8.5X70MM 482318570 $2,750.00

IMP SCR STRK XIA ILIOS/REV POLYAXIAL 8.5X80MM 482318580 $2,750.00

IMP SCR STRK XIA ILIOS/REV POLYAXIAL 9.5X60MM 482319560 $2,750.00

IMP SCR STRK XIA ILIOS/REV POLYAXIAL 9.5X70MM 482319570 $2,750.00

Page 211: DESCRIPTION Price - Fairview

IMP SCR STRK XIA ILIOS/REV POLYAXIAL 9.5X80MM 482319580 $2,750.00

IMP SCR SYN 2.0X14MM LOCKING W/PULSEDRIVE TI 401.297 $1,663.00

IMP SCR SYN 2.0X22MM SELF TAP 201.822 $65.00

IMP SCR SYN 2.0X24MM SELF TAP 201.824 $65.00

IMP SCR SYN 2.0X26MM SELF TAP 201.826 $65.00

IMP SCR SYN 2.0X28MM SELF TAP 201.828 $65.00

IMP SCR SYN 2.0X30MM SELF TAP 201.830 $65.00

IMP SCR SYN 2.0X32MM SELF TAP 201.832 $65.00

IMP SCR SYN 2.0X34MM SELF TAP 201.834 $65.00

IMP SCR SYN 2.0X36MM SELF TAP 201.836 $65.00

IMP SCR SYN 2.0X40MM SELF TAP $65.00

IMP SCR SYN 2.7X14MM SELF TAPPING 02.211.014 $326.00

IMP SCR SYN 2.7X16MM SELF TAPPING 02.211.016 $326.00

IMP SCR SYN 2.7X18MM SELF TAPPING 02.211.018 $326.00

IMP SCR SYN 2.7X20MM SELF TAPPING 02.211.020 $326.00

IMP SCR SYN 2.7X22MM SELF TAPPING 02.211.022 $326.00

IMP SCR SYN 2.7X24MM SELF TAPPING 02.211.024 $326.00

IMP SCR SYN 2.7X26MM SELF TAPPING 02.211.026 $326.00

IMP SCR SYN 2.7X34MM SELF TAPPING 02.211.034 $326.00

IMP SCR SYN 2.7X36MM SELF TAPPING 02.211.036 $326.00

IMP SCR SYN 2.7X42MM SELF TAPPING 02.211.042 $326.00

IMP SCR SYN 2.7X44MM SELF TAPPING 02.211.044 $326.00

IMP SCR SYN 3.5X10MM LOCKING W/STARDRIVE SS 212.101 $297.00

IMP SCR SYN 3.5X12MM LOCKING W/STARDRIVE SS 212.102 $297.00

IMP SCR SYN 3.5X14MM LOCKING W/STARDRIVE SS 212.103 $297.00

IMP SCR SYN 3.5X16MM LOCKING W/STARDRIVE SS 212.104 $297.00

IMP SCR SYN 3.5X16MM SHAFT SS 204.216 $38.00

IMP SCR SYN 3.5X18MM LOCKING W/STARDRIVE SS 212.105 $297.00

IMP SCR SYN 3.5X18MM SHAFT SS 204.218 $38.00

IMP SCR SYN 3.5X20MM LOCKING W/STARDRIVE SS 212.106 $297.00

IMP SCR SYN 3.5X22MM LOCKING W/STARDRIVE SS 212.107 $297.00

IMP SCR SYN 3.5X22MM SHAFT SS 204.222 $38.00

IMP SCR SYN 3.5X24MM LOCKING W/STARDRIVE SS 212.108 $297.00

IMP SCR SYN 3.5X24MM SHAFT SS 204.224 $38.00

IMP SCR SYN 3.5X26MM LOCKING W/STARDRIVE SS 212.109 $297.00

IMP SCR SYN 3.5X26MM SHAFT SS 204.226 $38.00

IMP SCR SYN 3.5X28MM LOCKING W/STARDRIVE SS 212.110 $297.00

IMP SCR SYN 3.5X28MM SHAFT SS 204.228 $38.00

IMP SCR SYN 3.5X30MM LOCKING W/STARDRIVE SS 212.111 $297.00

IMP SCR SYN 3.5X30MM SHAFT SS 204.230 $38.00

IMP SCR SYN 3.5X32MM LOCKING W/STARDRIVE SS 212.112 $297.00

IMP SCR SYN 3.5X32MM SHAFT SS 204.232 $38.00

IMP SCR SYN 3.5X34MM LOCKING W/STARDRIVE SS 212.113 $297.00

IMP SCR SYN 3.5X34MM SHAFT SS204.234 $38.00

IMP SCR SYN 3.5X36MM LOCKING W/STARDRIVE SS 212.115 $297.00

IMP SCR SYN 3.5X36MM SHAFT SS 204.236 $38.00

IMP SCR SYN 3.5X38MM LOCKING W/STARDRIVE SS 212.116 $297.00

Page 212: DESCRIPTION Price - Fairview

IMP SCR SYN 3.5X38MM SHAFT SS 204.238 $38.00

IMP SCR SYN 3.5X40MM LOCKING W/STARDRIVE SS 212.117 $297.00

IMP SCR SYN 3.5X45MM LOCKING W/STARDRIVE SS 212.119 $297.00

IMP SCR SYN 3.5X50MM LOCKING W/STARDRIVE SS 212.121 $297.00

IMP SCR SYN 3.5X55MM LOCKING W/STARDRIVE SS 212.123 $297.00

IMP SCR SYN 3.5X60MM LOCKING W/STARDRIVE SS 212.124 $297.00

IMP SCR SYN 3.5X65MM LOCKING W/STARDRIVE SS 212.125 $351.00

IMP SCR SYN 3.5X70MM LOCKING W/STARDRIVE SS 212.126 $351.00

IMP SCR SYN 3.5X75MM LOCKING W/STARDRIVE SS 212.127 $351.00

IMP SCR SYN 3.5X80MM LOCKING W/STARDRIVE SS 212.128 $351.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 24MM 04.005.414S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 26MM 04.005.416S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 28MM 04.005.418S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 30MM 04.005.420S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 32MM 04.005.422S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 34MM 04.005.424S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 36MM 04.005.426S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 38MM 04.005.428S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 40MM 04.005.430S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 42MM 04.005.432S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 46MM 04.005.436S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 48MM 04.005.438S $464.00

IMP SCR SYN 4.0 TI LOCK T25 STARDRIVE 58MM 04.005.448S $464.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 20MM TI 04.005.410 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 22MM TI 04.005.412 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 24MM TI 04.005.414 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 26MM TI 04.005.416 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 28MM TI 04.005.418 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 30MM TI 04.005.420 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 32MM TI 04.005.422 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 34MM TI 04.005.424 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 36MM TI 04.005.426 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 38MM TI 04.005.428 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 40MM TI 04.005.430 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 42MM TI 04.005.432 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 44MM TI 04.005.434 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 46MM TI 04.005.436 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 48MM TI 04.005.438 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 50MM TI 04.005.440 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 52MM TI 04.005.442 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 54MM TI 04.005.444 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 56MM TI 04.005.446 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 58MM TI 04.005.448 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 60MM TI 04.005.450 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 62MM TI 04.005.452 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 64MM TI 04.005.454 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 66MM TI 04.005.456 $372.00

Page 213: DESCRIPTION Price - Fairview

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 68MM TI 04.005.458 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 70MM TI 04.005.460 $372.00

IMP SCR SYN 4.0MM LOCK T25 STARDRIVE 72MM TI 04.005.462 $372.00

IMP SCR SYN 4.0X14MM LOCKING SS 222.580 $342.00

IMP SCR SYN 4.0X16MM LOCKING SS 222.581 $342.00

IMP SCR SYN 4.0X18MM LOCKING SS 222.582 $342.00

IMP SCR SYN 4.0X22MM LOCKING SS 222.583 $342.00

IMP SCR SYN 4.0X24MM SS 206.424 $55.00

IMP SCR SYN 4.0X26MM LOCKING SS 222.584 $342.00

IMP SCR SYN 4.0X26MM SS 206.426 $55.00

IMP SCR SYN 4.0X28MM SS 206.428 $55.00

IMP SCR SYN 4.0X30MM LOCKING SS 222.585 $342.00

IMP SCR SYN 4.0X30MM SS 206.430 $55.00

IMP SCR SYN 4.0X32MM SS 206.432 $55.00

IMP SCR SYN 4.0X34MM LOCKING SS 222.586 $342.00

IMP SCR SYN 4.0X34MM SS 206.434 $55.00

IMP SCR SYN 4.0X36MM SS 206.436 $55.00

IMP SCR SYN 4.0X38MM LOCKING SS 222.587 $342.00

IMP SCR SYN 4.0X38MM SS 206.438 $55.00

IMP SCR SYN 4.0X40MM SS 206.440 $55.00

IMP SCR SYN 4.0X42MM LOCKING SS 222.588 $342.00

IMP SCR SYN 4.0X42MM SS 206.442 $55.00

IMP SCR SYN 4.0X44MM SS 206.444 $55.00

IMP SCR SYN 4.0X46MM LOCKING SS 222.589 $342.00

IMP SCR SYN 4.0X46MM SS 206.446 $55.00

IMP SCR SYN 4.0X48MM SS 206.448 $55.00

IMP SCR SYN 4.0X50MM LOCKING SS 222.590 $342.00

IMP SCR SYN 4.0X54MM LOCKING SS 222.591 $342.00

IMP SCR SYN 4.0X56MM SS 206.456 $55.00

IMP SCR SYN 4.0X58MM LOCKING SS 222.592 $342.00

IMP SCR SYN 4.0X58MM SS 206.458 $55.00

IMP SCR SYN 4.0X60MM SS 206.46 $55.00

IMP SCR SYN 4.0X62MM LOCKING SS 222.593 $342.00

IMP SCR SYN 4.0X65MM SS 206.465 $55.00

IMP SCR SYN 4.5X28MM SHAFT SS 214.228 $35.00

IMP SCR SYN 4.5X30MM SHAFT SS 214.230 $35.00

IMP SCR SYN 4.5X32MM SHAFT SS 214.232 $35.00

IMP SCR SYN 4.5X34MM SHAFT SS 214.234 $35.00

IMP SCR SYN 4.5X36MM SHAFT SS 214.236 $35.00

IMP SCR SYN 4.5X38MM SHAFT SS 214.238 $35.00

IMP SCR SYN 4.5X40MM SHAFT SS 214.240 $35.00

IMP SCR SYN 4.5X42MM SHAFT SS 214.242 $39.00

IMP SCR SYN 4.5X44MM SHAFT SS 214.244 $39.00

IMP SCR SYN 4.5X46MM SHAFT SS 214.246 $39.00

IMP SCR SYN 4.5X48MM SHAFT SS 214.248 $39.00

IMP SCR SYN 4.5X50MM SHAFT SS 214.250 $39.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 100MM 04.005.590S $372.00

Page 214: DESCRIPTION Price - Fairview

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 26MM 04.005.516 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 26MM 04.005.516S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 28MM 04.005.518 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 28MM 04.005.518S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 30MM 04.005.520 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 30MM 04.005.520S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 32MM 04.005.522 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 32MM 04.005.522S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 34MM 04.005.524 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 34MM 04.005.524S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 36MM 04.005.526 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 36MM 04.005.526S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 38MM 04.005.528 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 38MM 04.005.528S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 40MM 04.005.530 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 40MM 04.005.530S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 42MM 04.005.532 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 42MM 04.005.532S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 44MM 04.005.534 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 44MM 04.005.534S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 46MM 04.005.536 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 46MM 04.005.536S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 48MM 04.005.538 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 48MM 04.005.538S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 50MM 04.005.540 $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 50MM 04.005.540S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 52MM 04.005.542S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 52MM 04.005.542S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 54MM 04.005.544S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 54MM 04.005.544S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 56MM 04.005.546S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 56MM 04.005.546S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 58MM 04.005.548S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 58MM 04.005.548S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 60MM 04.005.550S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 62MM 04.005.552S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 64MM 04.005.554S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 66MM 04.005.556S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 68MM 04.005.558S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 68MM 04.005.558S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 70MM 04.005.560S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 70MM 04.005.560S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 72MM 04.005.562S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 74MM 04.005.564S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 76MM 04.005.566S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 78MM 04.005.568S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 80MM 04.005.570S $372.00

Page 215: DESCRIPTION Price - Fairview

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 80MM 04.005.570S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 85MM 04.005.575S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 85MM 04.005.575S $464.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 90MM 04.005.580S $372.00

IMP SCR SYN 5.0 TI LOCK T25 STARDRIVE 95MM 04.005.585S $372.00

IMP SCR SYN 5.0X14MM LOCKING W/STARDRIVE SS 212.201 $349.00

IMP SCR SYN 5.0X16MM LOCKING W/STARDRIVE SS 212.202 $349.00

IMP SCR SYN 5.0X18MM LOCKING W/STARDRIVE SS 212.203 $349.00

IMP SCR SYN 5.0X20MM LOCKING W/STARDRIVE SS 212.204 $349.00

IMP SCR SYN 5.0X20MM VA LOCK CAN 02.231.620 $597.00

IMP SCR SYN 5.0X22MM LOCKING W/STARDRIVE SS 212.205 $349.00

IMP SCR SYN 5.0X22MM VA LOCK ST T25 STARDRIVE 02.231.222 $439.00

IMP SCR SYN 5.0X24MM LOCKING W/STARDRIVE SS 212.206 $349.00

IMP SCR SYN 5.0X25MM VA LOCK CAN 02.231.625 $597.00

IMP SCR SYN 5.0X26MM LOCKING W/STARDRIVE SS 212.207 $349.00

IMP SCR SYN 5.0X26MM VA LOCK ST T25 STARDRIVE 02.231.226 $439.00

IMP SCR SYN 5.0X28MM LOCKING W/STARDRIVE SS 212.208 $349.00

IMP SCR SYN 5.0X30MM LOCKING W/STARDRIVE SS 212.209 $349.00

IMP SCR SYN 5.0X30MM VA LOCK ST T25 STARDRIVE 02.231.230 $439.00

IMP SCR SYN 5.0X32MM LOCKING W/STARDRIVE SS 212.210 $349.00

IMP SCR SYN 5.0X32MM VA LOCK ST T25 STARDRIVE 02.231.232 $439.00

IMP SCR SYN 5.0X34MM LOCKING W/STARDRIVE SS 212.211 $349.00

IMP SCR SYN 5.0X34MM VA LOCK ST T25 STARDRIVE 02.231.234 $439.00

IMP SCR SYN 5.0X35MM VA LOCK CAN 02.231.635 $597.00

IMP SCR SYN 5.0X36MM LOCKING W/STARDRIVE SS 212.212 $349.00

IMP SCR SYN 5.0X36MM VA LOCK ST T25 STARDRIVE 02.231.236 $439.00

IMP SCR SYN 5.0X38MM LOCKING W/STARDRIVE SS 212.213 $349.00

IMP SCR SYN 5.0X38MM VA LOCK ST T25 STARDRIVE 02.231.238 $439.00

IMP SCR SYN 5.0X40MM LOCKING W/STARDRIVE SS 212.214 $349.00

IMP SCR SYN 5.0X40MM VA LOCK CAN 02.231.640 $597.00

IMP SCR SYN 5.0X40MM VA LOCK ST T25 STARDRIVE 02.231.240 $439.00

IMP SCR SYN 5.0X42MM LOCKING W/STARDRIVE SS 212.215 $349.00

IMP SCR SYN 5.0X42MM VA LOCK ST T25 STARDRIVE 02.231.242 $439.00

IMP SCR SYN 5.0X44MM LOCKING W/STARDRIVE SS 212.216 $349.00

IMP SCR SYN 5.0X44MM VA LOCK ST T25 STARDRIVE 02.231.244 $439.00

IMP SCR SYN 5.0X45MM LOCKING W/STARDRIVE SS 212.219 $349.00

IMP SCR SYN 5.0X45MM VA LOCK CAN 02.231.645 $597.00

IMP SCR SYN 5.0X46MM LOCKING W/STARDRIVE SS 212.217 $349.00

IMP SCR SYN 5.0X46MM VA LOCK ST T25 STARDRIVE 02.231.246 $439.00

IMP SCR SYN 5.0X48MM LOCKING W/STARDRIVE SS 212.218 $349.00

IMP SCR SYN 5.0X48MM VA LOCK ST T25 STARDRIVE 02.231.248 $439.00

IMP SCR SYN 5.0X50MM VA LOCK CAN 02.231.650 $597.00

IMP SCR SYN 5.0X50MM VA LOCK ST T25 STARDRIVE 02.231.250 $439.00

IMP SCR SYN 5.0X55MM LOCKING W/STARDRIVE SS 212.220 $349.00

IMP SCR SYN 5.0X55MM VA LOCK CAN 02.231.655 $597.00

IMP SCR SYN 5.0X55MM VA LOCK ST T25 STARDRIVE 02.231.255 $439.00

IMP SCR SYN 5.0X60MM LOCKING W/STARDRIVE SS 212.221 $349.00

Page 216: DESCRIPTION Price - Fairview

IMP SCR SYN 5.0X60MM VA LOCK CAN 02.231.660 $597.00

IMP SCR SYN 5.0X60MM VA LOCK ST T25 STARDRIVE 02.231.260 $439.00

IMP SCR SYN 5.0X65MM LOCKING W/STARDRIVE SS 212.222 $349.00

IMP SCR SYN 5.0X65MM VA LOCK CAN 02.231.665 $597.00

IMP SCR SYN 5.0X65MM VA LOCK ST T25 STARDRIVE 02.231.265 $439.00

IMP SCR SYN 5.0X70MM LOCKING W/STARDRIVE SS 212.223 $349.00

IMP SCR SYN 5.0X70MM VA LOCK CAN 02.231.670 $597.00

IMP SCR SYN 5.0X70MM VA LOCK ST T25 STARDRIVE 02.231.270 $439.00

IMP SCR SYN 5.0X75MM LOCKING W/STARDRIVE SS212.224 $349.00

IMP SCR SYN 5.0X75MM VA LOCK CAN 02.231.675 $597.00

IMP SCR SYN 5.0X75MM VA LOCK ST T25 STARDRIVE 02.231.275 $439.00

IMP SCR SYN 5.0X80MM LOCKING W/STARDRIVE SS 212.225 $349.00

IMP SCR SYN 5.0X80MM VA LOCK CAN 02.231.680 $597.00

IMP SCR SYN 5.0X80MM VA LOCK ST T25 STARDRIVE 02.231.280 $439.00

IMP SCR SYN 5.0X85MM LOCKING W/STARDRIVE SS 212.226 $349.00

IMP SCR SYN 5.0X85MM VA LOCK CAN 02.231.685 $597.00

IMP SCR SYN 5.0X85MM VA LOCK ST T25 STARDRIVE 02.231.285 $439.00

IMP SCR SYN 5.0X90MM LOCKING W/STARDRIVE SS 212.227 $349.00

IMP SCR SYN 5.0X90MM VA LOCK CAN 02.231.690 $597.00

IMP SCR SYN 5.0X90MM VA LOCK ST T25 STARDRIVE 02.231.290 $439.00

IMP SCR SYN 6.0 TI LOCK T25 STARDRIVE 38MM 04.005.628S $464.00

IMP SCR SYN 6.0 TI LOCK T25 STARDRIVE 42MM 04.005.632S $464.00

IMP SCR SYN 6.0 TI LOCK T25 STARDRIVE 50MM 04.005.640S $464.00

IMP SCR SYN 6.0 TI LOCK T25 STARDRIVE 58MM 04.005.648S $464.00

IMP SCR SYN 6.0 TI LOCK T25 STARDRIVE 76MM 04.005.666S $464.00

IMP SCR SYN 6.0 TI LOCK T25 STARDRIVE 80MM 04.005.670S $464.00

IMP SCR SYN 6.5 RECON T25 STARDRIVE 100MM TI 04.003.030S $475.00

IMP SCR SYN 6.5 RECON T25 STARDRIVE 105MM TI 04.003.031S $475.00

IMP SCR SYN 6.5 RECON T25 STARDRIVE 75MM TI 04.003.025S $475.00

IMP SCR SYN 6.5 RECON T25 STARDRIVE 80MM TI 04.003.026S $475.00

IMP SCR SYN 6.5 RECON T25 STARDRIVE 85MM TI 04.003.027S $475.00

IMP SCR SYN 6.5 RECON T25 STARDRIVE 90MM TI 04.003.028S $475.00

IMP SCR SYN 6.5 RECON T25 STARDRIVE 95MM TI 04.003.029S $475.00

IMP SCR SYN ANG LOCKING 3.5X36MM 02.271.136 $389.00

IMP SCR SYN ANG LOCKING 3.5X44MM 02.271.144 $389.00

IMP SCR SYN ANG LOCKING 3.5X54MM 02.271.154 $389.00

IMP SCR SYN ANG LOCKING 3.5X60MM 02.271.160 $389.00

IMP SCR SYN ANG LOCKING 3.5X65MM 02.271.165 $389.00

IMP SCR SYN ANG LOCKING 3.5X70MM 02.271.170 $389.00

IMP SCR SYN ANG LOCKING 3.5X80MM 02.271.180 $389.00

IMP SCR SYN ANG LOCKING 3.5X85MM 02.271.185 $389.00

IMP SCR SYN ANG LOCKING 3.5X90MM 02.271.190 $389.00

IMP SCR SYN CALC HEX LOCK 3.5X36MM SS 213.036 $297.00

IMP SCR SYN CAN 2.4X10MM LONG THRD 211.810 $414.00

IMP SCR SYN CAN 2.4X11MM LONG THRD 211.811 $414.00

IMP SCR SYN CAN 2.4X12MM LONG THRD 211.812 $414.00

IMP SCR SYN CAN 2.4X13MM LONG THRD 211.813 $414.00

Page 217: DESCRIPTION Price - Fairview

IMP SCR SYN CAN 2.4X14MM LONG THRD 211.814 $414.00

IMP SCR SYN CAN 2.4X15MM LONG THRD 211.815 $414.00

IMP SCR SYN CAN 2.4X16MM LONG THRD 211.816 $414.00

IMP SCR SYN CAN 2.4X17MM LONG THRD 211.817 $414.00

IMP SCR SYN CAN 2.4X17MM SHORT THRD 211.841 $414.00

IMP SCR SYN CAN 2.4X18MM LONG THRD 211.818 $414.00

IMP SCR SYN CAN 2.4X18MM SHORT THRD 211.842 $414.00

IMP SCR SYN CAN 2.4X19MM LONG THRD 211.819 $414.00

IMP SCR SYN CAN 2.4X19MM SHORT THRD 211.843 $414.00

IMP SCR SYN CAN 2.4X20MM LONG THRD 211.820 $414.00

IMP SCR SYN CAN 2.4X20MM SHORT THRD 211.844 $414.00

IMP SCR SYN CAN 2.4X22MM LONG THRD 211.822 $414.00

IMP SCR SYN CAN 2.4X22MM SHORT THRD 211.845 $414.00

IMP SCR SYN CAN 2.4X24MM LONG THRD 211.824 $414.00

IMP SCR SYN CAN 2.4X24MM SHORT THRD 211.846 $414.00

IMP SCR SYN CAN 2.4X26MM LONG THRD 211.826 $414.00

IMP SCR SYN CAN 2.4X26MM SHORT THRD 211.847 $414.00

IMP SCR SYN CAN 2.4X28MM LONG THRD 211.828 $414.00

IMP SCR SYN CAN 2.4X28MM SHORT THRD 211.848 $414.00

IMP SCR SYN CAN 2.4X30MM LONG THRD 211.830 $414.00

IMP SCR SYN CAN 2.4X30MM SHORT THRD 211.849 $414.00

IMP SCR SYN CAN 3.0X08MM SHORT THRD 202.608 $418.00

IMP SCR SYN CAN 3.0X09MM SHORT THRD 202.609 $418.00

IMP SCR SYN CAN 3.0X10MM SHORT THRD 202.610 $418.00

IMP SCR SYN CAN 3.0X11MM SHORT THRD 202.611 $418.00

IMP SCR SYN CAN 3.0X12MM SHORT THRD 202.612 $418.00

IMP SCR SYN CAN 3.0X13MM SHORT THRD 202.613 $418.00

IMP SCR SYN CAN 3.0X14MM LONG THRD 202.714 $418.00

IMP SCR SYN CAN 3.0X14MM SHORT THRD 202.614 $418.00

IMP SCR SYN CAN 3.0X15MM LONG THRD 202.715 $418.00

IMP SCR SYN CAN 3.0X15MM SHORT THRD 202.615 $418.00

IMP SCR SYN CAN 3.0X16MM LONG THRD 202.716 $418.00

IMP SCR SYN CAN 3.0X16MM SHORT THRD 202.616 $418.00

IMP SCR SYN CAN 3.0X17MM LONG THRD 202.717 $418.00

IMP SCR SYN CAN 3.0X17MM SHORT THRD 202.617 $418.00

IMP SCR SYN CAN 3.0X18MM LONG THRD 202.718 $418.00

IMP SCR SYN CAN 3.0X18MM SHORT THRD 202.618 $418.00

IMP SCR SYN CAN 3.0X19MM LONG THRD 202.719 $418.00

IMP SCR SYN CAN 3.0X19MM SHORT THRD 202.619 $418.00

IMP SCR SYN CAN 3.0X20MM LONG THRD 202.720 $418.00

IMP SCR SYN CAN 3.0X20MM SHORT THRD 202.620 $418.00

IMP SCR SYN CAN 3.0X21MM LONG THRD 202.721 $418.00

IMP SCR SYN CAN 3.0X21MM SHORT THRD 202.621 $418.00

IMP SCR SYN CAN 3.0X22MM LONG THRD 202.722 $418.00

IMP SCR SYN CAN 3.0X22MM SHORT THRD 202.622 $418.00

IMP SCR SYN CAN 3.0X23MM LONG THRD 202.723 $418.00

IMP SCR SYN CAN 3.0X23MM SHORT THRD 202.623 $418.00

Page 218: DESCRIPTION Price - Fairview

IMP SCR SYN CAN 3.0X24MM LONG THRD 202.724 $418.00

IMP SCR SYN CAN 3.0X24MM SHORT THRD 202.624 $418.00

IMP SCR SYN CAN 3.0X25MM LONG THRD 202.725 $418.00

IMP SCR SYN CAN 3.0X25MM SHORT THRD 202.625 $418.00

IMP SCR SYN CAN 3.0X26MM LONG THRD 202.726 $418.00

IMP SCR SYN CAN 3.0X26MM SHORT THRD 202.626 $418.00

IMP SCR SYN CAN 3.0X27MM LONG THRD 202.727 $418.00

IMP SCR SYN CAN 3.0X27MM SHORT THRD 202.627 $418.00

IMP SCR SYN CAN 3.0X28MM LONG THRD 202.728 $418.00

IMP SCR SYN CAN 3.0X28MM SHORT THRD 202.628 $418.00

IMP SCR SYN CAN 3.0X29MM LONG THRD 202.729 $418.00

IMP SCR SYN CAN 3.0X29MM SHORT THRD 202.629 $418.00

IMP SCR SYN CAN 3.0X30MM LONG THRD 202.730 $418.00

IMP SCR SYN CAN 3.0X30MM SHORT THRD 202.630 $418.00

IMP SCR SYN CAN 3.0X32MM LONG THRD 202.732 $418.00

IMP SCR SYN CAN 3.0X32MM SHORT THRD 202.632 $418.00

IMP SCR SYN CAN 3.0X34MM LONG THRD 202.734 $418.00

IMP SCR SYN CAN 3.0X34MM SHORT THRD 202.634 $418.00

IMP SCR SYN CAN 3.0X36MM LONG THRD 202.736 $418.00

IMP SCR SYN CAN 3.0X36MM SHORT THRD 202.636 $418.00

IMP SCR SYN CAN 3.0X38MM LONG THRD 202.738 $418.00

IMP SCR SYN CAN 3.0X38MM SHORT THRD 202.638 $418.00

IMP SCR SYN CAN 3.0X40MM LONG THRD 202.740 $418.00

IMP SCR SYN CAN 3.0X40MM SHORT THRD 202.640 $418.00

IMP SCR SYN CAN 3.5X16MM PART THRD 205.016 $396.00

IMP SCR SYN CAN 3.5X20MM PART THRD 205.020 $396.00

IMP SCR SYN CAN 3.5X26MM FULL THRD 205.226 $396.00

IMP SCR SYN CAN 3.5X26MM PART THRD 205.026 $396.00

IMP SCR SYN CAN 3.5X28MM FULL THRD 205.228 $396.00

IMP SCR SYN CAN 3.5X28MM PART THRD 205.028 $396.00

IMP SCR SYN CAN 3.5X30MM FULL THRD 205.230 $396.00

IMP SCR SYN CAN 3.5X30MM PART THRD 205.030 $396.00

IMP SCR SYN CAN 3.5X34MM PART THRD 205.034 $396.00

IMP SCR SYN CAN 3.5X38MM FULL THRD 205.238 $396.00

IMP SCR SYN CAN 3.5X38MM PART THRD 205.038 $396.00

IMP SCR SYN CAN 3.5X40MM FULL THRD 205.240 $396.00

IMP SCR SYN CAN 3.5X40MM PART THRD 205.040 $396.00

IMP SCR SYN CAN 3.5X42MM FULL THRD 205.242 $396.00

IMP SCR SYN CAN 3.5X44MM FULL THRD 205.244 $396.00

IMP SCR SYN CAN 3.5X46MM FULL THRD 205.246 $396.00

IMP SCR SYN CAN 3.5X48MM FULL THRD 205.248 $396.00

IMP SCR SYN CAN 3.5X50MM FULL THRD 205.250 $396.00

IMP SCR SYN CAN 3.5X50MM PART THRD 205.050 $396.00

IMP SCR SYN CAN 4.0X10MM FT SS 206.010 $36.00

IMP SCR SYN CAN 4.0X10MM SHORT SS 207.610 $414.00

IMP SCR SYN CAN 4.0X12MM FT SS 206.012 $36.00

IMP SCR SYN CAN 4.0X12MM SHORT SS 207.612 $414.00

Page 219: DESCRIPTION Price - Fairview

IMP SCR SYN CAN 4.0X14MM FT SS 206.014 $36.00

IMP SCR SYN CAN 4.0X14MM SHORT SS 207.614 $414.00

IMP SCR SYN CAN 4.0X16MM FT SS 206.016 $36.00

IMP SCR SYN CAN 4.0X16MM LONG THRD SS 207.716 $414.00

IMP SCR SYN CAN 4.0X16MM SHORT SS 207.616 $414.00

IMP SCR SYN CAN 4.0X18MM FT SS 206.018 $36.00

IMP SCR SYN CAN 4.0X18MM LONG THRD SS 207.718 $414.00

IMP SCR SYN CAN 4.0X18MM SHORT SS 207.618 $414.00

IMP SCR SYN CAN 4.0X20MM FT SS 206.020 $36.00

IMP SCR SYN CAN 4.0X20MM LONG THRD SS 207.720 $414.00

IMP SCR SYN CAN 4.0X20MM SHORT SS 207.620 $414.00

IMP SCR SYN CAN 4.0X22MM FT SS 206.022 $36.00

IMP SCR SYN CAN 4.0X22MM LONG THRD SS 207.722 $414.00

IMP SCR SYN CAN 4.0X22MM SHORT SS 207.622 $414.00

IMP SCR SYN CAN 4.0X24MM FT SS 206.024 $36.00

IMP SCR SYN CAN 4.0X24MM LONG THRD SS 207.724 $414.00

IMP SCR SYN CAN 4.0X24MM SHORT SS 207.624 $414.00

IMP SCR SYN CAN 4.0X26MM FT SS 206.026 $36.00

IMP SCR SYN CAN 4.0X26MM LONG THRD SS 207.726 $414.00

IMP SCR SYN CAN 4.0X26MM SHORT SS 207.626 $414.00

IMP SCR SYN CAN 4.0X28MM FT SS 206.028 $36.00

IMP SCR SYN CAN 4.0X28MM LONG THRD SS 207.728 $414.00

IMP SCR SYN CAN 4.0X28MM SHORT SS 207.628 $414.00

IMP SCR SYN CAN 4.0X30MM FT SS 206.030 $36.00

IMP SCR SYN CAN 4.0X30MM LONG THRD SS 207.730 $414.00

IMP SCR SYN CAN 4.0X30MM SHORT SS 207.630 $414.00

IMP SCR SYN CAN 4.0X32MM FT SS 206.032 $36.00

IMP SCR SYN CAN 4.0X32MM LONG THRD SS 207.732 $414.00

IMP SCR SYN CAN 4.0X32MM SHORT SS 207.632 $414.00

IMP SCR SYN CAN 4.0X34MM LONG THRD SS 207.734 $414.00

IMP SCR SYN CAN 4.0X34MM SHORT SS 207.634 $414.00

IMP SCR SYN CAN 4.0X35MM FT SS 206.035 $36.00

IMP SCR SYN CAN 4.0X36MM FT SS 206.036 $36.00

IMP SCR SYN CAN 4.0X36MM LONG THRD SS 207.736 $414.00

IMP SCR SYN CAN 4.0X36MM SHORT SS 207.636 $414.00

IMP SCR SYN CAN 4.0X38MM LONG THRD SS 207.738 $414.00

IMP SCR SYN CAN 4.0X38MM SHORT SS 207.638 $414.00

IMP SCR SYN CAN 4.0X40MM FT SS 206.040 $36.00

IMP SCR SYN CAN 4.0X40MM LONG THRD SS 207.740 $414.00

IMP SCR SYN CAN 4.0X40MM SHORT SS 207.640 $414.00

IMP SCR SYN CAN 4.0X42MM LONG THRD SS 207.742 $414.00

IMP SCR SYN CAN 4.0X42MM SHORT SS 207.642 $414.00

IMP SCR SYN CAN 4.0X44MM LONG THRD SS 207.744 $414.00

IMP SCR SYN CAN 4.0X44MM SHORT SS 207.644 $414.00

IMP SCR SYN CAN 4.0X45MM FT SS 206.045 $36.00

IMP SCR SYN CAN 4.0X46MM LONG THRD SS 207.746 $414.00

IMP SCR SYN CAN 4.0X46MM SHORT SS 207.646 $414.00

Page 220: DESCRIPTION Price - Fairview

IMP SCR SYN CAN 4.0X48MM LONG THRD SS 207.748 $414.00

IMP SCR SYN CAN 4.0X48MM SHORT SS 207.648 $414.00

IMP SCR SYN CAN 4.0X50MM FT SS 206.050 $36.00

IMP SCR SYN CAN 4.0X50MM LONG THRD SS 207.750 $414.00

IMP SCR SYN CAN 4.0X50MM SHORT SS 207.650 $414.00

IMP SCR SYN CAN 4.0X52MM LONG THRD SS 207.752 $414.00

IMP SCR SYN CAN 4.0X52MM SHORT SS 207.652 $414.00

IMP SCR SYN CAN 4.0X54MM LONG THRD SS 207.754 $414.00

IMP SCR SYN CAN 4.0X54MM SHORT SS 207.654 $414.00

IMP SCR SYN CAN 4.0X55MM FT SS 206.055 $36.00

IMP SCR SYN CAN 4.0X56MM LONG THRD SS 207.756 $414.00

IMP SCR SYN CAN 4.0X56MM SHORT SS $414.00

IMP SCR SYN CAN 4.0X58MM LONG THRD SS 207.758 $414.00

IMP SCR SYN CAN 4.0X58MM SHORT SS 207.658 $414.00

IMP SCR SYN CAN 4.0X60MM FT SS 206.060 $36.00

IMP SCR SYN CAN 4.0X60MM LONG THRD SS 207.760 $414.00

IMP SCR SYN CAN 4.0X60MM SHORT SS 207.660 $414.00

IMP SCR SYN CAN 4.0X64MM LONG THRD SS 207.764 $414.00

IMP SCR SYN CAN 4.0X64MM SHORT SS 207.664 $414.00

IMP SCR SYN CAN 4.0X68MM LONG THRD SS 207.768 $414.00

IMP SCR SYN CAN 4.0X68MM SHORT SS 207.668 $414.00

IMP SCR SYN CAN 4.0X72MM LONG THRD SS 207.772 $414.00

IMP SCR SYN CAN 4.0X72MM SHORT SS 207.672 $414.00

IMP SCR SYN CAN 4.5X20MM FT SS 214.720 $422.00

IMP SCR SYN CAN 4.5X20MM PT 214.520 $422.00

IMP SCR SYN CAN 4.5X22MM FT SS 214.722 $422.00

IMP SCR SYN CAN 4.5X22MM PT 214.522 $422.00

IMP SCR SYN CAN 4.5X24MM FT SS 214.724 $422.00

IMP SCR SYN CAN 4.5X24MM PT 214.524 $422.00

IMP SCR SYN CAN 4.5X26MM FT SS 214.726 $422.00

IMP SCR SYN CAN 4.5X26MM PT 214.526 $422.00

IMP SCR SYN CAN 4.5X28MM FT SS 214.728 $422.00

IMP SCR SYN CAN 4.5X28MM PT 214.528 $422.00

IMP SCR SYN CAN 4.5X30MM FT SS 214.730 $422.00

IMP SCR SYN CAN 4.5X30MM PT 214.530 $422.00

IMP SCR SYN CAN 4.5X32MM FT SS 214.732 $422.00

IMP SCR SYN CAN 4.5X32MM PT 214.532 $422.00

IMP SCR SYN CAN 4.5X34MM FT SS 214.734 $422.00

IMP SCR SYN CAN 4.5X34MM PT 214.534 $422.00

IMP SCR SYN CAN 4.5X36MM FT SS 214.736 $422.00

IMP SCR SYN CAN 4.5X36MM PT 214.536 $422.00

IMP SCR SYN CAN 4.5X38MM FT SS 214.738 $422.00

IMP SCR SYN CAN 4.5X38MM PT 214.538 $422.00

IMP SCR SYN CAN 4.5X40MM FT SS 214.740 $422.00

IMP SCR SYN CAN 4.5X40MM PT 214.540 $422.00

IMP SCR SYN CAN 4.5X42MM FT SS 214.742 $422.00

IMP SCR SYN CAN 4.5X42MM PT $422.00

Page 221: DESCRIPTION Price - Fairview

IMP SCR SYN CAN 4.5X44MM FT SS 214.744 $422.00

IMP SCR SYN CAN 4.5X44MM PT 214.544 $422.00

IMP SCR SYN CAN 4.5X46MM FT SS 214.746 $422.00

IMP SCR SYN CAN 4.5X46MM PT 214.546 $422.00

IMP SCR SYN CAN 4.5X48MM FT SS 214.748 $422.00

IMP SCR SYN CAN 4.5X48MM PT 214.548 $422.00

IMP SCR SYN CAN 4.5X50MM FT SS 214.750 $422.00

IMP SCR SYN CAN 4.5X50MM PT 214.550 $422.00

IMP SCR SYN CAN 4.5X52MM FT SS 214.752 $422.00

IMP SCR SYN CAN 4.5X52MM PT 214.552 $422.00

IMP SCR SYN CAN 4.5X54MM FT SS 214.754 $422.00

IMP SCR SYN CAN 4.5X54MM PT 214.554 $422.00

IMP SCR SYN CAN 4.5X56MM FT SS 214.756 $422.00

IMP SCR SYN CAN 4.5X56MM PT 214.556 $422.00

IMP SCR SYN CAN 4.5X60MM FT SS 214.760 $422.00

IMP SCR SYN CAN 4.5X60MM PT 214.560 $422.00

IMP SCR SYN CAN 4.5X64MM FT SS 214.764 $422.00

IMP SCR SYN CAN 4.5X64MM PT 214.564 $422.00

IMP SCR SYN CAN 4.5X68MM FT SS 214.768 $422.00

IMP SCR SYN CAN 4.5X68MM PT 214.568 $422.00

IMP SCR SYN CAN 4.5X72MM FT SS 214.772 $422.00

IMP SCR SYN CAN 4.5X72MM PT 214.572 $422.00

IMP SCR SYN CAN 5.0X25MM LOCKING SS 02.205.025 $477.00

IMP SCR SYN CAN 5.0X30MM LOCKING SS 02.205.030 $477.00

IMP SCR SYN CAN 5.0X35MM LOCKING SS 02.205.035 $477.00

IMP SCR SYN CAN 5.0X40MM LOCKING SS 02.205.040 $477.00

IMP SCR SYN CAN 5.0X45MM LOCKING SS 02.205.045 $477.00

IMP SCR SYN CAN 5.0X50MM LOCKING SS 02.205.050 $477.00

IMP SCR SYN CAN 5.0X55MM LOCKING SS 02.205.055 $477.00

IMP SCR SYN CAN 5.0X60MM LOCKING SS 02.205.060 $477.00

IMP SCR SYN CAN 5.0X65MM LOCKING SS 02.205.065 $477.00

IMP SCR SYN CAN 5.0X70MM LOCKING SS 02.205.070 $477.00

IMP SCR SYN CAN 5.0X75MM LOCKING SS 02.205.075 $477.00

IMP SCR SYN CAN 5.0X80MM LOCKING SS 02.205.080 $477.00

IMP SCR SYN CAN 5.0X85MM LOCKING SS 02.205.085 $477.00

IMP SCR SYN CAN 5.0X90MM LOCKING SS 02.205.090 $477.00

IMP SCR SYN CAN 5.0X95MM LOCKING SS 02.205.095 $477.00

IMP SCR SYN CAN 6.5X16 THRDX100MM SS 208.415 $546.00

IMP SCR SYN CAN 6.5X16 THRDX105MM SS 208.416 $546.00

IMP SCR SYN CAN 6.5X16 THRDX110MM SS 208.417 $546.00

IMP SCR SYN CAN 6.5X16 THRDX115MM SS 208.418 $546.00

IMP SCR SYN CAN 6.5X16 THRDX120MM SS 208.419 $546.00

IMP SCR SYN CAN 6.5X16 THRDX125MM SS 208.420 $546.00

IMP SCR SYN CAN 6.5X16 THRDX130MM SS 208.421 $546.00

IMP SCR SYN CAN 6.5X16 THRDX135MM SS 208.422 $546.00

IMP SCR SYN CAN 6.5X16 THRDX140MM SS 208.423 $546.00

IMP SCR SYN CAN 6.5X16 THRDX145MM SS 208.424 $546.00

Page 222: DESCRIPTION Price - Fairview

IMP SCR SYN CAN 6.5X16 THRDX150MM SS 208.425 $546.00

IMP SCR SYN CAN 6.5X16 THRDX30MM SS 208.401 $546.00

IMP SCR SYN CAN 6.5X16 THRDX35MM SS 208.402 $546.00

IMP SCR SYN CAN 6.5X16 THRDX40MM SS 208.403 $546.00

IMP SCR SYN CAN 6.5X16 THRDX45MM SS 208.404 $546.00

IMP SCR SYN CAN 6.5X16 THRDX50MM SS 208.405 $546.00

IMP SCR SYN CAN 6.5X16 THRDX55MM SS 208.406 $546.00

IMP SCR SYN CAN 6.5X16 THRDX60MM SS 208.407 $546.00

IMP SCR SYN CAN 6.5X16 THRDX65MM SS 208.408 $546.00

IMP SCR SYN CAN 6.5X16 THRDX70MM SS 208.409 $546.00

IMP SCR SYN CAN 6.5X16 THRDX75MM SS 208.410 $546.00

IMP SCR SYN CAN 6.5X16 THRDX80MM SS 208.411 $546.00

IMP SCR SYN CAN 6.5X16 THRDX85MM SS 208.412 $546.00

IMP SCR SYN CAN 6.5X16 THRDX90MM SS 208.413 $546.00

IMP SCR SYN CAN 6.5X16 THRDX95MM SS 208.414 $546.00

IMP SCR SYN CAN 6.5X32 FULL THRD 70MM SS $546.00

IMP SCR SYN CAN 6.5X32 FULL THRD 80MM SS $546.00

IMP SCR SYN CAN 6.5X32 THRDX100MM SS 208.442 $546.00

IMP SCR SYN CAN 6.5X32 THRDX105MM SS 208.443 $546.00

IMP SCR SYN CAN 6.5X32 THRDX110MM SS 208.444 $546.00

IMP SCR SYN CAN 6.5X32 THRDX115MM SS 208.445 $546.00

IMP SCR SYN CAN 6.5X32 THRDX120MM SS 208.446 $546.00

IMP SCR SYN CAN 6.5X32 THRDX125MM SS 208.447 $546.00

IMP SCR SYN CAN 6.5X32 THRDX130MM SS 208.448 $546.00

IMP SCR SYN CAN 6.5X32 THRDX135MM SS 208.449 $546.00

IMP SCR SYN CAN 6.5X32 THRDX140MM SS 208.450 $546.00

IMP SCR SYN CAN 6.5X32 THRDX145MM SS 208.451 $546.00

IMP SCR SYN CAN 6.5X32 THRDX150MM SS 208.452 $546.00

IMP SCR SYN CAN 6.5X32 THRDX45MM SS 208.431 $546.00

IMP SCR SYN CAN 6.5X32 THRDX50MM SS 208.432 $546.00

IMP SCR SYN CAN 6.5X32 THRDX55MM SS 208.433 $546.00

IMP SCR SYN CAN 6.5X32 THRDX60MM SS 208.434 $546.00

IMP SCR SYN CAN 6.5X32 THRDX65MM SS 208.435 $546.00

IMP SCR SYN CAN 6.5X32 THRDX70MM SS 208.436 $546.00

IMP SCR SYN CAN 6.5X32 THRDX75MM SS 208.437 $546.00

IMP SCR SYN CAN 6.5X32 THRDX80MM SS 208.438 $546.00

IMP SCR SYN CAN 6.5X32 THRDX85MM SS 208.439 $546.00

IMP SCR SYN CAN 6.5X32 THRDX90MM SS 208.440 $546.00

IMP SCR SYN CAN 6.5X32 THRDX95MM SS 208.441 $546.00

IMP SCR SYN CAN 7.0X16 THRDX80MM SS 208.080 $558.00

IMP SCR SYN CAN 7.0X16 THRDX85MM SS 208.085 $558.00

IMP SCR SYN CAN 7.0X16 THRDX95MM SS 208.095 $558.00

IMP SCR SYN CAN 7.0X80MM FULL THRD 209.48 $558.00

IMP SCR SYN CAN 7.0X85MM FULL THRD 209.485 $558.00

IMP SCR SYN CAN 7.3X16 THRDX100MM SS 208.900 $546.00

IMP SCR SYN CAN 7.3X16 THRDX105MM SS 208.905 $546.00

IMP SCR SYN CAN 7.3X16 THRDX110MM SS 208.910 $546.00

Page 223: DESCRIPTION Price - Fairview

IMP SCR SYN CAN 7.3X16 THRDX115MM SS 208.915 $546.00

IMP SCR SYN CAN 7.3X16 THRDX120MM SS 208.920 $546.00

IMP SCR SYN CAN 7.3X16 THRDX125MM SS 208.925 $546.00

IMP SCR SYN CAN 7.3X16 THRDX130MM SS 208.930 $546.00

IMP SCR SYN CAN 7.3X16 THRDX30MM SS 208.830 $546.00

IMP SCR SYN CAN 7.3X16 THRDX35MM SS 208.835 $546.00

IMP SCR SYN CAN 7.3X16 THRDX40MM SS 208.840 $546.00

IMP SCR SYN CAN 7.3X16 THRDX45MM SS 208.845 $546.00

IMP SCR SYN CAN 7.3X16 THRDX50MM SS 208.850 $546.00

IMP SCR SYN CAN 7.3X16 THRDX55MM SS 208.855 $546.00

IMP SCR SYN CAN 7.3X16 THRDX60MM SS 208.860 $546.00

IMP SCR SYN CAN 7.3X16 THRDX65MM SS 208.865 $546.00

IMP SCR SYN CAN 7.3X16 THRDX70MM SS 208.870 $546.00

IMP SCR SYN CAN 7.3X16 THRDX75MM SS 208.875 $546.00

IMP SCR SYN CAN 7.3X16 THRDX80MM SS 208.880 $546.00

IMP SCR SYN CAN 7.3X16 THRDX85MM SS 208.885 $546.00

IMP SCR SYN CAN 7.3X16 THRDX90MM SS 208.890 $546.00

IMP SCR SYN CAN 7.3X16 THRDX95MM SS 208.895 $546.00

IMP SCR SYN CAN 7.3X20MM LOCKING SS 02.207.020 $706.00

IMP SCR SYN CAN 7.3X25MM LOCKING SS 02.207.025 $706.00

IMP SCR SYN CAN 7.3X30MM LOCKING SS 02.207.030 $706.00

IMP SCR SYN CAN 7.3X32 THRDX100MM SS 209.900 $546.00

IMP SCR SYN CAN 7.3X32 THRDX105MM SS 209.905 $546.00

IMP SCR SYN CAN 7.3X32 THRDX110MM SS 209.910 $546.00

IMP SCR SYN CAN 7.3X32 THRDX115MM SS 209.915 $546.00

IMP SCR SYN CAN 7.3X32 THRDX120MM SS 209.920 $546.00

IMP SCR SYN CAN 7.3X32 THRDX125MM SS 209.925 $546.00

IMP SCR SYN CAN 7.3X32 THRDX130MM SS 209.930 $546.00

IMP SCR SYN CAN 7.3X32 THRDX50MM SS 209.850 $546.00

IMP SCR SYN CAN 7.3X32 THRDX55MM SS 209.855 $546.00

IMP SCR SYN CAN 7.3X32 THRDX60MM SS 209.860 $546.00

IMP SCR SYN CAN 7.3X32 THRDX65MM SS 209.865 $546.00

IMP SCR SYN CAN 7.3X32 THRDX70MM SS 209.870 $546.00

IMP SCR SYN CAN 7.3X32 THRDX75MM SS 209.875 $546.00

IMP SCR SYN CAN 7.3X32 THRDX80MM SS 209.880 $546.00

IMP SCR SYN CAN 7.3X32 THRDX85MM SS 209.885 $546.00

IMP SCR SYN CAN 7.3X32 THRDX90MM SS 209.890 $546.00

IMP SCR SYN CAN 7.3X32 THRDX95MM SS 209.895 $546.00

IMP SCR SYN CAN 7.3X35MM LOCKING SS 02.207.035 $706.00

IMP SCR SYN CAN 7.3X40MM LOCKING SS 02.207.040 $706.00

IMP SCR SYN CAN 7.3X45MM LOCKING SS 02.207.045 $706.00

IMP SCR SYN CAN 7.3X50MM LOCKING SS 02.207.050 $706.00

IMP SCR SYN CAN 7.3X55MM LOCKING SS 02.207.055 $706.00

IMP SCR SYN CAN 7.3X60MM LOCKING SS 02.207.060 $706.00

IMP SCR SYN CAN 7.3X65MM LOCKING SS 02.207.065 $706.00

IMP SCR SYN CAN 7.3X70MM LOCKING SS 02.207.070 $706.00

IMP SCR SYN CAN 7.3X75MM LOCKING SS 02.207.075 $706.00

Page 224: DESCRIPTION Price - Fairview

IMP SCR SYN CAN 7.3X80MM LOCKING SS 02.207.080 $706.00

IMP SCR SYN CAN 7.3X85MM 16MM THRD 408.885 $546.00

IMP SCR SYN CAN 7.3X85MM FULL THRD SS 209.685 $546.00

IMP SCR SYN CAN 7.3X85MM LOCKING SS 02.207.085 $706.00

IMP SCR SYN CAN 7.3X90MM LOCKING SS 02.207.090 $706.00

IMP SCR SYN CAN 7.3X95MM FULL THRD SS 209.695 $546.00

IMP SCR SYN CAN 7.3X95MM LOCKING SS 02.207.095 $706.00

IMP SCR SYN CAN CONICAL 25X42MM 3.7MM THRD 02.240.242 $352.00

IMP SCR SYN CAN CONICAL 5.0X40MM SS 02.205.240 $419.00

IMP SCR SYN CAN CONICAL 5.0X45MM SS 02.205.245 $419.00

IMP SCR SYN CAN CONICAL 5.0X50MM SS 02.205.250 $419.00

IMP SCR SYN CAN CONICAL 5.0X55MM SS 02.205.255 $419.00

IMP SCR SYN CAN CONICAL 5.0X60MM SS 02.205.260 $419.00

IMP SCR SYN CAN CONICAL 5.0X65MM SS 02.205.265 $419.00

IMP SCR SYN CAN CONICAL 5.0X70MM SS 02.205.270 $419.00

IMP SCR SYN CAN CONICAL 5.0X75MM SS 02.205.275 $419.00

IMP SCR SYN CAN CONICAL 5.0X80MM SS 02.205.280 $419.00

IMP SCR SYN CAN CONICAL 5.0X85MM SS 02.205.285 $419.00

IMP SCR SYN CAN CONICAL 5.0X90MM SS 02.205.290 $419.00

IMP SCR SYN CAN CONICAL 5.0X95MM SS 02.205.295 $419.00

IMP SCR SYN CAN CONICAL 7.3X50MM SS FT 02.207.250 $629.00

IMP SCR SYN CAN CONICAL 7.3X50MM SS PT 02.207.450 $629.00

IMP SCR SYN CAN CONICAL 7.3X55MM SS FT 02.207.255 $629.00

IMP SCR SYN CAN CONICAL 7.3X55MM SS PT 02.207.455 $629.00

IMP SCR SYN CAN CONICAL 7.3X60MM SS FT 02.207.260 $629.00

IMP SCR SYN CAN CONICAL 7.3X60MM SS PT 02.207.460 $629.00

IMP SCR SYN CAN CONICAL 7.3X65MM SS FT 02.207.265 $629.00

IMP SCR SYN CAN CONICAL 7.3X65MM SS PT 02.207.465 $629.00

IMP SCR SYN CAN CONICAL 7.3X70MM SS FT 02.207.270 $629.00

IMP SCR SYN CAN CONICAL 7.3X70MM SS PT 02.207.470 $629.00

IMP SCR SYN CAN CONICAL 7.3X75MM SS FT 02.207.275 $629.00

IMP SCR SYN CAN CONICAL 7.3X75MM SS PT 02.207.475 $629.00

IMP SCR SYN CAN CONICAL 7.3X80MM SS FT 02.207.280 $629.00

IMP SCR SYN CAN CONICAL 7.3X80MM SS PT 02.207.480 $629.00

IMP SCR SYN CAN CONICAL 7.3X85MM SS FT 02.207.285 $629.00

IMP SCR SYN CAN CONICAL 7.3X85MM SS PT 02.207.485 $629.00

IMP SCR SYN CAN CONICAL 7.3X90MM SS FT 02.207.290 $629.00

IMP SCR SYN CAN CONICAL 7.3X90MM SS PT 02.207.490 $629.00

IMP SCR SYN CAN CONICAL 7.3X95MM SS FT 02.207.295 $629.00

IMP SCR SYN CAN CONICAL 7.3X95MM SS PT 02.207.495 $629.00

IMP SCR SYN CAN LOCKING 3.7X26MM 02.240.026 $402.00

IMP SCR SYN CAN LOCKING 3.7X28MM 02.240.028 $402.00

IMP SCR SYN CAN LOCKING 3.7X34MM 02.240.034 $402.00

IMP SCR SYN CAN LOCKING 3.7X36MM 02.240.036 $402.00

IMP SCR SYN CAN LOCKING 3.7X38MM 02.240.038 $402.00

IMP SCR SYN CAN LOCKING 3.7X40MM 02.240.040 $402.00

IMP SCR SYN CAN LOCKING 3.7X42MM 02.240.042 $402.00

Page 225: DESCRIPTION Price - Fairview

IMP SCR SYN CAN LOCKING 3.7X42MM 02.240.044 $402.00

IMP SCR SYN CAN LOCKING 3.7X46MM 02.240.046 $402.00

IMP SCR SYN CAN LOCKING 3.7X48MM 02.240.048 $402.00

IMP SCR SYN CAN LOCKING 3.7X50MM 02.240.050 $402.00

IMP SCR SYN CAN LOCKING 3.7X52MM 02.240.052 $402.00

IMP SCR SYN CAN LOCKING 3.7X54MM 02.240.054 $402.00

IMP SCR SYN CAN T8 STARDRIVE 2.4X14MM VA-LCP ST 02.210.114 $313.00

IMP SCR SYN CAN T8 STARDRIVE 2.4X16MM VA-LCP ST 02.210.116 $313.00

IMP SCR SYN CAN T8 STARDRIVE 2.4X18MM VA-LCP ST 02.210.118 $313.00

IMP SCR SYN CAN T8 STARDRIVE 2.4X20MM VA-LCP ST 02.210.120 $313.00

IMP SCR SYN CAN T8 STARDRIVE VA-LCP ST 2.4X14MM 02.210.108 $313.00

IMP SCR SYN CAN T8 STARDRIVE VA-LCP ST 2.4X14MM 02.210.110 $313.00

IMP SCR SYN CAN T8 STARDRIVE VA-LCP ST 2.4X14MM 02.210.112 $313.00

IMP SCR SYN CAN T8 STARDRIVE VA-LCP ST 2.4X22MM 02.210.122 $313.00

IMP SCR SYN CAN T8 STARDRIVE VA-LCP ST 2.4X24MM 02.210.124 $313.00

IMP SCR SYN CAN T8 STARDRIVE VA-LCP ST 2.4X26MM 02.210.126 $313.00

IMP SCR SYN CAN T8 STARDRIVE VA-LCP ST 2.4X28MM 02.210.128 $313.00

IMP SCR SYN CAN T8 STARDRIVE VA-LCP ST 2.4X30MM 02.210.130 $313.00

IMP SCR SYN CANC 3.5X2.4X28MM ST W/T15 STARDRIVE 04.614.028 $2,250.00

IMP SCR SYN CANC 4.0X10MM PART THRD SS 207.010 $34.00

IMP SCR SYN CANC 4.0X12MM PART THRD SS 207.012 $34.00

IMP SCR SYN CANC 4.0X14MM PART THRD SS 207.014 $34.00

IMP SCR SYN CANC 4.0X16MM FULL THRD TI 406.016 $36.00

IMP SCR SYN CANC 4.0X16MM PART THRD SS 207.016 $34.00

IMP SCR SYN CANC 4.0X18MM FULL THRD TI 406.018 $36.00

IMP SCR SYN CANC 4.0X18MM PART THRD 5MM HEAD SS 207.918 $41.00

IMP SCR SYN CANC 4.0X18MM PART THRD SS 207.018 $34.00

IMP SCR SYN CANC 4.0X20MM PART THRD 5MM HEAD SS 207.920 $41.00

IMP SCR SYN CANC 4.0X20MM PART THRD SS 207.020 $34.00

IMP SCR SYN CANC 4.0X22MM PART THRD 5MM HEAD SS 207.922 $41.00

IMP SCR SYN CANC 4.0X22MM PART THRD SS 207.022 $34.00

IMP SCR SYN CANC 4.0X24MM PART THRD 5MM HEAD SS 207.924 $41.00

IMP SCR SYN CANC 4.0X24MM PART THRD SS 207.024 $34.00

IMP SCR SYN CANC 4.0X26MM PART THRD 5MM HEAD SS 207.926 $41.00

IMP SCR SYN CANC 4.0X26MM PART THRD SS 207.026 $34.00

IMP SCR SYN CANC 4.0X28MM PART THRD 5MM HEAD SS 207.928 $41.00

IMP SCR SYN CANC 4.0X28MM PART THRD SS 207.028 $34.00

IMP SCR SYN CANC 4.0X30MM PART THRD 5MM HEAD SS 207.930 $41.00

IMP SCR SYN CANC 4.0X30MM PART THRD SS 207.030 $34.00

IMP SCR SYN CANC 4.0X34MM PART THRD 5MM HEAD SS 207.934 $41.00

IMP SCR SYN CANC 4.0X35MM PART THRD SS 207.035 $34.00

IMP SCR SYN CANC 4.0X36MM PART THRD 5MM HEAD SS 207.936 $41.00

IMP SCR SYN CANC 4.0X40MM PART THRD SS 207.040 $34.00

IMP SCR SYN CANC 4.0X45MM PART THRD SS 207.045 $34.00

IMP SCR SYN CANC 4.0X50MM PART THRD 5MM HEAD SS 207.950 $41.00

IMP SCR SYN CANC 4.0X50MM PART THRD SS 207.050 $34.00

IMP SCR SYN CANC 4.0X50MM PART THRD TI 407.050 $34.00

Page 226: DESCRIPTION Price - Fairview

IMP SCR SYN CANC 4.0X60MM SHORT THRD SS 207.060 $34.00

IMP SCR SYN CANC 6.0CM LOCKING 04.201.024 $750.00

IMP SCR SYN CANC 6.5X025MM FT SS 218.025 $68.00

IMP SCR SYN CANC 6.5X025MM FT TI $68.00

IMP SCR SYN CANC 6.5X030MM FT SS 218.030 $68.00

IMP SCR SYN CANC 6.5X035MM FT SS 218.035 $68.00

IMP SCR SYN CANC 6.5X040MM FT SS 218.040 $68.00

IMP SCR SYN CANC 6.5X045MM FT SS 218.045 $68.00

IMP SCR SYN CANC 6.5X050MM FT SS 218.050 $68.00

IMP SCR SYN CANC 6.5X055MM FT SS 218.055 $68.00

IMP SCR SYN CANC 6.5X060MM FT SS 218.060 $68.00

IMP SCR SYN CANC 6.5X16 THRDX030MM SS 216.030 $68.00

IMP SCR SYN CANC 6.5X16 THRDX035MM SS 216.035 $68.00

IMP SCR SYN CANC 6.5X16 THRDX040MM SS 216.040 $68.00

IMP SCR SYN CANC 6.5X16 THRDX045MM SS 216.045 $68.00

IMP SCR SYN CANC 6.5X16 THRDX050MM SS 216.050 $68.00

IMP SCR SYN CANC 6.5X16 THRDX055MM SS 216.055 $68.00

IMP SCR SYN CANC 6.5X16 THRDX060MM SS 216.060 $68.00

IMP SCR SYN CANC 6.5X16 THRDX065MM SS 216.065 $68.00

IMP SCR SYN CANC 6.5X16 THRDX070MM SS 216.070 $68.00

IMP SCR SYN CANC 6.5X16 THRDX075MM SS 216.075 $68.00

IMP SCR SYN CANC 6.5X16 THRDX080MM SS 216.080 $68.00

IMP SCR SYN CANC 6.5X16 THRDX085MM SS 216.085 $74.00

IMP SCR SYN CANC 6.5X16 THRDX090MM SS 216.090 $74.00

IMP SCR SYN CANC 6.5X16 THRDX095MM SS 216.095 $74.00

IMP SCR SYN CANC 6.5X16 THRDX100MM SS 216.100 $74.00

IMP SCR SYN CANC 6.5X16 THRDX105MM SS 216.105 $74.00

IMP SCR SYN CANC 6.5X16 THRDX110MM SS 216.110 $74.00

IMP SCR SYN CANC 6.5X30MM FT TI 418.030 $68.00

IMP SCR SYN CANC 6.5X32 THRDX045MM SS 217.045 $68.00

IMP SCR SYN CANC 6.5X32 THRDX050MM SS 217.050 $68.00

IMP SCR SYN CANC 6.5X32 THRDX055MM SS 217.055 $68.00

IMP SCR SYN CANC 6.5X32 THRDX060MM SS 217.060 $68.00

IMP SCR SYN CANC 6.5X32 THRDX065MM SS 217.065 $68.00

IMP SCR SYN CANC 6.5X32 THRDX070MM SS 217.070 $88.00

IMP SCR SYN CANC 6.5X32 THRDX075MM SS 217.075 $68.00

IMP SCR SYN CANC 6.5X32 THRDX080MM SS 217.080 $68.00

IMP SCR SYN CANC 6.5X32 THRDX085MM SS 217.085 $74.00

IMP SCR SYN CANC 6.5X32 THRDX090MM SS 217.090 $74.00

IMP SCR SYN CANC 6.5X32 THRDX095MM SS 217.095 $74.00

IMP SCR SYN CANC 6.5X32 THRDX100MM SS 217.100 $74.00

IMP SCR SYN CANC 6.5X32 THRDX105MM SS 217.105 $74.00

IMP SCR SYN CANC 6.5X32 THRDX110MM SS 217.110 $74.00

IMP SCR SYN CANC 6.5X35MM FT TI 418.035 $68.00

IMP SCR SYN CANC CORTIC OPEN ST W/T25 STARDRIVE 04.632.001 $1,000.00

IMP SCR SYN CANC LUMBRLSCRL 6X30MM ST W/T25 04.201.030 $750.00

IMP SCR SYN CANN 4.0X46MM SHORT THD TI 407.646 $414.00

Page 227: DESCRIPTION Price - Fairview

IMP SCR SYN CERVICAL 4.0X14MM VA TI SELF DRILL 04.613.514 $375.00

IMP SCR SYN CERVICAL 4.0X16MM VA TI SELF DRILL 04.613.516 $375.00

IMP SCR SYN CERVICAL VECTRA 4.0X16MM S D FA $375.00

IMP SCR SYN CLICKX 6.2X40MM PEDICLE PREAS TI 498.988 $2,000.00

IMP SCR SYN CORT 3.5X36MM SELF TAP TI 404.836 $45.00

IMP SCR SYN CORT 3.5X40MM SELF TAP TI 404.840 $45.00

IMP SCR SYN CORT 3.5X45MM SELF TAP TI 404.845 $45.00

IMP SCR SYN CORT 3.5X55MM SELF TAP TI 404.855 $45.00

IMP SCR SYN CORTEX 1.5MM 311.15 $210.00

IMP SCR SYN CORTEX 1.5X04MM W/PLUSDRIVE TI 400.054E $184.00

IMP SCR SYN CORTEX 1.5X05MM W/PLUSDRIVE TI 400.055 $921.00

IMP SCR SYN CORTEX 1.5X06MM SELF TAP SS 200.806 $65.00

IMP SCR SYN CORTEX 1.5X06MM SS 200.006 $59.00

IMP SCR SYN CORTEX 1.5X07MM SELF TAP SS 200.807 $65.00

IMP SCR SYN CORTEX 1.5X07MM SS 200.007 $59.00

IMP SCR SYN CORTEX 1.5X08MM SELF TAP SS 200.808 $65.00

IMP SCR SYN CORTEX 1.5X08MM SS 200.008 $59.00

IMP SCR SYN CORTEX 1.5X09MM SELF TAP SS 200.809 $65.00

IMP SCR SYN CORTEX 1.5X09MM SS 200.009 $59.00

IMP SCR SYN CORTEX 1.5X10MM SELF TAP SS 200.810 $65.00

IMP SCR SYN CORTEX 1.5X10MM SS 200.010 $59.00

IMP SCR SYN CORTEX 1.5X11MM SELF TAP SS 200.811 $65.00

IMP SCR SYN CORTEX 1.5X11MM SS 200.011 $59.00

IMP SCR SYN CORTEX 1.5X12MM SELF TAP SS 200.812 $65.00

IMP SCR SYN CORTEX 1.5X12MM SS 200.012 $59.00

IMP SCR SYN CORTEX 1.5X14MM SELF TAP SS 200.814 $65.00

IMP SCR SYN CORTEX 1.5X14MM SS 200.014 $59.00

IMP SCR SYN CORTEX 1.5X16MM SELF TAP SS 200.816 $65.00

IMP SCR SYN CORTEX 1.5X16MM SS 200.016 $59.00

IMP SCR SYN CORTEX 1.5X18MM SELF TAP SS 200.818 $65.00

IMP SCR SYN CORTEX 2.0MM 311.19 $210.00

IMP SCR SYN CORTEX 2.0X04MM W/PLUSDRIVE TI 400.274 $818.00

IMP SCR SYN CORTEX 2.0X04MM W/PLUSDRIVE TI 401.061E $186.00

IMP SCR SYN CORTEX 2.0X05MM W/PLUSDRIVE TI 400.275 $818.00

IMP SCR SYN CORTEX 2.0X06MM SS 201.006 $59.00

IMP SCR SYN CORTEX 2.0X08MM SS 201.008 $59.00

IMP SCR SYN CORTEX 2.0X10MM SELF TAP SS 201.810 $65.00

IMP SCR SYN CORTEX 2.0X10MM SS 201.010 $59.00

IMP SCR SYN CORTEX 2.0X11MM SELF TAP SS 201.811 $65.00

IMP SCR SYN CORTEX 2.0X12MM SELF TAP SS 201.812 $65.00

IMP SCR SYN CORTEX 2.0X12MM SS 201.012 $59.00

IMP SCR SYN CORTEX 2.0X14MM SELF TAP SS 201.814 $65.00

IMP SCR SYN CORTEX 2.0X14MM SS 201.014 $59.00

IMP SCR SYN CORTEX 2.0X16MM SELF TAP SS 201.816 $65.00

IMP SCR SYN CORTEX 2.0X16MM SS 201.016 $59.00

IMP SCR SYN CORTEX 2.0X18MM SELF TAP SS 201.818 $65.00

IMP SCR SYN CORTEX 2.0X18MM SS 201.018 $59.00

Page 228: DESCRIPTION Price - Fairview

IMP SCR SYN CORTEX 2.0X20MM SELF TAP SS 201.820 $65.00

IMP SCR SYN CORTEX 2.0X20MM SS 201.020 $59.00

IMP SCR SYN CORTEX 2.0X6MM SELF TAP SS 201.806 $65.00

IMP SCR SYN CORTEX 2.0X8MM SELF TAP SS 201.808 $65.00

IMP SCR SYN CORTEX 2.4X10MM SELF TAP 201.640 $100.00

IMP SCR SYN CORTEX 2.4X12MM SELF TAP 201.642 $100.00

IMP SCR SYN CORTEX 2.4X14MM SELF TAP 201.644 $100.00

IMP SCR SYN CORTEX 2.4X16MM SELF TAP 201.646 $100.00

IMP SCR SYN CORTEX 2.4X18MM SELF TAP 201.648 $100.00

IMP SCR SYN CORTEX 2.4X20MM SELF TAP 201.650 $100.00

IMP SCR SYN CORTEX 2.4X22MM SELF TAP 201.652 $100.00

IMP SCR SYN CORTEX 2.4X24MM SELF TAP 201.654 $100.00

IMP SCR SYN CORTEX 2.4X26MM SELF TAP 201.656 $100.00

IMP SCR SYN CORTEX 2.4X28MM SELF TAP 201.658 $100.00

IMP SCR SYN CORTEX 2.4X30MM SELF TAP 201.660 $100.00

IMP SCR SYN CORTEX 2.4X32MM SELF TAP 201.662 $100.00

IMP SCR SYN CORTEX 2.4X34MM SELF TAP 201.664 $100.00

IMP SCR SYN CORTEX 2.4X36MM SELF TAP 201.666 $100.00

IMP SCR SYN CORTEX 2.4X38MM SELF TAP 201.668 $100.00

IMP SCR SYN CORTEX 2.4X40MM SELF TAP 201.670 $100.00

IMP SCR SYN CORTEX 2.4X8MM SELF TAP 201.638 $100.00

IMP SCR SYN CORTEX 2.7MM 311.26 $246.00

IMP SCR SYN CORTEX 2.7MM XLONG 311.28 $246.00

IMP SCR SYN CORTEX 2.7X06MM SELF TAP SS 202.806 $68.00

IMP SCR SYN CORTEX 2.7X06MM SS 202.006 $63.00

IMP SCR SYN CORTEX 2.7X08MM SELF TAP SS 202.808 $68.00

IMP SCR SYN CORTEX 2.7X08MM SS 202.008 $63.00

IMP SCR SYN CORTEX 2.7X10MM SELF TAP SS 202.810 $68.00

IMP SCR SYN CORTEX 2.7X10MM SS 210.010 $63.00

IMP SCR SYN CORTEX 2.7X12MM SELF TAP SS 202.812 $68.00

IMP SCR SYN CORTEX 2.7X12MM SS 202.012 $63.00

IMP SCR SYN CORTEX 2.7X14MM SELF TAP SS 202.814 $68.00

IMP SCR SYN CORTEX 2.7X14MM SS 202.014 $63.00

IMP SCR SYN CORTEX 2.7X16MM SELF TAP SS 202.816 $68.00

IMP SCR SYN CORTEX 2.7X16MM SS 202.016 $63.00

IMP SCR SYN CORTEX 2.7X18MM SELF TAP SS 202.818 $68.00

IMP SCR SYN CORTEX 2.7X18MM SS 202.018 $63.00

IMP SCR SYN CORTEX 2.7X20MM SELF TAP SS 202.820 $68.00

IMP SCR SYN CORTEX 2.7X20MM SS 202.020 $63.00

IMP SCR SYN CORTEX 2.7X22MM SELF TAP SS 202.822 $68.00

IMP SCR SYN CORTEX 2.7X22MM SS 202.022 $63.00

IMP SCR SYN CORTEX 2.7X24MM SELF TAP SS 202.824 $68.00

IMP SCR SYN CORTEX 2.7X24MM SS 202.024 $63.00

IMP SCR SYN CORTEX 2.7X26MM SELF TAP SS 202.826 $68.00

IMP SCR SYN CORTEX 2.7X28MM SELF TAP SS 202.828 $68.00

IMP SCR SYN CORTEX 2.7X30MM SELF TAP SS 202.830 $68.00

IMP SCR SYN CORTEX 2.7X32MM SELF TAP SS 202.832 $68.00

Page 229: DESCRIPTION Price - Fairview

IMP SCR SYN CORTEX 2.7X34MM SELF TAP SS 202.834 $68.00

IMP SCR SYN CORTEX 2.7X36MM SELF TAP SS 202.836 $68.00

IMP SCR SYN CORTEX 2.7X38MM SELF TAP SS 202.838 $68.00

IMP SCR SYN CORTEX 2.7X40MM SELF TAP SS 202.840 $68.00

IMP SCR SYN CORTEX 2.7X45MM SELF TAP SS 202.845 $68.00

IMP SCR SYN CORTEX 2.7X50MM SELF TAP SS 202.850 $68.00

IMP SCR SYN CORTEX 2.7X50MM SS 202.050 $63.00

IMP SCR SYN CORTEX 2.7X55MM SELF TAP SS 202.855 $68.00

IMP SCR SYN CORTEX 3.5X010MM FINE SS 204.010 $32.00

IMP SCR SYN CORTEX 3.5X012MM FINE SS 204.012 $32.00

IMP SCR SYN CORTEX 3.5X014MM FINE SS 204.014 $32.00

IMP SCR SYN CORTEX 3.5X016MM FINE SS 204.016 $32.00

IMP SCR SYN CORTEX 3.5X018MM FINE SS 204.018 $32.00

IMP SCR SYN CORTEX 3.5X020MM FINE SS 204.020 $32.00

IMP SCR SYN CORTEX 3.5X022MM FINE SS 204.022 $32.00

IMP SCR SYN CORTEX 3.5X024MM FINE SS 204.024 $32.00

IMP SCR SYN CORTEX 3.5X026MM FINE SS 204.026 $32.00

IMP SCR SYN CORTEX 3.5X028MM FINE SS 204.028 $32.00

IMP SCR SYN CORTEX 3.5X032MM FINE SS 204.032 $32.00

IMP SCR SYN CORTEX 3.5X036MM FINE SS 204.036 $32.00

IMP SCR SYN CORTEX 3.5X038MM FINE SS 204.038 $32.00

IMP SCR SYN CORTEX 3.5X040MM FINE SS 204.040 $32.00

IMP SCR SYN CORTEX 3.5X045MM FINE SS 204.045 $32.00

IMP SCR SYN CORTEX 3.5X050MM FINE SS 204.050 $32.00

IMP SCR SYN CORTEX 3.5X10MM SELF TAP SS 204.810 $45.00

IMP SCR SYN CORTEX 3.5X110MM 311.32 $246.00

IMP SCR SYN CORTEX 3.5X12MM SELF TAP SS 204.812 $45.00

IMP SCR SYN CORTEX 3.5X14MM SELF TAP SS 204.814 $45.00

IMP SCR SYN CORTEX 3.5X16MM SELF TAP SS 204.816 $45.00

IMP SCR SYN CORTEX 3.5X18MM SELF TAP SS 204.818 $45.00

IMP SCR SYN CORTEX 3.5X20MM SELF TAP SS 204.820 $45.00

IMP SCR SYN CORTEX 3.5X22MM SELF TAP SS 204.822 $45.00

IMP SCR SYN CORTEX 3.5X24MM SELF TAP SS 204.824 $45.00

IMP SCR SYN CORTEX 3.5X26MM SELF TAP SS 204.826 $45.00

IMP SCR SYN CORTEX 3.5X28MM SELF TAP SS 204.828 $45.00

IMP SCR SYN CORTEX 3.5X30MM SELF TAP SS 204.830 $45.00

IMP SCR SYN CORTEX 3.5X32MM SELF TAP SS 204.832 $45.00

IMP SCR SYN CORTEX 3.5X34MM SELF TAP SS 204.834 $45.00

IMP SCR SYN CORTEX 3.5X36MM SELF TAP SS 204.836 $45.00

IMP SCR SYN CORTEX 3.5X38MM SELF TAP SS 204.838 $45.00

IMP SCR SYN CORTEX 3.5X40MM SELF TAP SS 204.840 $45.00

IMP SCR SYN CORTEX 3.5X44MM SELF TAP SS 204.844 $45.00

IMP SCR SYN CORTEX 3.5X45MM SELF TAP SS 204.845 $45.00

IMP SCR SYN CORTEX 3.5X46MM SELF TAP SS 204.846 $45.00

IMP SCR SYN CORTEX 3.5X48MM SELF TAP SS 204.848 $45.00

IMP SCR SYN CORTEX 3.5X50MM SELF TAP SS 204.850 $45.00

IMP SCR SYN CORTEX 3.5X55MM SELF TAP SS 204.855 $45.00

Page 230: DESCRIPTION Price - Fairview

IMP SCR SYN CORTEX 3.5X60MM SELF TAP SS 204.860 $45.00

IMP SCR SYN CORTEX 3.5X65MM SELF TAP SS 204.865 $45.00

IMP SCR SYN CORTEX 3.5X70MM SELF TAP SS 204.870 $45.00

IMP SCR SYN CORTEX 3.5X75MM SELF TAP SS 204.875 $45.00

IMP SCR SYN CORTEX 3.5X80MM SELF TAP SS 204.880 $45.00

IMP SCR SYN CORTEX 3.5X85MM SELF TAP SS 204.885 $45.00

IMP SCR SYN CORTEX 3.5X90MM SELF TAP SS 204.890 $45.00

IMP SCR SYN CORTEX 4.5X14MM SELF TAP SS 214.814 $45.00

IMP SCR SYN CORTEX 4.5X16MM SELF TAP SS 214.816 $45.00

IMP SCR SYN CORTEX 4.5X18MM SELF TAP SS 214.818 $45.00

IMP SCR SYN CORTEX 4.5X20MM SELF TAP SS 214.820 $45.00

IMP SCR SYN CORTEX 4.5X22MM SELF TAP SS 214.822 $45.00

IMP SCR SYN CORTEX 4.5X24MM SELF TAP SS 214.824 $45.00

IMP SCR SYN CORTEX 4.5X24MM ST TI 414.824 $45.00

IMP SCR SYN CORTEX 4.5X26MM SELF TAP SS 214.826 $45.00

IMP SCR SYN CORTEX 4.5X26MM SS 214.026 $34.00

IMP SCR SYN CORTEX 4.5X26MM ST TI 414.826 $45.00

IMP SCR SYN CORTEX 4.5X28MM SELF TAP SS 214.828 $45.00

IMP SCR SYN CORTEX 4.5X28MM SS 214.028 $34.00

IMP SCR SYN CORTEX 4.5X30MM SELF TAP SS 214.830 $45.00

IMP SCR SYN CORTEX 4.5X30MM SS 214.030 $34.00

IMP SCR SYN CORTEX 4.5X32MM SELF TAP SS 214.832 $45.00

IMP SCR SYN CORTEX 4.5X32MM TI 414.032 $34.00

IMP SCR SYN CORTEX 4.5X34MM SELF TAP SS 214.834 $45.00

IMP SCR SYN CORTEX 4.5X36MM SELF TAP SS 214.836 $45.00

IMP SCR SYN CORTEX 4.5X36MM SS 214.036 $34.00

IMP SCR SYN CORTEX 4.5X38MM SELF TAP SS 214.838 $45.00

IMP SCR SYN CORTEX 4.5X38MM SS 214.038 $34.00

IMP SCR SYN CORTEX 4.5X40MM SELF TAP SS 214.840 $45.00

IMP SCR SYN CORTEX 4.5X40MM SS 214.040 $34.00

IMP SCR SYN CORTEX 4.5X42MM SELF TAP SS 214.842 $45.00

IMP SCR SYN CORTEX 4.5X42MM SS 214.042 $34.00

IMP SCR SYN CORTEX 4.5X44MM SELF TAP SS 214.844 $45.00

IMP SCR SYN CORTEX 4.5X46MM SELF TAP SS 214.846 $45.00

IMP SCR SYN CORTEX 4.5X48MM SELF TAP SS 214.848 $45.00

IMP SCR SYN CORTEX 4.5X48MM SS 214.048 $34.00

IMP SCR SYN CORTEX 4.5X50MM SELF TAP SS 214.850 $45.00

IMP SCR SYN CORTEX 4.5X52MM SELF TAP SS 214.852 $45.00

IMP SCR SYN CORTEX 4.5X52MM SS 214.052 $34.00

IMP SCR SYN CORTEX 4.5X54MM SELF TAP SS 214.854 $45.00

IMP SCR SYN CORTEX 4.5X54MM SS 214.054 $34.00

IMP SCR SYN CORTEX 4.5X56MM SELF TAP SS 214.856 $45.00

IMP SCR SYN CORTEX 4.5X58MM SELF TAP SS 214.858 $45.00

IMP SCR SYN CORTEX 4.5X60MM SELF TAP SS 214.860 $45.00

IMP SCR SYN CORTEX 4.5X60MM SS 214.060 $34.00

IMP SCR SYN CORTEX 4.5X62MM SELF TAP SS 214.862 $45.00

IMP SCR SYN CORTEX 4.5X62MM SS 214.062 $34.00

Page 231: DESCRIPTION Price - Fairview

IMP SCR SYN CORTEX 4.5X64MM SELF TAP SS 214.864 $45.00

IMP SCR SYN CORTEX 4.5X64MM SS $34.00

IMP SCR SYN CORTEX 4.5X66MM SELF TAP SS 214.866 $45.00

IMP SCR SYN CORTEX 4.5X66MM SS 214.066 $34.00

IMP SCR SYN CORTEX 4.5X68MM SELF TAP SS 214.868 $45.00

IMP SCR SYN CORTEX 4.5X68MM SS 214.068 $34.00

IMP SCR SYN CORTEX 4.5X70MM SELF TAP SS 214.870 $45.00

IMP SCR SYN CORTEX 4.5X70MM SS 214.070 $34.00

IMP SCR SYN CORTEX MOD HAND 1.5X06MM 400.806.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X07MM 400.807.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X08MM 400.808.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X09MM 400.809.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X10MM 400.810.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X11MM 400.811.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X12MM 400.812.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X13MM 400.813.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X14MM 400.814.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X16MM 400.816.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X18MM 400.818.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X20MM 400.820.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X22MM 400.822.96 $102.00

IMP SCR SYN CORTEX MOD HAND 1.5X24MM 400.824.96 $102.00

IMP SCR SYN CORTEX MOD HAND 2.0X06MM 401.806.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X07MM 401.807.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X08MM 401.808.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X09MM 401.809.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X10MM 401.810.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X11MM 401.811.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X12MM 401.812.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X13MM 401.813.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X14MM 401.814.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X16MM 401.816.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X18MM 401.818.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X20MM 401.820.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X24MM 401.824.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X26MM 401.826.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X28MM 401.828.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X30MM 401.830.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.0X32MM 401.832.96 $88.00

IMP SCR SYN CORTEX MOD HAND 2.4X06MM SELF TAP TI 401.506.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X07MM SELF TAP TI 401.507.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X08MM SELF TAP TI 401.508.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X09MM SELF TAP TI 401.509.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X10MM SELF TAP TI 401.510.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X11MM SELF TAP TI 401.511.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X12MM SELF TAP TI $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X13MM SELF TAP TI 401.513.96 $169.00

Page 232: DESCRIPTION Price - Fairview

IMP SCR SYN CORTEX MOD HAND 2.4X14MM SELF TAP TI 401.514.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X16MM SELF TAP TI 401.516.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X18MM SELF TAP 401.518.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X20MM SELF TAP TI 401.520.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X22MM SELF TAP TI 401.522.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X24MM SELF TAP TI 401.524.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X26MM SELF TAP TI 401.526.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X28MM SELF TAP TI 401.528.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X30MM SELF TAP TI 401.530.96 $169.00

IMP SCR SYN CORTEX MOD HAND 2.4X32MM SELF TAP TI 401.532.96 $169.00

IMP SCR SYN CORTEX PELVIC 3.5X55MM SS 204.655 $58.00

IMP SCR SYN CORTEX PELVIC 3.5X60MM SS 204.660 $58.00

IMP SCR SYN CORTEX PELVIC 3.5X65MM SS 204.665 $58.00

IMP SCR SYN CORTEX PELVIC 3.5X70MM SS 204.670 $58.00

IMP SCR SYN CORTEX PELVIC 3.5X75MM SS 204.675 $58.00

IMP SCR SYN CORTEX PELVIC 3.5X80MM SS 204.680 $58.00

IMP SCR SYN CORTEX PELVIC 3.5X85MM SS 204.685 $58.00

IMP SCR SYN CORTEX PELVIC 3.5X90MM SS 204.690 $58.00

IMP SCR SYN CORTEX RECESS 2.0X06MM ST TI 401.136.99 $138.00

IMP SCR SYN CORTEX RECESS 2.0X08MM ST TI 401.138.99 $138.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X06MM 201.356.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X07MM 201.357.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X08MM 201.358.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X09MM 201.359.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X10MM 201.360.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X11MM 201.361.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X12MM 201.362.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X13MM 201.363.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X14MM 201.364.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X16MM 201.366.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X18MM 201.368.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X20MM 201.370.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X22MM 201.372.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X24MM 201.374.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X26MM 201.375.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X28MM 201.376.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X30MM 201.377.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X32MM 201.378.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X34MM 201.379.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X36MM 201.380.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X38MM 201.381.97 $85.00

IMP SCR SYN CORTEX SELF TAP T6 STARDRIVE 2.0X40MM 201.382.97 $85.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X10MM SELF TAP 202.870 $81.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X12MM SELF TAP 202.872 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X14MM SELF TAP 202.874 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X16MM SELF TAP 202.876 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X18MM SELF TAP 202.878 $87.00

Page 233: DESCRIPTION Price - Fairview

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X20MM SELF TAP 202.880 $81.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X22MM SELF TAP 202.882 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X24MM SELF TAP 202.884 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X26MM SELF TAP 202.886 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X28MM SELF TAP 202.888 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X30MM SELF TAP 202.890 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X32MM SELF TAP 202.892 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X34MM SELF TAP 202.894 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X36MM SELF TAP 202.896 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X38MM SELF TAP 202.898 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X40MM SELF TAP 202.900 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X42MM SELF TAP 202.962 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X44MM SELF TAP 202.963 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X46MM SELF TAP 202.965 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X48MM SELF TAP 202.966 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X50MM SELF TAP 202.967 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X55MM SELF TAP 202.968 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE 2.7X60MM SELF TAP 202.969 $87.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X10MM 02.210.080 $313.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X12MM 02.210.082 $313.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X14MM 02.210.084 $313.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X16MM 02.210.086 $313.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X18MM 02.210.088 $313.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X20MM 02.210.090 $313.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X22MM 02.210.092 $313.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X24MM 02.210.094 $313.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X26MM 02.210.096 $313.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X28MM 02.210.098 $313.00

IMP SCR SYN CORTEX T8 STARDRIVE BTRS PIN 1.8X8MM 02.210.078 $313.00

IMP SCR SYN CORTIC 3.5X12MM SELF TAP TI 404.812 $45.00

IMP SCR SYN CORTIC 3.5X14MM SELF TAP TI 404.814 $45.00

IMP SCR SYN CORTIC 3.5X16MM SELF TAP TI 404.816 $45.00

IMP SCR SYN CORTIC 3.5X18MM SELF TAP TI 404.818 $45.00

IMP SCR SYN CORTIC 3.5X20MM SELF TAP TI 404.820 $45.00

IMP SCR SYN CORTIC CANC LP 6X40MM W/T25 STARDRIVE 04.639.640 $1,000.00

IMP SCR SYN CORTICAL 2.0X04MM W/STARDRIVE SD TI 401.134.99 $138.00

IMP SCR SYN CORTICAL 2.0X04MM W/STARDRIVE TI 401.354.99 $138.00

IMP SCR SYN CORTICAL 2.0X06MM W/STARDRIVE TI 401.356.99 $138.00

IMP SCR SYN CORTICAL 2.0X08MM W/STARDRIVE ST TI 401.358.99 $138.00

IMP SCR SYN CORTICAL 2.7X14MM SELF TAP TI 402.814 $68.00

IMP SCR SYN CORTICAL 2.7X18MM SELF TAP TI 402.818 $68.00

IMP SCR SYN CORTICAL 2.7X22MM SELF TAP TI 402.822 $68.00

IMP SCR SYN DHS/DCS 36MM COMPRESSION 280.990 $87.00

IMP SCR SYN DHS/DCS LAG 12.7X100MM 1 STEP SS 280.301 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X105MM 1 STEP SS 280.305 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X110MM 1 STEP SS 280.310 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X115MM 1 STEP SS 280.315 $681.00

Page 234: DESCRIPTION Price - Fairview

IMP SCR SYN DHS/DCS LAG 12.7X120MM 1 STEP SS 280.320 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X125MM 1 STEP SS 280.325 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X130MM 1 STEP SS $681.00

IMP SCR SYN DHS/DCS LAG 12.7X135MM 1 STEP SS $681.00

IMP SCR SYN DHS/DCS LAG 12.7X140MM 1 STEP SS $681.00

IMP SCR SYN DHS/DCS LAG 12.7X145MM 1 STEP SS $681.00

IMP SCR SYN DHS/DCS LAG 12.7X50MM 1 STEP SS 280.251 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X55MM 1 STEP SS 280.255 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X60MM 1 STEP SS 280.260 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X65MM 1 STEP SS 280.265 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X70MM 1 STEP SS 280.270 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X75MM 1 STEP SS 280.275 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X80MM 1 STEP SS 280.280 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X85MM 1 STEP SS 280.285 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X90MM 1 STEP SS 280.290 $681.00

IMP SCR SYN DHS/DCS LAG 12.7X95MM 1 STEP SS 280.295 $681.00

IMP SCR SYN DHS/DCS LAG 14X90MM 1 STEP SS 280.690 $745.00

IMP SCR SYN DUAL CORE LOCK 5.0X30MM TI 04.015.520 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X35MM TI 04.015.525 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X40MM TI 04.015.530 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X45MM TI 04.015.535 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X50MM TI 04.015.540 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X55MM TI 04.015.545 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X60MM TI 04.015.550 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X65MM TI 04.015.555 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X65MM TI 04.015.555S $511.00

IMP SCR SYN DUAL CORE LOCK 5.0X70MM TI 04.015.560 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X75MM TI04.015.565 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X80MM TI 04.015.570 $420.00

IMP SCR SYN DUAL CORE LOCK 5.0X85MM TI 04.015.575 $420.00

IMP SCR SYN GOLD TI 11X100MM 04.032.100S $1,161.00

IMP SCR SYN GOLD TI 11X90MM 04.032.090S $1,161.00

IMP SCR SYN GOLD TI 11X95MM 04.032.095S $1,161.00

IMP SCR SYN LC-DCP 04H 2.4X35MM 249.924 $619.00

IMP SCR SYN LC-DCP 08H 2.4X67MM 249.928 $754.00

IMP SCR SYN LC-DCP 2.4MM 06H 249.929 $699.00

IMP SCR SYN LCP 4.0X14MM SELF TAP W/STAR DRIVE 02.204.014 $342.00

IMP SCR SYN LCP 4.0X16MM SELF TAP W/STAR DRIVE 02.204.016 $342.00

IMP SCR SYN LCP 4.0X18MM SELF TAP W/STAR DRIVE 02.204.018 $342.00

IMP SCR SYN LCP 4.0X20MM SELF TAP W/STAR DRIVE 02.204.020 $342.00

IMP SCR SYN LCP 4.0X22MM SELF TAP W/STAR DRIVE 02.204.022 $342.00

IMP SCR SYN LCP 4.0X24MM SELF TAP W/STAR DRIVE 02.204.024 $342.00

IMP SCR SYN LCP 4.0X26MM SELF TAP W/STAR DRIVE 02.204.026 $342.00

IMP SCR SYN LCP 4.0X28MM SELF TAP W/STAR DRIVE 02.204.028 $342.00

IMP SCR SYN LCP 4.0X30MM SELF TAP W/STAR DRIVE 02.204.030 $342.00

IMP SCR SYN LCP 4.0X32MM SELF TAP W/STAR DRIVE 02.204.032 $342.00

IMP SCR SYN LCP 4.0X34MM SELF TAP W/STAR DRIVE 02.204.034 $342.00

Page 235: DESCRIPTION Price - Fairview

IMP SCR SYN LCP 4.0X36MM SELF TAP W/STAR DRIVE 02.204036 $342.00

IMP SCR SYN LCP 4.0X38MM SELF TAP W/STAR DRIVE 02.204.038 $342.00

IMP SCR SYN LCP 4.0X40MM SELF TAP W/STAR DRIVE 02.204.040 $342.00

IMP SCR SYN LCP 4.0X42MM SELF TAP W/STAR DRIVE 02.204.042 $342.00

IMP SCR SYN LCP 4.0X44MM SELF TAP W/STAR DRIVE02.204.044 $342.00

IMP SCR SYN LCP 4.0X46MM SELF TAP W/STAR DRIVE 02.204.046 $342.00

IMP SCR SYN LCP 4.0X48MM SELF TAP W/STAR DRIVE 02.204.048 $342.00

IMP SCR SYN LCP 4.0X50MM SELF TAP W/STAR DRIVE 02.204.050 $342.00

IMP SCR SYN LCP 4.0X52MM SELF TAP W/STAR DRIVE 02.204.052 $342.00

IMP SCR SYN LCP 4.0X54MM SELF TAP W/STAR DRIVE 02.204.054 $342.00

IMP SCR SYN LCP 4.0X56MM SELF TAP W/STAR DRIVE 02.204.056 $342.00

IMP SCR SYN LCP 4.0X58MM SELF TAP W/STAR DRIVE 02.204.058 $342.00

IMP SCR SYN LCP 4.0X60MM SELF TAP W/STAR DRIVE 02.204.060 $342.00

IMP SCR SYN LCP 4.0X62MM SELF TAP W/STAR DRIVE 02.204.062 $342.00

IMP SCR SYN LCP 5.0X10MM PERIPROSTHETIC 02.221.510 $513.00

IMP SCR SYN LCP 5.0X12MM PERIPROSTHETIC 02.221.512 $513.00

IMP SCR SYN LCP 5.0X8MM PERIPROSTHETIC 02.221.508 $513.00

IMP SCR SYN LCP COMPRESSION 211.890 $87.00

IMP SCR SYN LCP CORTEX 2.4X10MM SELF TAP 201.760 $129.00

IMP SCR SYN LCP CORTEX 2.4X12MM SELF TAP 201.762 $129.00

IMP SCR SYN LCP CORTEX 2.4X14MM SELF TAP 201.764 $129.00

IMP SCR SYN LCP CORTEX 2.4X16MM SELF TAP 201.766 $129.00

IMP SCR SYN LCP CORTEX 2.4X18MM SELF TAP 201.768 $129.00

IMP SCR SYN LCP CORTEX 2.4X20MM SELF TAP 201.770 $129.00

IMP SCR SYN LCP CORTEX 2.4X22MM SELF TAP 201.772 $129.00

IMP SCR SYN LCP CORTEX 2.4X24MM SELF TAP 201.774 $129.00

IMP SCR SYN LCP CORTEX 2.4X26MM SELF TAP 201.776 $129.00

IMP SCR SYN LCP CORTEX 2.4X28MM SELF TAP 201.778 $129.00

IMP SCR SYN LCP CORTEX 2.4X30MM SELF TAP 201.780 $129.00

IMP SCR SYN LCP CORTEX 2.4X32MM SELF TAP 201.782 $113.00

IMP SCR SYN LCP CORTEX 2.4X34MM SELF TAP 201.784 $129.00

IMP SCR SYN LCP CORTEX 2.4X36MM SELF TAP 201.786 $129.00

IMP SCR SYN LCP CORTEX 2.4X38MM SELF TAP 201.788 $129.00

IMP SCR SYN LCP CORTEX 2.4X40MM SELF TAP 201.790 $129.00

IMP SCR SYN LCP DIST 2.4X06MM SELF TAP SS 212.806 $272.00

IMP SCR SYN LCP DIST 2.4X07MM SELF TAP SS 212.807 $272.00

IMP SCR SYN LCP DIST 2.4X08MM SELF TAP SS 212.808 $272.00

IMP SCR SYN LCP DIST 2.4X09MM SELF TAP SS 212.809 $272.00

IMP SCR SYN LCP DIST 2.4X10MM SELF TAP SS 212.810 $272.00

IMP SCR SYN LCP DIST 2.4X11MM SELF TAP SS 212.811 $272.00

IMP SCR SYN LCP DIST 2.4X13MM SELF TAP SS 212.813 $272.00

IMP SCR SYN LCP DIST 2.4X14MM SELF TAP SS 212.814 $272.00

IMP SCR SYN LCP DIST 2.4X16MM SELF TAP SS 212.816 $272.00

IMP SCR SYN LCP DIST 2.4X18MM SELF TAP SS 212.818 $272.00

IMP SCR SYN LCP DIST 2.4X20MM SELF TAP SS 212.820 $272.00

IMP SCR SYN LCP DIST 2.4X22MM SELF TAP SS 212.822 $272.00

IMP SCR SYN LCP DIST 2.4X24MM SELF TAP SS 212.824 $272.00

Page 236: DESCRIPTION Price - Fairview

IMP SCR SYN LCP DIST 2.4X26MM SELF TAP SS 212.826 $272.00

IMP SCR SYN LCP DIST 2.4X28MM SELF TAP SS 212.828 $272.00

IMP SCR SYN LCP DIST 2.4X30MM SELF TAP SS 212.830 $272.00

IMP SCR SYN LCP DIST 2.7X08MM SELF TAP SS 202.208 $282.00

IMP SCR SYN LCP DIST 2.7X10MM SELF TAP SS 202.210 $282.00

IMP SCR SYN LCP DIST 2.7X12MM SELF TAP SS 202.212 $282.00

IMP SCR SYN LCP DIST 2.7X14MM SELF TAP SS 202.214 $282.00

IMP SCR SYN LCP DIST 2.7X16MM SELF TAP SS 202.216 $282.00

IMP SCR SYN LCP DIST 2.7X18MM SELF TAP SS 202.218 $282.00

IMP SCR SYN LCP DIST 2.7X20MM SELF TAP SS 202.220 $282.00

IMP SCR SYN LCP DIST 2.7X22MM SELF TAP SS 202.222 $282.00

IMP SCR SYN LCP DIST 2.7X24MM SELF TAP SS 202.224 $282.00

IMP SCR SYN LCP DIST 2.7X26MM SELF TAP SS 202.226 $282.00

IMP SCR SYN LCP DIST 2.7X28MM SELF TAP SS 202.228 $282.00

IMP SCR SYN LCP DIST 2.7X30MM SELF TAP SS 202.230 $282.00

IMP SCR SYN LCP DIST 2.7X32MM SELF TAP SS 202.232 $282.00

IMP SCR SYN LCP DIST 2.7X34MM SELF TAP SS 202.234 $282.00

IMP SCR SYN LCP DIST 2.7X36MM SELF TAP SS 202.236 $282.00

IMP SCR SYN LCP DIST 2.7X38MM SELF TAP SS 202.238 $282.00

IMP SCR SYN LCP DIST 2.7X40MM SELF TAP SS 202.240 $282.00

IMP SCR SYN LCP DIST 2.7X42MM SELF TAP SS 202.242 $282.00

IMP SCR SYN LCP DIST 2.7X44MM SELF TAP SS 202.244 $282.00

IMP SCR SYN LCP DIST 2.7X46MM SELF TAP SS 202.246 $282.00

IMP SCR SYN LCP DIST 2.7X48MM SELF TAP SS 202.248 $282.00

IMP SCR SYN LCP DIST 2.7X50MM SELF TAP SS 202.250 $282.00

IMP SCR SYN LCP DIST 2.7X55MM SEFL TAP SS 202.255 $282.00

IMP SCR SYN LCP DIST 2.7X60MM SELF TAP SS 202.260 $282.00

IMP SCR SYN LCR CORTEX 2.4X06MM SELF TAP 201.756 $129.00

IMP SCR SYN LCR CORTEX 2.4X07MM SELF TAP 201.757 $129.00

IMP SCR SYN LCR CORTEX 2.4X08MM SELF TAP 201.758 $129.00

IMP SCR SYN LCR CORTEX 2.4X09MM SELF TAP 207.759 $129.00

IMP SCR SYN LCR CORTEX 2.4X11MM SELF TAP 201.761 $129.00

IMP SCR SYN LCR CORTEX 2.4X13MM SELF TAP 201.763 $129.00

IMP SCR SYN LCR DIST 2.4X12MM SELF TAP SS 212.812 $272.00

IMP SCR SYN LOCK T15 STARDRIVE 3.5X14MM SELF TAP TI 412.103 $297.00

IMP SCR SYN LOCK T15 STARDRIVE 3.5X16MM SELF TAP TI 412.104 $297.00

IMP SCR SYN LOCK T15 STARDRIVE 3.5X18MM SELF TAP TI 412.105 $297.00

IMP SCR SYN LOCK T15 STARDRIVE 3.5X20MM SELF TAP TI 412.106 $297.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X06MM SELF TAP 201.876 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X07MM SELF TAP 201.877 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X08MM SELF TAP 201.878 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X09MM SELF TAP 201.879 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X10MM SELF TAP 201.880 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X11MM SELF TAP 201.881 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X12MM SELF TAP 201.882 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X13MM SELF TAP 201.883 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X14MM SELF TAP 201.884 $272.00

Page 237: DESCRIPTION Price - Fairview

IMP SCR SYN LOCK T6 STARDRIVE 2.0X16MM SELF TAP 201.886 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X18MM SELF TAP 201.888 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X20MM SELF TAP 201.890 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X22MM SELF TAP 201.892 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X24MM SELF TAP 201.894 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X26MM SELF TAP 201.896 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X28MM SELF TAP 201.898 $272.00

IMP SCR SYN LOCK T6 STARDRIVE 2.0X30MM SELF TAP 201.900 $272.00

IMP SCR SYN LOCKING 3.5X14MM W/T15 STARDRIVE 02.271.114 $389.00

IMP SCR SYN LOCKING 3.5X48MM W/T15 STARDRIVE 02.271.148 $389.00

IMP SCR SYN LOCKING 5.0X100 TI 458.999 $380.00

IMP SCR SYN LOCKING 5.0X26MM TI 458.926 $380.00

IMP SCR SYN LOCKING 5.0X28MM TI 458.928 $380.00

IMP SCR SYN LOCKING 5.0X30MM TI 458.930 $380.00

IMP SCR SYN LOCKING 5.0X32MM TI 458.932 $380.00

IMP SCR SYN LOCKING 5.0X34MM TI 458.934 $380.00

IMP SCR SYN LOCKING 5.0X36MM TI 458.936 $380.00

IMP SCR SYN LOCKING 5.0X38MM TI 458.938 $380.00

IMP SCR SYN LOCKING 5.0X40MM TI 458.940 $380.00

IMP SCR SYN LOCKING 5.0X42MM TI 458.942 $380.00

IMP SCR SYN LOCKING 5.0X44MM TI 458.944 $380.00

IMP SCR SYN LOCKING 5.0X46MM TI 458.946 $380.00

IMP SCR SYN LOCKING 5.0X48MM TI 458.948 $380.00

IMP SCR SYN LOCKING 5.0X50MM TI 458.950 $380.00

IMP SCR SYN LOCKING 5.0X52MM TI 458.952 $380.00

IMP SCR SYN LOCKING 5.0X54MM TI 458.954 $380.00

IMP SCR SYN LOCKING 5.0X56MM TI 458.956 $380.00

IMP SCR SYN LOCKING 5.0X58MM TI 458.958 $380.00

IMP SCR SYN LOCKING 5.0X60MM TI 458.960 $380.00

IMP SCR SYN LOCKING 5.0X64MM TI 458.964 $380.00

IMP SCR SYN LOCKING 5.0X68MM TI 458.968 $380.00

IMP SCR SYN LOCKING 5.0X72MM TI 458.972 $380.00

IMP SCR SYN LOCKING 5.0X76MM TI 458.976 $380.00

IMP SCR SYN LOCKING 5.0X80MM TI 458.980 $380.00

IMP SCR SYN LOCKING 5.0X85MM TI 458.985 $380.00

IMP SCR SYN LOCKING 5.0X90MM TI 458.990 $380.00

IMP SCR SYN LOCKING 5.0X95MM TI 458.995 $380.00

IMP SCR SYN MALLEOLAR 4.5X25MM SS 215.025 $67.00

IMP SCR SYN MALLEOLAR 4.5X30MM SS 215.030 $67.00

IMP SCR SYN MALLEOLAR 4.5X35MM SS 215.035 $67.00

IMP SCR SYN MALLEOLAR 4.5X40MM SS 215.040 $67.00

IMP SCR SYN MALLEOLAR 4.5X45MM SS 215.045 $67.00

IMP SCR SYN MALLEOLAR 4.5X50MM SS 215.050 $67.00

IMP SCR SYN MALLEOLAR 4.5X55MM SS $67.00

IMP SCR SYN MALLEOLAR 4.5X60MM SS 215.060 $67.00

IMP SCR SYN MALLEOLAR 4.5X65MM SS 215.065 $67.00

IMP SCR SYN MALLEOLAR 4.5X70MM SS 215.070 $67.00

Page 238: DESCRIPTION Price - Fairview

IMP SCR SYN MATRIX LOW PRO 1.5X03MM SELF DRILL 04.503.103.01 $79.00

IMP SCR SYN MATRIX LOW PRO 1.5X04MM SELF DRILL 04.503.104.01 $79.00

IMP SCR SYN MATRIX LOW PRO 1.5X05MM SELF DRILL 04.503.105.01 $79.00

IMP SCR SYN MATRIX LOW PROFILE 2.0X03MM EMERG 04.503.113.01 $223.00

IMP SCR SYN MATRIX LOW PROFILE 2.0X04MM EMERG 04.503.114.01 $223.00

IMP SCR SYN MATRIX LOW PROFILE 2.0X05MM EMERG 04.503.115.01 $223.00

IMP SCR SYN MOD HAND CORTEX 1.0X06MM 400.526 $151.00

IMP SCR SYN MOD HAND CORTEX 1.0X07MM 400.527 $151.00

IMP SCR SYN MOD HAND CORTEX 1.0X08MM 400.528 $151.00

IMP SCR SYN MOD HAND CORTEX 1.0X09MM 400.529 $151.00

IMP SCR SYN MOD HAND CORTEX 1.0X10MM 400.530 $151.00

IMP SCR SYN MOD HAND CORTEX 1.0X11MM 400.531 $151.00

IMP SCR SYN MOD HAND CORTEX 1.0X12MM 400.532 $151.00

IMP SCR SYN MOD HAND CORTEX 1.0X13MM 400.533 $151.00

IMP SCR SYN MOD HAND CORTEX 1.0X14MM 400.534 $151.00

IMP SCR SYN MOD HAND CORTEX 1.3X10MM 400.690 $159.00

IMP SCR SYN MOD HAND CORTEX 1.3X11MM 400.691 $159.00

IMP SCR SYN MOD HAND CORTEX 1.3X12MM 400.692 $159.00

IMP SCR SYN MOD HAND CORTEX 1.3X13MM 400.693 $159.00

IMP SCR SYN MOD HAND CORTEX 1.3X14MM 400.694 $159.00

IMP SCR SYN MOD HAND CORTEX 1.3X16MM 400.696 $159.00

IMP SCR SYN MOD HAND CORTEX 1.3X18MM 400.698 $159.00

IMP SCR SYN MOD HAND CORTEX 1.3X6MM 400.686 $159.00

IMP SCR SYN MOD HAND CORTEX 1.3X7MM 400.687 $159.00

IMP SCR SYN MOD HAND CORTEX 1.3X8MM 400.688 $159.00

IMP SCR SYN MOD HAND CORTEX 1.3X9MM 400.689 $159.00

IMP SCR SYN SCHANZ 4.0X100MM SELF DRILL SS 294.776 $303.00

IMP SCR SYN SCHANZ 4.0X80MM SELF DRILL SS 294.775 $303.00

IMP SCR SYN SELF TAPPING 2.7X28MM W/STARDRIVE 02.118.528 $118.00

IMP SCR SYN SELF TAPPING 2.7X32MM W/STARDRIVE 02.118.532 $118.00

IMP SCR SYN TFNA FENESTRATED LAG 100MM 04.038.200S $1,769.00

IMP SCR SYN TFNA FENESTRATED LAG 105MM 04.038.205S $2,106.00

IMP SCR SYN TFNA FENESTRATED LAG 110MM 04.038.210S $1,769.00

IMP SCR SYN TFNA FENESTRATED LAG 115MM 04.038.215S $2,106.00

IMP SCR SYN TFNA FENESTRATED LAG 120MM 04.038.220S $2,106.00

IMP SCR SYN TFNA FENESTRATED LAG 125MM 04.038.225S $2,106.00

IMP SCR SYN TFNA FENESTRATED LAG 75MM 04.038.175S $2,106.00

IMP SCR SYN TFNA FENESTRATED LAG 80MM 04.038.180S $2,106.00

IMP SCR SYN TFNA FENESTRATED LAG 85MM 04.038.185S $2,106.00

IMP SCR SYN TFNA FENESTRATED LAG 90MM 04.038.190S $2,106.00

IMP SCR SYN TFNA FENESTRATED LAG 95MM 04.038.195S $2,106.00

IMP SCR TAP ARTHREX COMPOSITE 23MM AR-1996CT-07 $750.00

IMP SCR TAP SYN 4.5X130MM 311.46 $245.00

IMP SCR TAP SYN 6.5X197MM 311.66 $540.00

IMP SCR TRILLIANT CAN TIGER 2.4X10MM TI 200-24-010 $375.00

IMP SCR TRILLIANT CAN TIGER 2.4X12MM TI 200-24-012 $375.00

IMP SCR TRILLIANT CAN TIGER 2.4X14MM TI 200-24-014 $300.00

Page 239: DESCRIPTION Price - Fairview

IMP SCR TRILLIANT CAN TIGER 2.4X16MM TI 200-24-016 $300.00

IMP SCR TRILLIANT CAN TIGER 2.4X18MM TI 200-24-018 $375.00

IMP SCR TRILLIANT CAN TIGER 3.0X18MM TI 200-30-018 $375.00

IMP SCR TRILLIANT CAN TIGER 3.0X28MM TI 200-30-028 $375.00

IMP SCR TRILLIANT CAN TIGER 3.0X34MM TI 200-30-034 $375.00

IMP SCR TRILLIANT CAN TIGER 4.0X32MM TI 200-40-032 $375.00

IMP SCR TRILLIANT CAN TIGER 4.0X36MM TI 200-40-036 $375.00

IMP SCR TRILLIANT CAN TIGER 4.0X38MM TI 200-40-038 $375.00

IMP SCR TRILLIANT CAN TIGER 4.0X40MM TI 200-40-040 $375.00

IMP SCR TRIMED XPODE 2.4X12MM LOCKING NC2412 $250.00

IMP SCR TRIMED XPODE 2.4X14MM LOCKING NC2414 $250.00

IMP SCR TRIMED XPODE 2.4X16MM LOCKING NC2416 $250.00

IMP SCR TRIMED XPODE 2.4X18MM LOCKING NC2418 $250.00

IMP SCR TRIMED XPODE 2.4X20MM LOCKING NC2420 $250.00

IMP SCR VARIAX 2.3X14MM 52-23014 $210.00

IMP SCR VARIAX 2.3X16MM 52-23016 $235.00

IMP SCR VARIAX 2.7X12MM 52-27012 $235.00

IMP SCR VARIAX 2.7X14MM 52-27014 $235.00

IMP SCR VARIAX 2.7X16MM 52-27016 $235.00

IMP SCR VARIAX 2.7X24MM 52-27024 $235.00

IMP SCR VARIAX 2.7X26MM 52-27026 $141.00

IMP SCR VENTURE 4.0X15 VAR SELF TAP 9790315 $375.00

IMP SCR VENTURE 4.5X15 FIX SELF TAP 9795215 $375.00

IMP SCR VENTURE 4.5X15 VAR SELF TAP 9795315 $375.00

IMP SCR VERTEX 3.5X10MM MA 6958710 $2,000.00

IMP SCR VERTEX 3.5X12MM MA 6958712 $2,000.00

IMP SCR VERTEX 3.5X14MM MA 6958714 $2,000.00

IMP SCR VERTEX 3.5X16MM MA 6958716 $2,000.00

IMP SCR VERTEX 3.5X18MM MA 6958718 $2,000.00

IMP SCR VERTEX 3.5X20MM MA 6958720 $2,000.00

IMP SCR VERTEX 3.5X22MM MA 6958722 $2,000.00

IMP SCR VERTEX 3.5X24MM MA 6958724 $2,000.00

IMP SCR VERTEX 4.0X10MM MA 6958810 $2,000.00

IMP SCR VERTEX 4.0X12MM MA 6958812 $2,000.00

IMP SCR VERTEX 4.0X14MM MA 6958814 $2,000.00

IMP SCR VERTEX 4.0X16MM MA 6958816 $2,000.00

IMP SCR VERTEX 4.0X18MM MA 6958818 $2,000.00

IMP SCR VERTEX 4.0X20MM MA 6958820 $2,000.00

IMP SCR VERTEX 4.0X22MM MA 6958822 $2,000.00

IMP SCR VERTEX 4.0X24MM MA 6958824 $2,000.00

IMP SCR VERTEX 4.0X26MM MA 6958826 $2,000.00

IMP SCR VERTEX 4.0X28MM MA 6958828 $2,000.00

IMP SCR VERTEX 4.0X30MM MA 6958830 $2,000.00

IMP SCR VERTEX 4.0X32MM MA 6958832 $2,000.00

IMP SCR ZIM 6.5X20MM ACET CUP SELF TAP 00-6250-065-20 $63.00

IMP SCR ZIM 6.5X25MM ACET CUP SELF TAP 00-6250-065-25 $63.00

IMP SCR ZIM 6.5X30MM ACET CUP SELF TAP 00-6250-065-30 $63.00

Page 240: DESCRIPTION Price - Fairview

IMP SCR ZIM 6.5X35MM ACET CUP SELF TAP 00-6250-065-35 $63.00

IMP SCR ZIM 6.5X40MM ACET CUP SELF TAP 00-6250-065-40 $63.00

IMP SCR ZIM 6.5X50MM ACET CUP SELF TAP 00-6250-065-50 $63.00

IMP SCR ZIM CORT 3.5X14MM SELF TAP SM HEX SS $64.00

IMP SCR ZIM CORT 3.5X16MM SELF TAP SM HEX SS $64.00

IMP SCR ZIM CORT 3.5X20MM SELF TAP SM HEX SS $64.00

IMP SCREW MEDARTIS CORTICAL 4 HEAD 1.2X8MM A-5100.08/1 $938.00

IMP SCREW MEDARTIS CORTICAL 4 HEAD 1.2X9MM A-5100.09/1 $938.00

IMP SCREW MEDARTIS CORTICAL 4 HEAD 1.5X12MM A-5200.12/1 $938.00

IMP SCREW MEDARTIS CORTICAL 4 HEAD 1.5X18MM A-5200.18/1 $938.00

IMP SCREW MEDARTIS CORTICAL 4 HEAD 1.5X8MM A-5200.08/1 $938.00

IMP SCREW MEDARTIS CORTICAL 4 HEAD 1.5X9MM A-5200.09/1 $938.00

IMP SCREW MEDARTIS LOCKING 4 HEAD 1.5X10MM A-5250.10/1 $1,538.00

IMP SCREW MEDARTIS LOCKING 4 HEAD 1.5X11MM A-5250.11/1 $1,538.00

IMP SCREW MEDARTIS LOCKING 4 HEAD 1.5X12MM A-5250.12/1 $1,538.00

IMP SCREW MEDARTIS LOCKING 4 HEAD 1.5X13MM A-5250.13/1 $1,538.00

IMP SCREW MEDARTIS LOCKING 4 HEAD 1.5X6MM A-5250.06/1 $1,538.00

IMP SCREW MEDARTIS LOCKING 4 HEAD 1.5X8MM A-5250.08/1 $1,538.00

IMP SCREW MEDARTIS LOCKING 4 HEAD 1.5X9MM A-5250.09/1 $1,538.00

IMP SET SCR MEDT LONGITUDE II 5.5MM TI 5540430 $163.00

IMP SHELL ACET DEPUY PINNACLE GRIPTION 48MM 121732048 $2,350.00

IMP SHELL ACET DEPUY PINNACLE GRIPTION 54MM 121732054 $2,350.00

IMP SHELL ACET DEPUY PINNACLE GRIPTION 58MM 121732058 $2,350.00

IMP SHELL ACET STRK CLUSTER HOLE 44MM SZ A 502-03-44A $2,000.00

IMP SHELL ACET STRK CLUSTER HOLE 48MM SZ C 502-03-48C $2,000.00

IMP SHELL ACET STRK CLUSTER HOLE 50MM SZ D 502-03-50D $2,000.00

IMP SHELL ACET STRK CLUSTER HOLE 52MM SZ D 502-03-52D $2,000.00

IMP SHELL ACET STRK CLUSTER HOLE 54MM SZ E 502-03-54E $2,000.00

IMP SHELL ACET STRK CLUSTER HOLE 56MM SZ E 502-03-56E $2,000.00

IMP SHELL ACET STRK CLUSTER HOLE 58MM SZ F 502-03-58F $2,000.00

IMP SHELL ACET STRK CLUSTER HOLE 60MM SZ F 502-03-60F $2,000.00

IMP SHELL ACET STRK CLUSTER HOLE 62MM SZ G 502-03-62G $2,000.00

IMP SHELL ACET STRK CLUSTER HOLE 62X63.8MM SZ H 542-11-62H $2,000.00

IMP SHELL ACET STRK CLUSTER HOLE 64MM SZ G 502-03-64G $2,000.00

IMP SHELL ACET STRK MULTI-HOLE REV 54MM SZ E 509-02-54E $7,492.00

IMP SHELL ACET STRK MULTI-HOLE REV 56MM SZ E 509-02-56E $7,492.00

IMP SHELL ACET STRK MULTI-HOLE REV 58MM SZ F 509-02-58F $7,492.00

IMP SHELL ACET STRK MULTI-HOLE REV 60MM SZ F 509-02-60F $7,492.00

IMP SHELL ACET STRK MULTI-HOLE REV 62MM SZ G 509-02-62G $7,492.00

IMP SHELL ACET STRK MULTI-HOLE REV 66MM SZ H 509-02-66H $7,492.00

IMP SHELL ACET STRK RESTORATION HIP ADM 50MM RT 1235-2-501 $2,000.00

IMP SHELL ACET STRK RESTORATION HIP ADM 52MM LT 1235-2-522 $2,000.00

IMP SHELL ACET STRK SOLID BACK 50MM SZ D 500-03-50D $2,000.00

IMP SHELL ACET STRK SOLID BACK 54MM SZ E 500-03-54E $2,000.00

IMP SHELL ACET STRK SOLID BACK 56MM SZ E 500-03-56E $2,000.00

IMP SHELL ACET STRK SOLID BACK 58MM SZ F 500-03-58F $2,000.00

IMP SHELL ACETABULAR HOWM LT GAP 56MM 2082-0056L $7,726.00

Page 241: DESCRIPTION Price - Fairview

IMP SHELL ACETABULAR HOWM LT GAP 64MM 2082-0064L $7,726.00

IMP SHELL ACETABULUM HOWM 46MM 542-11-46D $2,000.00

IMP SHELL ACETABULUM HOWM 48MM 542-11-48D $2,000.00

IMP SHELL ACETABULUM HOWM 50MM 542-11-50E $2,000.00

IMP SHELL ACETABULUM HOWM 52MM 542-11-52E $2,000.00

IMP SHELL ACETABULUM HOWM 54MM 542-11-54F $2,000.00

IMP SHELL ACETABULUM HOWM 56MM 542-11-56F $2,000.00

IMP SHELL ACETABULUM HOWM 58MM 542-11-58G $2,000.00

IMP SHELL ACETABULUM HOWM 60MM 542-11-60G $2,000.00

IMP SHELL ACETABULUM STRK 52MM 502-01-52E $2,000.00

IMP SHELL ACETABULUM STRK 54MM 502-01-54E $2,000.00

IMP SHELL ACETABULUM STRK 56MM 502-01-56F $2,000.00

IMP SHELL ACETABULUM STRK 60MM 502-01-60G $2,000.00

IMP SHELL CLUSTER HOLE SZ 56 KK 00-8757-056-01 $2,875.00

IMP SHELL CLUSTERHOLE SZ 64 OO 00-8757-064-01 $2,875.00

IMP SHELL HIP ACETAB 60X20MM 00-6202-060-20 $5,670.00

IMP SHELL HIP ACETAB 64X20MM 00-6202-064-20 $5,670.00

IMP SHELL HIP ACETAB 64X22MM 00-6202-064-22 $3,375.00

IMP SHELL S&N ACET R3 64MM 3H 71335564 $1,750.00

IMP SHELL SNR ACET R3 3H 52MM 71335552 $2,000.00

IMP SHELL SNR ACET R3 3H 54MM 71335554 $1,750.00

IMP SHELL SNR ACET R3 3H 56MM 71335556 $1,750.00

IMP SHELL SNR ACET R3 3H 58MM 71335558 $1,750.00

IMP SHELL SNR ACET R3 3H 60MM 71335560 $1,750.00

IMP SHLDR GLENOID STRK REUNION TSA PEGGED SZ 40 5542-P-0040 $1,500.00

IMP SHLDR GLENOID STRK REUNION TSA PEGGED SZ 44 5542-P-0044 $1,500.00

IMP SHLDR GLENOID STRK REUNION TSA PEGGED SZ 48 5542-P-0048 $1,500.00

IMP SHLDR GLENOID STRK REUNION TSA PEGGED SZ 52 5542-P-0052 $1,500.00

IMP SHOULDER HUMERAL HEAD +9MM 36MM DWB994 $2,000.00

IMP SHOULDER HUMERAL HEAD METAPHYSIS 36MM DWB960 $2,500.00

IMP SIJ SIMMETRY 12.5X50MM 10-P12550-01 $6,748.00

IMP SINUS PROPEL MINI MOMETASONE FUORATE 370MCCG 16MM 60011 $2,238.00

IMP SINUS PROPEL MOMETASONE FUORATE 370MCCG 23MM 70011 $11,188.00

IMP SINUS PROPEL MOMETASONE FUORATE 370MCCG 50011 $11,188.00

IMP SLEEVE BIOM TYPE1 TPR FOR BIOLOX DELTA +3MM 650-1067 $250.00

IMP SLEEVE BIOM TYPE1 TPR FOR BIOLOX DELTA 0MM 650-1066 $250.00

IMP SLEEVE BIOM TYPE1 TPR FOR BIOLOX DELTA -3MM 650-1065 $250.00

IMP SLEEVE BIOM TYPE1 TPR FOR BIOLOX DELTA -6MM 650-1064 $250.00

IMP SLEEVE SYN LOCKING 100DEG BLUE TI 456.010 $759.00

IMP SLEEVE SYN LOCKING 120DEG BLUE TI 456.012 $759.00

IMP SLEEVE SYN LOCKING 130DEG PINK TI 456.013 $759.00

IMP SLING SYSTEM MALE ADVANCE 720088-01 $16,703.00

IMP SPACER DANEK CRSNT PEEK 25X08MM 9192508 $6,000.00

IMP SPACER DANEK CRSNT PEEK 25X10MM 9192510 $6,000.00

IMP SPACER DANEK CRSNT PEEK 25X9MM 9192509 $6,000.00

IMP SPACER DANEK CRSNT PEEK 30X9MM 9193009 $6,000.00

IMP SPACER HUMERAL DELTA XTEND +9MM 1307-30-009 $375.00

Page 242: DESCRIPTION Price - Fairview

IMP SPACER MEDT CAPSTONE CONTROL 10X22MM 12DEG 4011022 $7,000.00

IMP SPACER MEDT CAPSTONE CONTROL 11X22MM 12DEG 4011122 $7,000.00

IMP SPACER MEDT CAPSTONE CONTROL 12X27MM 12DEG 4011227 $7,000.00

IMP SPACER MEDT CAPSTONE CONTROL 13X22MM 18DEG 4021322 $7,000.00

IMP SPACER MEDT CAPSTONE CONTROL 14X22MM 18DEG 4021422 $7,000.00

IMP SPACER MEDT CAPSTONE CONTROL 14X27MM 18DEG 4021427 $7,000.00

IMP SPACER MEDT CAPSTONE CONTROL 15X22MM 18DEG 4021522 $7,000.00

IMP SPACER MEDT CAPSTONE CONTROL 15X27MM 18DEG 4021527 $7,000.00

IMP SPACER MEDT CAPSTONE CONTROL 16X22MM 18DEG 4021622 $7,000.00

IMP SPACER MEDT CAPSTONE CONTROL 17X22MM 18DEG 4021722 $7,000.00

IMP SPACER MEDT CAPSTONE CONTROL 17X27MM 18DEG 4021727 $7,000.00

IMP SPACER MEDT CERV ANATOMIC PEEK PTC 16X14X7MM 5030764 $2,500.00

IMP SPACER MEDT CERV ANT PEEK 10X14X14MM 6278044 $2,100.00

IMP SPACER MEDT CERV ANT PEEK 13X14X11MM 6277341 $2,100.00

IMP SPACER MEDT CERV ANT PEEK 14X11X11MM 6277141 $2,100.00

IMP SPACER MEDT CERV ANT PEEK 8X14X14MM 6278844 $2,100.00

IMP SPACER MEDT CERV ANT PEEK 9X14X14MM 6278944 $2,100.00

IMP SPACER MEDT CERVICAL ANATOMIC PEEK PTC 14X11X8MM 5030841 $5,346.00

IMP SPACER MEDT CERVICAL ANATOMIC PEEK PTC 16X14X6MM 5030664 $2,500.00

IMP SPACER MEDT CRESCENT 30X9MM 6660930 $7,000.00

IMP SPACER MEDT CRESCENT SGL USE 6661130 $7,000.00

IMP SPACER MEDT ELEVATE STD 28X11MM EXPANDABLE MED 7771128 $11,250.00

IMP SPACER MEDT ELEVATE STD 28X8MM EXPANDABLE MED 7770828 $11,250.00

IMP SPACER MEDT ELEVATE STD 28X9MM EXPANDABLE MED 7770928 $11,250.00

IMP SPACER MEDT ELEVATE X-LOR 23X7MM EXPANDABLE MED 7770723 $11,250.00

IMP SPACER MEDT ELEVATE X-LOR 23X8MM EXPANDABLE MED 8880823 $11,250.00

IMP SPACER MEDT ELEVATE X-LOR 23X9MM EXPANDABLE MED 8880923 $11,250.00

IMP SPACER MEDT ELEVATE X-LOR 28X10MM EXPANDABLE MED 8881028 $11,250.00

IMP SPACER MEDT ELEVATE X-LOR 28X7MM EXPANDABLE MED 7770728 $11,250.00

IMP SPACER MEDT ELEVATE X-LOR 28X8MM EXPANDABLE MED 8880828 $11,250.00

IMP SPACER MEDT ELEVATE X-LOR 28X9MM EXPANDABLE MED 8880928 $11,250.00

IMP SPACER MEDT ELEVATE X-LOR 32X7MM EXPANDABLE LG 7770732 $13,750.00

IMP SPACER MEDT ELEVATE X-LOR 32X9MM EXPANDABLE LG 8880932 $13,750.00

IMP SPACER MEDT PEEK LAT PORT VERTE-STACK 8X14X11MM 6287841 $2,100.00

IMP SPACER MEDT PEEK LAT PORT VERTE-STACK 9X14X11MM 6287941 $2,100.00

IMP SPACER MEDT PERIMETER L ADD ON 12DEG 14MM 3393414 $7,000.00

IMP SPACER MEDT PERIMETER L ADD ON 12DEG 16MM 3393416 $7,000.00

IMP SPACER MEDT PERIMETER L ADD ON 12DEG 18MM 3393418 $7,000.00

IMP SPACER MEDT PERIMETER LG ADD ON 08DEG 16MM 3393316 $7,000.00

IMP SPACER MEDT PERIMETER LG ADD ON 08DEG 18MM 3393318 $7,000.00

IMP SPACER MEDT PERIMETER LG ADD ON 08DEG 20MM 3393320 $7,000.00

IMP SPACER MEDT PERIMETER LG ADD ON 12DEG 14MM 3493414 $7,000.00

IMP SPACER MEDT PERIMETER MED ADD ON 08DEG 12MM $7,000.00

IMP SPACER MEDT PERIMETER MED ADD ON 08DEG 14MM 3392314 $7,000.00

IMP SPACER MEDT SOVEREIGN 12DEG LG 42X30X14MM 7969214 $12,500.00

IMP SPACER MEDT SOVEREIGN 12DEG LG 42X30X16MM 7969216 $12,500.00

IMP SPACER MEDT SOVEREIGN 12DEG MED 37X27X10MM 7968210 $12,500.00

Page 243: DESCRIPTION Price - Fairview

IMP SPACER MEDT SOVEREIGN 12DEG MED 37X27X12MM 7968212 $12,500.00

IMP SPACER MEDT SOVEREIGN 12DEG MED 37X27X18MM 7968218 $12,500.00

IMP SPACER MEDT SOVEREIGN 12DEG SM 32X23X10MM 7967210 $12,500.00

IMP SPACER MEDT SOVEREIGN 12DEG SM 32X23X12MM 7967212 $12,500.00

IMP SPACER MEDT SOVEREIGN 12DEG SM 32X23X14MM 7967214 $12,500.00

IMP SPACER MEDT SOVEREIGN 12DEG SM 32X23X16MM 7967216 $12,500.00

IMP SPACER MEDT SOVEREIGN 8DEG MED 37X27X12MM 7968812 $12,500.00

IMP SPACER MEDT SOVEREIGN 8DEG SM 32X23X12MM 7967812 $12,500.00

IMP SPACER MEDT SOVEREIGN 8DEG SM 32X23X14MM 7967814 $12,500.00

IMP SPACER MEDT VERTEBRAL PEEK CAPSTONE 08X22MM 2990822 $6,000.00

IMP SPACER MEDT VERTEBRAL PEEK CAPSTONE 12X22MM 2991222 $6,000.00

IMP SPACER MEDT VERTEBRAL PEEK CAPSTONE 9X22MM 2990922 $6,000.00

IMP SPACER MEDT VERTEBRAL PEEK LG 10MML 8DEG 3493310 $7,000.00

IMP SPACER MEDT VERTEBRAL PEEK LG 12MML 8DEG 3493412 $7,000.00

IMP SPACER MEDT VERTEBRAL PEEK LG 18MML 8DEG 3493418 $7,000.00

IMP SPACER STRK ADPT VERT AVS AL 10X22X28MM 4DEG 48326104 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 12X22X28MM 12DEG 48326122 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 12X22X28MM 4DEG 48326124 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 12X22X28MM 8DEG 48326128 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 14X22X28MM 12DEG 48326142 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 14X22X28MM 16DEG 48326146 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 14X22X28MM 4DEG 48326144 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 14X22X28MM 8DEG 48326148 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 16X22X28MM 12DEG 48326162 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 16X22X28MM 4DEG 48326164 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 16X22X28MM 8DEG 48326168 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 16X22X28MM 8DEG 48326188 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 16X28X33MM 12DEG 48328162 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 18X22X28MM 12DEG 48326182 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 18X28X33MM 8DEG 48328188 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 20X22X28MM 12DEG 48326202 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 20X22X28MM 8DEG 48326208 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 20X28X33MM 12DEG 48328202 $7,500.00

IMP SPACER STRK ADPT VERT AVS AL 20X28X33MM 16DEG 48328206 $7,500.00

IMP SPACER STRK ADPT VERT AVS ALIF 10X20X0MM 11DEG 48390101 $5,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 10X20X0MM 9DEG 48480100 $5,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 10X25X0MM 11DEG 48395100 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 10X25X0MM 8DEG 48485100 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 10X25X4MM 11DEG 48395104 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 11X20X0MM 11DEG 48390111 $5,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 11X20X4MM 11DEG 48390114 $5,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 11X25X0MM 11DEG 48395110 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 11X25X0MM 8DEG 48485110 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 11X25X4MM 11DEG 48395114 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 12X20X0MM 11DEG 48390120 $5,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 12X25X0MM 11DEG 48395120 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 12X25X4MM 11DEG 48395124 $7,000.00

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IMP SPACER STRK ADPT VERT AVS ALIF 13X25X0MM 11DEG 48395130 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 13X25X4MM 11DEG 48395134 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 14X25X0MM 11DEG 48395140 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 7X20X4MM 9DEG 48480074 $5,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 7X25X4MM 11DEG 48355074 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 7X25X4MM 8DEG 48485074 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 8X20X4MM 9DEG 48480084 $5,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 8X25X4MM 11DEG 48355084 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 8X25X4MM 8DEG 48485084 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 9X20X0MM 11DEG 48390090 $5,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 9X20X0MM 9DEG 48480090 $5,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 9X25X0MM 11DEG 48395090 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 9X25X0MM 8DEG 48485090 $7,000.00

IMP SPACER STRK ADPT VERT AVS ALIF 9X25X4MM 11DEG 48395094 $7,000.00

IMP SPACER STRK AVS 10X12X14MM 4DEG 48322104 $2,100.00

IMP SPACER STRK AVS 10X30MM 0DEG 48351100 $7,000.00

IMP SPACER STRK AVS 10X33MM 0DEG 48353100 $7,000.00

IMP SPACER STRK AVS 11X12X14MM 4DEG 48322114 $2,100.00

IMP SPACER STRK AVS 11X30MM 0DEG 48351110 $7,000.00

IMP SPACER STRK AVS 11X33MM 0DEG 48353110 $7,000.00

IMP SPACER STRK AVS 12X30MM 0DEG 48351120 $7,000.00

IMP SPACER STRK AVS 12X33MM 0DEG 48353120 $7,000.00

IMP SPACER STRK AVS 13X30MM 0DEG 48351130 $7,000.00

IMP SPACER STRK AVS 13X33MM 0DEG 48353130 $7,000.00

IMP SPACER STRK AVS 14X30MM 0DEG 48351140 $7,000.00

IMP SPACER STRK AVS 14X33MM 0DEG 48353140 $7,000.00

IMP SPACER STRK AVS 5X12X14MM 4DEG 48322054 $2,100.00

IMP SPACER STRK AVS 6X12X14MM 4DEG 48322064 $2,100.00

IMP SPACER STRK AVS 7X12X14MM 0DEG 48322070 $2,100.00

IMP SPACER STRK AVS 7X12X14MM 4DEG 48322074 $2,100.00

IMP SPACER STRK AVS 7X30MM 0DEG 48351070 $7,000.00

IMP SPACER STRK AVS 8X12X14MM 0DEG 48322080 $2,100.00

IMP SPACER STRK AVS 8X12X14MM 4DEG 48322084 $2,100.00

IMP SPACER STRK AVS 8X33MM 0DEG 48353080 $7,000.00

IMP SPACER STRK AVS 9X12X14MM 0DEG 48322090 $2,100.00

IMP SPACER STRK AVS 9X12X14MM 4DEG 48322094 $2,100.00

IMP SPACER STRK AVS 9X30MM 0DEG 48351090 $7,000.00

IMP SPACER STRK AVS AS 10X14X16MM 0DEG 48324100 $2,100.00

IMP SPACER STRK AVS AS 10X14X16MM 4DEG 48324104 $2,100.00

IMP SPACER STRK AVS AS 11X14X16MM 4DEG 48324114 $2,100.00

IMP SPACER STRK AVS AS 12X14X16MM 4DEG 48324124 $2,100.00

IMP SPACER STRK AVS AS 6X14X16MM 0DEG 48324060 $2,100.00

IMP SPACER STRK AVS AS 7X14X16MM 4DEG 48324074 $2,100.00

IMP SPACER STRK AVS AS 8X14X16MM 0DEG 48324080 $2,100.00

IMP SPACER STRK AVS AS 8X14X16MM 4DEG 48324084 $2,100.00

IMP SPACER STRK AVS AS 9X14X16MM 0DEG 48324090 $2,100.00

IMP SPACER STRK AVS AS 9X14X16MM 4DEG 48324094 $2,100.00

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IMP SPACER VERTEBRAL PEEK CAPSTONE 10X22MM 2991022 $6,000.00

IMP SPACER VERTEBRAL PEEK CAPSTONE 10X26MM 2991026 $7,000.00

IMP SPACER VERTEBRAL PEEK CAPSTONE 12X26MM 2991226 $7,000.00

IMP STAPLE MMI EASYCLIP SI FOREFOOT 08X08X08MM EZM08-08-08 $1,138.00

IMP STAPLE MMI EASYCLIP SI FOREFOOT 10X10X10MM EZM10-10-10 $1,138.00

IMP STAPLE MMI EASYCLIP SI FOREFOOT 12X10X10MM EZM12-10-10 $1,138.00

IMP STAPLE MMI EASYCLIP SI MIDFOOT 15X12X12MM EZ15-12-12 $1,450.00

IMP STAPLE MMI EASYCLIP SI REARFOOT 20X20X20MM EZ20-20-20 $1,988.00

IMP STAPLE MMI EASYCLIP SI REARFOOT 25X22X22MM EZ25-22-22 $1,988.00

IMP STEM CENTRALIZER DEPUY 10.0MM 1376-48-000 $100.00

IMP STEM CENTRALIZER DEPUY 10.5MM 1376-38-000 $100.00

IMP STEM CENTRALIZER DEPUY 11.0MM 1376-20-000 $100.00

IMP STEM CENTRALIZER DEPUY 12.0MM 1376-21-000 $100.00

IMP STEM CENTRALIZER DEPUY 13.0MM 1376-22-000 $100.00

IMP STEM CENTRALIZER DEPUY 14.0MM 1376-36-000 $100.00

IMP STEM CENTRALIZER DEPUY 8.5MM 1376-46-000 $100.00

IMP STEM CENTRALIZER DEPUY 9.25MM 1376-47-000 $100.00

IMP STEM COMP STRK HIP 127DEG #10 6067-1035A $1,750.00

IMP STEM COMP STRK HIP 127DEG #5 6076-0525A $1,750.00

IMP STEM COMP STRK HIP 127DEG #6 6076-0625A $1,750.00

IMP STEM COMP STRK HIP 127DEG #7 6076-0730A $1,750.00

IMP STEM COMP STRK HIP 127DEG #8 6076-0830A $1,750.00

IMP STEM COMP STRK HIP 127DEG #9 6076-0935A $1,750.00

IMP STEM COMP STRK HIP 132DEG #10 6070-1035A $1,750.00

IMP STEM COMP STRK HIP 132DEG #11 6070-1140A $1,750.00

IMP STEM COMP STRK HIP 132DEG #5 6070-0525A $1,750.00

IMP STEM COMP STRK HIP 132DEG #6 6070-0625A $1,750.00

IMP STEM COMP STRK HIP 132DEG #7 6070-0730A $1,750.00

IMP STEM COMP STRK HIP 132DEG #8 6070-0830A $1,750.00

IMP STEM COMP STRK HIP 132DEG #9 6070-0935A $1,750.00

IMP STEM DEPUY HUM CEM EPI 1 DXTEND 10MM LONG 130710110 $15,411.00

IMP STEM DEPUY HUM CEM EPI 1 DXTEND 10MM STD 130710100 $9,125.00

IMP STEM DEPUY HUM CEM EPI 1 DXTEND 12MM LONG 130712110 $15,411.00

IMP STEM DEPUY HUM CEM EPI 1 DXTEND 12MM STD 130712100 $9,125.00

IMP STEM DEPUY HUM CEM EPI 1 DXTEND 8MM LONG 130708110 $15,411.00

IMP STEM DEPUY HUM CEM EPI 1 DXTEND 8MM STD 130708100 $9,125.00

IMP STEM DEPUY HUM CEM EPI 2 DXTEND 14MM STD 130714200 $9,125.00

IMP STEM DEPUY HUMERAL DXTEND 10MM HA 130710000 $3,733.00

IMP STEM DEPUY HUMERAL DXTEND 12MM HA 130712000 $3,733.00

IMP STEM DEPUY HUMERAL DXTEND 14MM HA 130714000 $3,733.00

IMP STEM DEPUY UNIVERSAL FLUTED 75X12MM 86-7412 $2,688.00

IMP STEM EXT STRK TRIATHLN REV TS XSM 25X80MM 5571-S-025 $2,607.00

IMP STEM FEM BIOM ECHO RED PROX LAT OFFSET 14X150MM 192514 $4,500.00

IMP STEM FEM DEPUY ACTIS COLLAR HI-OFFSET SZ 6MM 1010-12-060 $4,250.00

IMP STEM FEM DEPUY ACTIS HI COLLAR OFFSET SZ 5MM 1010-11-050 $4,250.00

IMP STEM FEM DEPUY ACTIS STD COLLAR TPR SZ 3MM 1010-11-030 $4,250.00

IMP STEM FEM DEPUY ACTIS STD COLLAR TPR SZ 4MM 1010-11-040 $4,250.00

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IMP STEM FEM DEPUY ACTIS STD COLLAR TPR SZ 6MM 1010-11-060 $4,250.00

IMP STEM FEM DEPUY ACTIS STD COLLAR TPR SZ 7MM 1010-11-070 $4,250.00

IMP STEM FEM DEPUY ACTIS STD COLLAR TPR SZ 8MM 1010-11-080 $4,250.00

IMP STEM FEM DEPUY ACTIS STD COLLAR TPR SZ 9MM 1010-11-090 $4,250.00

IMP STEM FEM GRIPTION HI-OFFSET PROX SZ1 97MM 31MM 101214010 $4,250.00

IMP STEM FEM GRIPTION HI-OFFSET PROX SZ5 103X30MM 101204050 $4,250.00

IMP STEM FEM GRIPTION HI-OFFSET PROX SZ5 105X31MM 101214050 $4,250.00

IMP STEM FEM GRIPTION HI-OFFSET STD SZ12 119MM 101214120 $4,250.00

IMP STEM FEM GRIPTION HI-OFFSET STD SZ4 103X30MM 101204040 $4,250.00

IMP STEM FEM GRIPTION OFFSET STD SZ9 113X34MM 101204090 $4,250.00

IMP STEM FEM HIP DEPUY CORAIL TPR SZ 12 STD OFFSET 3L92512 $4,250.00

IMP STEM FEM HIP DEPUY CORAIL TPR SZ 13 STD OFFSET 3L92503 $4,250.00

IMP STEM FEM HIP DEPUY SUMMIT TPR SZ 10 HI OFF 1570-11-180 $4,250.00

IMP STEM FEM HIP DEPUY SUMMIT TPR SZ 2 HI OFF 1570-11-080 $5,480.00

IMP STEM FEM HIP DEPUY SUMMIT TPR SZ 3 HI OFF 1570-11-090 $5,480.00

IMP STEM FEM HIP DEPUY SUMMIT TPR SZ 4 HI OFF 1570-11-100 $5,480.00

IMP STEM FEM HIP DEPUY SUMMIT TPR SZ 5 HI OFF 1570-11-110 $4,250.00

IMP STEM FEM HIP DEPUY SUMMIT TPR SZ 8 HI OFF 1570-11-150 $4,250.00

IMP STEM FEM HIP SNN SYNERGY CEMENTED SZ 12 71316012 $3,750.00

IMP STEM FEM HIP SNN SYNERGY CEMENTED SZ 13 71316013 $3,750.00

IMP STEM FEM HIP SNN SYNERGY CEMENTED SZ 13 HO 71316213 $3,750.00

IMP STEM FEM HIP SNN SYNERGY CEMENTED SZ 15 HO 71316215 $3,750.00

IMP STEM FEM HIP SNN SYNERGY CEMENTED SZ 16 HO 71316216 $3,750.00

IMP STEM FEM HIP SNN SYNERGY CEMENTED SZ HO 12 71316212 $3,750.00

IMP STEM FEM HIP SNN SYNERGY POROUS SZ 14 HO 71306114 $3,750.00

IMP STEM FEM HIP SNN SYNERGY POROUS SZ 15 HO 71306115 $3,750.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT 19MM +10 6276-1-119 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT 19MM +20 6276-1-219 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT 21MM +10 6276-1-121 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT 21MM +20 6276-1-221 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT 21MM +30 6276-1-321 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT 23MM +10 6276-1-123 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT 23MM +20 6276-1-223 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT 25MM +10 6276-1-125 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT 29MM +10 6276-1-129 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT STD 19MM 6276-1-019 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT STD 21MM 6276-1-021 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT STD 23MM 6276-1-023 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT STD 25MM 6276-1-025 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT STD 27MM 6276-1-027 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT STD 29MM 6276-1-029 $10,325.00

IMP STEM FEM MOD REV HIP PROX BODY/BOLT STD 31MM 6276-1-029 $10,325.00

IMP STEM FEM RSTRTN MOD BOWED CONICAL 15X195MM 6276-7-215 $8,268.00

IMP STEM FEM RSTRTN MOD BOWED CONICAL 15X235MM 6276-7-315 $8,702.00

IMP STEM FEM RSTRTN MOD BOWED CONICAL 16X235MM 6276-7-316 $8,702.00

IMP STEM FEM RSTRTN MOD BOWED CONICAL 17X195MM 6276-7-217 $8,268.00

IMP STEM FEM RSTRTN MOD BOWED CONICAL 17X235MM 6276-7-317 $8,702.00

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IMP STEM FEM RSTRTN MOD BOWED CONICAL 18X235MM 6276-7-318 $8,702.00

IMP STEM FEM RSTRTN MOD BOWED CONICAL 19X195MM 6276-7-219 $8,268.00

IMP STEM FEM RSTRTN MOD BOWED CONICAL 22X235MM 6276-7-322 $8,702.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 14X155MM 6276-7-014 $7,398.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 15X155MM 6276-7-015 $7,398.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 16X155MM 6276-7-016 $7,398.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 16X2195MM 6276-7-116 $7,833.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 17X155MM 6276-7-017 $7,398.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 17X265MM 6276-7-117 $7,833.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 18X155MM 6276-7-018 $7,398.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 18X265MM 6276-7-118 $7,833.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 19X155MM 6276-7-019 $7,398.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 20X265MM 6276-7-120 $7,833.00

IMP STEM FEM RSTRTN MOD CONICAL DISTAL 22X155MM 6276-7-022 $7,398.00

IMP STEM FEM RSTRTN MOD FLUTED DISTAL 11X217MM 6276-6-411 $8,569.00

IMP STEM FEM RSTRTN MOD PLASMA HA 12X127MM 6276-5-012 $8,128.00

IMP STEM FEM RSTRTN MOD PLASMA HA 12X167MM 6276-5-212 $9,226.00

IMP STEM FEM RSTRTN MOD PLASMA HA 13X167MM 6276-5-213 $9,226.00

IMP STEM FEM RSTRTN MOD PLASMA HA 14X217MM 6276-5-414 $9,226.00

IMP STEM FEM RSTRTN MOD PLASMA HA 14X267MM 6276-5-514 $8,128.00

IMP STEM FEM RSTRTN MOD PLASMA HA 15X127MM 6276-5-015 $8,128.00

IMP STEM FEM RSTRTN MOD PLASMA HA 15X167MM 6276-5-115 $8,128.00

IMP STEM FEM RSTRTN MOD PLASMA HA 15X267MM 6276-5-515 $8,128.00

IMP STEM FEM RSTRTN MOD PLASMA HA 20X217MM 6276-5-420 $9,226.00

IMP STEM FEM S&N REV LEGION PRESS FIT 14X160MM 71424047 $3,701.00

IMP STEM FEM S&N REV LEGION PRESS FIT 15X160MM 71424048 $3,701.00

IMP STEM FEM STRK C-TPR SECUR-FIT 127D SZ7 30MM 6052-0730S $4,625.00

IMP STEM FEM STRK C-TPR SECUR-FIT 132D SZ11 40MM 6052-1140S $4,625.00

IMP STEM FEM STRK C-TPR SECUR-FIT 132D SZ7 30MM 6051-0730S $4,625.00

IMP STEM FEM STRK C-TPR SECUR-FIT127DEG SZ8 30MM 6052-8030S $4,625.00

IMP STEM FEM STRK FLUTED EXT 14X80MM TI 6478-6-620 $2,541.00

IMP STEM FEM STRK FLUTED EXT 15X80MM TI 6478-6-625 $2,541.00

IMP STEM FEM STRK FLUTED EXT 19X80MM TI 6478-6-645 $2,541.00

IMP STEM FEM STRK FLUTED TRIATHLN 14X150MM TS 5566-S-014 $3,112.00

IMP STEM FEM STRK FLUTED TRIATHLN 15X150MM TS 5566-S-015 $3,112.00

IMP STEM FEM STRK FLUTED TRIATHLN 16X150MM TS 5566-S-016 $3,112.00

IMP STEM FEM STRK OMNIFIT CEM LONG SZ 5 25X200MM RT $13,008.00

IMP STEM FEM STRK OMNIFIT CEM LONG SZ 7 30X200MM LT $13,008.00

IMP STEM FEM STRK PRESS FIT TRIATHLN 12X100M 5565-S-012 $2,872.00

IMP STEM FEM STRK PRESS FIT TRIATHLN 13X150M 5566-S-013 $3,112.00

IMP STEM FEM STRK PRESS FIT TRIATHLN 15X100M 5565-S-015 $2,872.00

IMP STEM FEM STRK PRESS FIT TRIATHLN 16X100M 5565-S-016 $2,872.00

IMP STEM FEM STRK PRESS FIT TRIATHLN 17X100M 5565-S-017 $2,872.00

IMP STEM FEM STRK PRESS FIT TRIATHLN 21X100M 5565-S-021 $2,872.00

IMP STEM FEM STRK RSTRTN MOD CALCAR 23MM +10MM 6276-4-123 $10,766.00

IMP STEM FEM STRK RSTRTN MOD PROX BROACHED #4 6276-3-004 $10,325.00

IMP STEM FEM STRK RSTRTN MOD PROX BROACHED #5 6276-3-005 $10,325.00

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IMP STEM FEM STRK SECURE-FIT 127DEG SZ 6 6052-0625S $4,625.00

IMP STEM FEM STRK SECURE-FIT 132DEG SZ 11 6051-1140S $4,625.00

IMP STEM FEMORAL BIOM ECHO FX 9MM STD 12-151309 $1,750.00

IMP STEM FEMORAL BIOM ECHO LAT OFFSET 14X150MM 192114 $4,500.00

IMP STEM FEMORAL EON CEM OMNIFIT SZ 5 127DEG 6097-0530 $2,213.00

IMP STEM FEMORAL EON CEM OMNIFIT SZ 5 132DEG 6098-0530 $2,213.00

IMP STEM FEMORAL EON CEM OMNIFIT SZ 6 127DEG 6097-0630 $2,213.00

IMP STEM FEMORAL EON CEM OMNIFIT SZ 7 127DEG 6097-0735 $2,213.00

IMP STEM FEMORAL EON CEM OMNIFIT SZ 7 132DEG 6098-0735 $2,213.00

IMP STEM FEMORAL EON CEM OMNIFIT SZ 9 127DEG 6097-0940 $2,213.00

IMP STEM FEMORAL EXTENDER HOWM 40MM 6476-8-250 $2,078.00

IMP STEM FEMORAL EXTENDER HOWM 80MM 6476-8-260 $2,078.00

IMP STEM FEMORAL HIP DEPUY SUMMIT 1 1570-01-070 $4,250.00

IMP STEM FEMORAL HIP DEPUY SUMMIT 10 1570-01-180 $5,480.00

IMP STEM FEMORAL HIP DEPUY SUMMIT 2 1570-01-080 $4,250.00

IMP STEM FEMORAL HIP DEPUY SUMMIT 3 1570-01-090 $4,250.00

IMP STEM FEMORAL HIP DEPUY SUMMIT 4 1570-01-100 $4,250.00

IMP STEM FEMORAL HIP DEPUY SUMMIT 5 1570-01-110 $4,250.00

IMP STEM FEMORAL HIP DEPUY SUMMIT 6 12/14 1570-01-120 $4,250.00

IMP STEM FEMORAL HIP DEPUY SUMMIT 7 1570-01-135 $4,250.00

IMP STEM FEMORAL HIP DEPUY SUMMIT 7 1570-11-135 $4,250.00

IMP STEM FEMORAL HIP DEPUY SUMMIT SZ 2 1570-06-080 $1,338.00

IMP STEM FEMORAL HIP DEPUY SUMMIT SZ 3 1570-06-090 $1,338.00

IMP STEM FEMORAL HIP DEPUY SUMMIT SZ 4 1570-06-100 $1,338.00

IMP STEM FEMORAL HIP DEPUY SUMMIT SZ 5 1570-06-110 $1,338.00

IMP STEM FEMORAL HIP DEPUY SUMMIT SZ 6 1570-06-120 $1,338.00

IMP STEM FEMORAL HIP DEPUY SUMMIT SZ 7 1570-06-135 $1,338.00

IMP STEM FEMORAL HIP DEPUY SUMMIT SZ 8 1570-06-150 $1,338.00

IMP STEM FEMORAL HIP STRK 132DEG SZ10 35X160MM 6051-1035S $4,625.00

IMP STEM FEMORAL HIP STRK 132DEG SZ8 30X140MM 6051-0830S $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 127DEG SZ 2 6721-0230 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 127DEG SZ 3 6721-0330 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 127DEG SZ 4 6721-0435 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 127DEG SZ 5 6721-0535 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 127DEG SZ 6 6721-0635 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 127DEG SZ 7 6721-0737 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 127DEG SZ 8 6721-0837 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 132DEG SZ 10 6720-1040 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 132DEG SZ 2 6720-0230 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 132DEG SZ 3 6720-0330 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 132DEG SZ 4 6720-0435 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 132DEG SZ 5 6720-0535 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 132DEG SZ 6 6720-0635 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 132DEG SZ 7 6720-0737 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 132DEG SZ 8 6720-0837 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE II 132DEG SZ 9 6720-0937 $4,625.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ #4 6021-0435 $5,000.00

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IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 0 6021-0030 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 1 6021-0130 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 2 6021-0230 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 2.5 60212530 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 3 6021-0335 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 3.5 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 4.5 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 5 6021-0537 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 5.5 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 6 6021-0637 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE PLUS TMZF SZ 8 6021-0840 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE TMZF SZ #2.5 6020-2530 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE TMZF SZ #3.5 6020-3535 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE TMZF SZ #4.5 6020-4535 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE TMZF SZ 1 6020-0130 $5,000.00

IMP STEM FEMORAL HIP STRK ACCOLADE TMZF SZ 5.5 6020-5537 $5,000.00

IMP STEM FEMORAL HOWM 2 6020-230 $5,000.00

IMP STEM FEMORAL HOWM 3 6020-0335 $5,000.00

IMP STEM FEMORAL HOWM 4 6020-0435 $5,000.00

IMP STEM FEMORAL HOWM 5 6020-0537 $5,000.00

IMP STEM FEMORAL STRK 132 6058-0335D $2,213.00

IMP STEM FEMORAL STRK 132 6058-0435D $2,213.00

IMP STEM FEMORAL STRK ACCOLADE-C CEM 127DEG #2 6057-0230D $2,213.00

IMP STEM FEMORAL STRK ACCOLADE-C CEM 127DEG #3 6057-0335D $2,213.00

IMP STEM FEMORAL STRK ACCOLADE-C CEM 127DEG #4 $2,213.00

IMP STEM FEMORAL STRK ACCOLADE-C CEM 127DEG #5 $2,213.00

IMP STEM FEMORAL STRK ACCOLADE-C CEM 127DEG #6 $2,213.00

IMP STEM FEMORAL STRK ACCOLADE-C CEM 127DEG #7 6057-0740D $2,213.00

IMP STEM FEMORAL STRK ACCOLADE-C CEM 132DEG #2 $2,213.00

IMP STEM FEMORAL STRK ACCOLADE-C CEM 132DEG #5 6058-0537D $2,213.00

IMP STEM FEMORAL STRK ACCOLADE-C CEM 132DEG #6 6058-0637D $2,213.00

IMP STEM FEMORAL STRK ACCOLADE-C CEM 132DEG #7 $2,213.00

IMP STEM FEMORAL STRK OMNIFIT EON C-TPR SZ6 132DEG 6098-0630 $2,213.00

IMP STEM FEMORAL STRK RSTRTN REDUCED NECK #10/14 $13,855.00

IMP STEM FEMORAL STRK RSTRTN REDUCED NECK #10/16 $13,080.00

IMP STEM FEMORAL STRK RSTRTN REDUCED NECK #10/16 $13,855.00

IMP STEM FEMORAL STRK RSTRTN REDUCED NECK #13/17 $13,855.00

IMP STEM FEMORAL STRK RSTRTN REDUCED NECK #8/12 $13,855.00

IMP STEM FEMORAL STRK RSTRTN REDUCED NECK #9/13 S-2652-0913 $13,855.00

IMP STEM FEMORAL STRK STR W/O POROUS 13MM 6485-3-113 $6,269.00

IMP STEM FEMORAL STRK STR W/O POROUS 15MM 6485-3-115 $6,269.00

IMP STEM FEMORAL STRK STR W/O POROUS 17MM 6485-3-117 $6,269.00

IMP STEM FEMORAL STRK STR W/POROUS 17MM 6485-3-017 $8,653.00

IMP STEM FEMORAL STRK TS CEM 12X100MM 5560-S-212 $2,872.00

IMP STEM FEMORAL STRK TS CEM 12X150MM 5560-S-312 $2,872.00

IMP STEM FEMORAL STRK TS CEM 12X50MM 5560-S-112 $2,872.00

IMP STEM FEMORAL STRK TS CEM 15X100MM 5560-S-215 $2,872.00

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IMP STEM FEMORAL STRK TS CEM 9X100MM 5560-S-209 $2,872.00

IMP STEM FEMORAL ZIM TM PRIMARY 14MM STD 00-7864-014-00 $7,388.00

IMP STEM GLOBAL UNITE STD SZ 14 1100-14-100 $3,000.00

IMP STEM GLOBAL UNITE STD SZ 16 1100-16-100 $3,000.00

IMP STEM HIP DEPUY SUMMIT TPR SZ 6 HI OFFSET 1570-11-120 $4,250.00

IMP STEM HUM STRK REUNION TSA CEM 10MM 5569-C-2010 $4,113.00

IMP STEM HUM STRK REUNION TSA CEM 12MM 5569-C-2012 $4,113.00

IMP STEM HUM STRK REUNION TSA CEM 8MM 5569-C-2008 $4,113.00

IMP STEM HUM STRK REUNION TSA PRESS FIT 10MM 5569-P-2010 $4,113.00

IMP STEM HUM STRK REUNION TSA PRESS FIT 11MM 5569-P-2011 $4,113.00

IMP STEM HUM STRK REUNION TSA PRESS FIT 12MM 5569-P-2012 $4,113.00

IMP STEM HUM STRK REUNION TSA PRESS FIT 13MM 5569-P-2013 $4,113.00

IMP STEM HUM STRK REUNION TSA PRESS FIT 14MM 5569-P-2014 $4,113.00

IMP STEM HUM STRK REUNION TSA PRESS FIT 15MM 5569-P-2015 $4,113.00

IMP STEM HUM STRK REUNION TSA PRESS FIT 16MM 5569-P-2016 $4,113.00

IMP STEM HUM STRK REUNION TSA PRESS FIT 9MM 5569-P-2009 $4,113.00

IMP STEM HUMERAL DEPUY GLOBAL ADV 14MM 1137-14-050 $5,000.00

IMP STEM HUMERAL STRK 8MM 5351-4104 $5,000.00

IMP STEM KNEE NEXGEN 100X13MM 00-5988-010-13 $3,273.00

IMP STEM KNEE NEXGEN 100X14MM 00-5988-010-14 $3,273.00

IMP STEM KNEE NEXGEN 100X18MM 00-5988-010-18 $3,005.00

IMP STEM MINI HUMERAL BIOM SHLDR 10MM 113630 $4,995.00

IMP STEM MINI HUMERAL BIOM SHLDR 11MM 113631 $4,995.00

IMP STEM MINI HUMERAL BIOM SHLDR 12MM 113632 $4,995.00

IMP STEM MINI HUMERAL BIOM SHLDR 13MM 113633 $4,995.00

IMP STEM MINI HUMERAL BIOM SHLDR 14MM 113634 $4,995.00

IMP STEM MINI HUMERAL BIOM SHLDR 15MM 113635 $4,995.00

IMP STEM MINI HUMERAL BIOM SHLDR 16MM 113636 $4,995.00

IMP STEM MINI HUMERAL BIOM SHLDR 17MM 113637 $4,995.00

IMP STEM MINI HUMERAL BIOM SHLDR 6X83MM 113626 $4,995.00

IMP STEM MINI HUMERAL BIOM SHLDR 9X83MM 113629 $4,995.00

IMP STEM MINI HUMERAL BIOMET SHLDR 7MM 113627 $4,995.00

IMP STEM MINI HUMERAL BIOMET SHLDR 8MM 113628 $4,995.00

IMP STEM S&N POLARSTEM LAT TI/HA SZ2 NON-CEM 75100475 $3,750.00

IMP STEM SHOULDER 9.0X100MM AQLS DWB945 $4,500.00

IMP STEM SNN SYNERGY HO POR PLUS SZ 10 140MM 71309110 $3,750.00

IMP STEM SNN SYNERGY HO POR PLUS SZ 11 145MM 71309111 $3,750.00

IMP STEM SNN SYNERGY HO POR PLUS SZ 12 150MM 71309112 $3,750.00

IMP STEM SNN SYNERGY HO POR PLUS SZ 13 155MM 71309113 $3,750.00

IMP STEM SNN SYNERGY HO POR PLUS SZ 14 160MM 71309114 $3,750.00

IMP STEM SNN SYNERGY HO POR PLUS SZ 15 165MM 71309115 $3,750.00

IMP STEM SNN SYNERGY HO POR PLUS SZ 16 170MM 71309116 $3,750.00

IMP STEM SNN SYNERGY HO POR PLUS SZ 17 175MM 71309117 $3,750.00

IMP STEM SNN SYNERGY HO POR PLUS SZ 18 180MM 71309118 $3,750.00

IMP STEM SNN SYNERGY HO POR PLUS SZ 9 135MM 71309109 $3,750.00

IMP STEM SNN SYNERGY STD POR PLUS SZ 12 150MM 71309012 $3,750.00

IMP STEM SNN SYNERGY STD POR PLUS SZ 13 155MM 71309013 $3,750.00

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IMP STEM SNN SYNERGY STD POR PLUS SZ 14 160MM 71309014 $3,750.00

IMP STEM SNN SYNERGY STD POR PLUS SZ 15 165MM 71309015 $3,750.00

IMP STEM SNN SYNERGY STD POR PLUS SZ 16 170MM 71309016 $3,750.00

IMP STEM SNN SYNERGY STD POR PLUS SZ 17 175MM 71309017 $3,750.00

IMP STEM STRK TRI PRESS-FIT 13X100MM 5565-S-013 $2,872.00

IMP STEM STRK TRI PRESS-FIT 14X100MM 5565-S-014 $2,872.00

IMP STEM TALAR ANKLE WRIGHT INBONE 10MM LG 200347901 $4,070.00

IMP STEM TIB/FEM EXT DEPUY PFC SIGMA SZ 2/3 30MM 86-6401 $1,706.00

IMP STEM TIBIAL BASE WRIGHT INBONE 18MM RT&LT 200009902 $2,160.00

IMP STEM TIBIAL DEPUY CEMENTED PFC SIGMA 15X30MM 86-6403 $1,706.00

IMP STEM TIBIAL DEPUY CEMENTED PFC SIGMA 15X60MM 86-6404 $1,706.00

IMP STEM TIBIAL DEPUY MODULAR PFC SIGMA 13X60MM 86-6402 $1,706.00

IMP STEM TIBIAL MID WRIGHT INBONE 16MM RT&LT 200010902 $2,118.00

IMP STEM TIBIAL TOP WRIGHT INBONE 16MM RT&LT 200011902 $2,118.00

IMP STEM TIBIAL ZIM NEXGEN SIZE 6 00-5988-006-00 $6,458.00

IMP STEP WEDGE MBT DEPUY SZ 3 5MM 1294-56-130 $3,313.00

IMP STPL FIXATION RICHARDS SNR LG W/SPIKES 128696 $481.00

IMP STPL FIXATION RICHARDS SNR SM W/SPIKES 128692 $481.00

IMP STPL FIXATION RICHARDS SNR XSM W/SPIKES 128690 $481.00

IMP SU ANCHOR ARTHREX SWIVELOCK TENODESIS PEEK 4.75X14MM $1,088.00

IMP SU KIT ARTHOSCOPIC FAST FIX 360 CVD NDL SYSTEM 72202468 $1,222.00

IMP SU KIT ARTHOSCOPIC FAST FIX 360 RVSD CVD NDL SYS 7220246 $1,222.00

IMP SU KIT ARTHOSCOPIC FAST FIX 360 STR NDL SYSTEM 72202467 $1,222.00

IMP SUBTALAR SINUS TARSI HYPROCURE SZ 6 $2,738.00

IMP SUTURE BUTTON ARTHREX 3.5MM AR-8920 $238.00

IMP SUTURE BUTTON ARTHREX BICEP AR-2261 $738.00

IMP SUTURE KIT ARTHREX PARS AR-8860DS $1,875.00

IMP SYN PLATE MATRIXWAVE MMF SHORT 10H TI 04.503.820 $733.00

IMP SYN SCR MATRIXWAVE MMF 6X1.8MM TI 04.503.824.01 $319.00

IMP SYN SCR MATRIXWAVE MMF 8X1.8MM TI 04.503.825.01 $319.00

IMP SYSTEM ARTHREX BIOCOMP ACHILLES MID-SUBSTNC AR-8929BC-CP $2,438.00

IMP SYSTEM REPOSE G2 BONE SCREW 763532-00 $6,000.00

IMP TESTICULAR PROSTHESIS LG 2.9X4.5CM 20CC 450-1329 $5,138.00

IMP TESTICULAR PROSTHESIS MED 2.7X4.0CM 16CC 450-1327 $4,990.00

IMP TESTICULAR PROSTHESIS SM 2.5X3.5CM 11CC 450-1325 $4,990.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ10 150600010 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ3 150600003 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ3 1506-70-003 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ4 150600004 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ4 150670004 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ5 150600005 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ6 150600006 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ6 150670006 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ7 150600007 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ8 150600008 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ8 150670008 $2,250.00

IMP TIB BASE JJ ATTUNE FX BR SYS CEM SZ9 150600009 $2,250.00

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IMP TIB BASE JJ ATTUNE RP SZ10 CEM 150610010 $2,250.00

IMP TIB BASE JJ ATTUNE RP SZ3 CEM 150610003 $2,250.00

IMP TIB BASE JJ ATTUNE RP SZ4 CEM 150610004 $2,250.00

IMP TIB BASE JJ ATTUNE RP SZ5 CEM 150610005 $2,250.00

IMP TIB BASE JJ ATTUNE RP SZ6 CEM 150610006 $2,250.00

IMP TIB BASE JJ ATTUNE RP SZ7 CEM 150610007 $2,250.00

IMP TIB BASE JJ ATTUNE RP SZ8 CEM 150610008 $2,250.00

IMP TIB BASE JJ ATTUNE RP SZ9 CEM 150610009 $2,250.00

IMP TIB BASEPLATE JJ ATTUNE POST RP SZ 4 150680004 $2,250.00

IMP TIBIAL ARTHREX HTO IBALANCE LG 10D/XL 9D AR-13400L-10 $4,750.00

IMP TIBIAL ARTHREX HTO IBALANCE SM 8D/MED 7D AR-13400M-07 $4,750.00

IMP TIBIAL BEARING ANTERIOR VANGARD BIOM 20X63MM 189030 $1,413.00

IMP TIBIAL TRAY ANKLE WRIGHT INBONE RT SZ 4 LONG $3,868.00

IMP TIBIAL TRAY DEPUY SIGMA MOD SZ 1.5 1581-15-000 $1,625.00

IMP TIBIAL TRAY MOD 3 SIGMA 1581-30-000 $1,625.00

IMP TIBIAL TRAY MOD 4 SIGMA 1581-40-000 $1,625.00

IMP TIBIAL TRAY MOD 5 SIGMA 1581-50-000 $1,625.00

IMP TIBIAL TRAY MOD 6 SIGMA 1581-60-000 $1,625.00

IMP TIBIAL WRIGHT MEDIAL PIVOT ADV II SZ3 14MM RT KIMP-314R $2,250.00

IMP TIBIAL ZIM PSN NP STM 5DEG SZ CL 42-5320-064-01 $1,750.00

IMP TIBIAL ZIM PSN NP STM 5DEG SZ DL 42-5320-067-01 $1,750.00

IMP TIBIAL ZIM PSN NP STM 5DEG SZ DR 42-5320-067-02 $1,750.00

IMP TIBIAL ZIM PSN NP STM 5DEG SZ EL 42-5320-071-01 $1,750.00

IMP TIBIAL ZIM PSN NP STM 5DEG SZ ER 42-5320-071-02 $1,750.00

IMP TIBIAL ZIM PSN NP STM 5DEG SZ GL 42-5320-079-01 $1,750.00

IMP TIBIAL ZIM PSN NP STM 5DEG SZ HR 42-5320-083-02 $1,850.00

IMP TRAY TIBIAL DEPUY REVISION 44MM 1294-35-125 $8,541.00

IMP TRAY TIBIAL DEPUY REVISION 46MM 1294-35-130 $8,541.00

IMP TRAY TIBIAL DEPUY REVISION 54MM 1294-35-150 $8,541.00

IMP TRAY TIBIAL DEPUY SIZE 1.5 129433115 $2,250.00

IMP TRAY TIBIAL DEPUY SIZE 2 129433120 $3,013.00

IMP TRAY TIBIAL DEPUY SIZE 2.5 129433125 $2,250.00

IMP TRAY TIBIAL DEPUY SIZE 3 129433130 $3,013.00

IMP TRAY TIBIAL DEPUY SIZE 4 129433140 $3,013.00

IMP TRAY TIBIAL DEPUY SIZE 5 129433150 $2,250.00

IMP TRAY TIBIAL DEPUY SIZE 6 129433160 $2,250.00

IMP TUBE SYN STAINLESS STEEL 11X400MM 393.57 $509.00

IMP URINARY SPHINCTER AMS 800 PUMP SYSTEM 72404127 $15,325.00

IMP URINARY SPHINCTER BALLOON AMS 51-60CM 72400023 $6,278.00

IMP URINARY SPHINCTER BALLOON AMS 61-70CM 72400024 $7,275.00

IMP URINARY SPHINCTER BALLOON AMS 71-80CM 72400025 $7,275.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 10.0CM 72404142 $16,625.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 11.0CM 72404144 $16,625.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 4.0CM 72404130 $15,913.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 4.5CM 72404131 $15,913.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 5.0CM 72404132 $15,913.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 5.5CM 72404133 $15,913.00

Page 253: DESCRIPTION Price - Fairview

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 6.0CM 72404134 $16,625.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 6.5CM 72404135 $16,625.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 7.0CM 72404136 $16,625.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 7.5CM 72404137 $16,625.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 8.0CM 72404138 $16,625.00

IMP URINARY SPHINCTER CUFF OCCLUSIVE AMS 9.0CM 72404140 $16,625.00

IMP WASHER ACE FLAT 6.5MM 14097 $85.00

IMP WASHER ACE FLAT 8.0 14191 $133.00

IMP WASHER ARTHREX 10MM TI AR-8945W $200.00

IMP WASHER ARTHREX SPIKED FOR CANC SCR 14MM AR-1349 $250.00

IMP WASHER DANEK BONE GRAFT 17MM TI 9090117 $403.00

IMP WASHER SYN 13.0MM TI 419.99 $58.00

IMP WASHER SYN 3.5/4.5MM 240.019 $233.00

IMP WASHER SYN CAN 13MM 219.99 $58.00

IMP WASHER SYN CAN SET 3.0MM 219.89 $288.00

IMP WASHER SYN CAN SET 4.5MM 219.91 $56.00

IMP WASHER SYN CAN SM 7.0MM 219.98 $53.00

IMP WASHER SYN CANC SM 6.5MM 219.972 $63.00

IMP WASHER SYN SPIKE 13.5X4.0MM 219.941 $259.00

IMP WASHER SYN SPIKE 13.5X5.5MM 219.951 $254.00

IMP WASHER SYN SPIKE 8.0X3.2MM 219.931 $146.00

IMP WEDGE FEM DEPUY AUG PFC SZ 2 POST 4MM 96-0826 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SIGMA SZ 2 4MM LT 96-0820 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SIGMA SZ 2 8MM RT 96-0823 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SZ 2.5 4MM LT 96-0840 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SZ 2.5 8MM LT 96-0842 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SZ 2.5 8MM RT 96-0843 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SZ 3 4MM LT 96-0860 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SZ 4 4MM RT 96-0881 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SZ 4 8MM RT 96-0883 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SZ 5 4MM LT 96-0900 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SZ 5 4MM RT 96-0901 $1,719.00

IMP WEDGE FEM DEPUY DIST AUG PFC SZ 5 8MM LT 96-0902 $1,719.00

IMP WEDGE FEM DEPUY POST AUG PFC SZ 2.5 4MM 96-0846 $1,719.00

IMP WEDGE FEM DEPUY POST AUG PFC SZ 2.5 8MM 96-0848 $1,719.00

IMP WEDGE FEM DEPUY POST AUG PFC SZ 3 8MM LT 96-0868 $1,719.00

IMP WEDGE FEM DEPUY POST AUG PFC SZ 4 4MM 96-0886 $1,719.00

IMP WEDGE FEM DEPUY POST AUG PFC SZ 4 8MM 96-0888 $1,719.00

IMP WEDGE FEM DEPUY POST AUG PFC SZ 5 4MM 96-0906 $1,719.00

IMP WEDGE FEM DEPUY POST AUG PFC SZ 5 8MM 96-0908 $1,719.00

IMP WIRE KIRSCHNER 0.8X70MM 292.08 $161.00

IMP WIRE KIRSCHNER 1.0X150MM 292.10 $184.00

IMP WIRE KIRSCHNER 1.0X150MM DBL POINT 292.50 $217.00

IMP WIRE KIRSCHNER 1.143X160MM 07-40281 $56.00

IMP WIRE KIRSCHNER 1.6MM KW062SS $73.00

IMP WIRE KIRSCHNER 1.6MM THRD TIP 8290-16-006 $125.00

IMP WIRE KIRSCHNER 1.6MMX6" 14425-6 $125.00

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IMP WIRE KIRSCHNER 1.6X150MM 292.71 $349.00

IMP WIRE KIRSCHNER 1.6X150MM 44112008 $50.00

IMP WIRE KIRSCHNER 1.6X150MM DBL POINT 292.56 $217.00

IMP WIRE KIRSCHNER 1.6X150MM THRD 292.73 $349.00

IMP WIRE KIRSCHNER 1.6X285MM 292.18 $230.00

IMP WIRE KIRSCHNER 2.0MM SS KW20SS $125.00

IMP WIRE KIRSCHNER 2.0MMX6" 14179-6 $3,653.00

IMP WIRE KIRSCHNER 2.0X285MM 292.21 $230.00

IMP WIRE KIRSCHNER 2.5X150MM THRD 292.75 $383.00

IMP WIRE KIRSCHNER 2.5X200MM THRD 292.76 $398.00

IMP WIRE KIRSCHNER 3.0X150MM 292.30 $184.00

IMP WIRE KIRSCHNER 3.2X450MM 1210-6450S $307.00

IMP WIRE KIRSCHNER ARTHREX 1.6X15CM AR-14016 $33.00

IMP WIRE KIRSCHNER DBL END TROCAR POINTS 2.0X150MM 292.58 $217.00

IMP WIRE KIRSCHNER STRK 2.0MM ASNIS MICRO 0.8X100MM 45-20015 $72.00

IMP WIRE KIRSCHNER STRK 3.0MM ASNIS MICRO 1.2X100MM 45-30015 $78.00

IMP WIRE KIRSCHNER STRK 3.0X285MM 1806-0050S $447.00

IMP WIRE KIRSCHNER STRK SMOOTH 1.4X100MM 45-80200 $52.00

IMP WIRE KIRSCHNER SYN 1.6X150MM 292.16 $184.00

IMP WIRE KIRSCHNER SYN TITANIUM 1.25X150MM 492.12 $214.00

IMP WIRE KIRSCHNER TRILLIANT DBL ENDED 0.035X5MM 210-24-006 $33.00

IMP WIRE KIRSCHNER TRILLIANT PART THRD 0.035X5MM 210-24-005 $33.00

IMP WIRE KIRSCHNER TRILLIANT PART THRD 0.045X6MM 210-40-005 $33.00

IMP WIRE KIRSCHNER TRILLIANT STD 0.035X5MM 210-24-004 $33.00

IMP WIRE KIRSCHNER TRILLIANT STD 0.045X6MM 210-40-004 $33.00

IMP WIRE KIRSCHNER W/OLIVE STOP 56-40281 $77.00

IMP WIRE KIRSCHNER WRIGHT INBONE 1.4MM 500036 $65.00

IMPACTOR DHS DCS SM HIP TP LF 338.25 $95.00

IMPELLA 2.5 $80,340.00

IMPLANT 25MM BASEPLATE W/ADAPTER $3,968.00

IMPLANT 8MM CLEAR INTERPHLEX STR $1,750.00

IMPLANT BIO-MODULAR HUMERAL TRAY A $5,030.00

IMPLANT BREAST 430CC ULTRA HIGH $2,063.00

IMPLANT BREAST 500CC RND HIGH 350-3420 $1,613.00

IMPLANT BREAST 550CC RND HIGH 350-3460 $1,613.00

IMPLANT BREAST GEL 240CC MODERATE $3,338.00

IMPLANT BREAST GEL 255CC MODERATE $3,338.00

IMPLANT BREAST GEL 275CC MODERATE $3,338.00

IMPLANT BREAST GEL 295CC $3,338.00

IMPLANT BREAST GEL 335CC FULL $3,338.00

IMPLANT BREAST GEL 445CC MODERATE $2,838.00

IMPLANT BREAST GEL 450CC RMD MODERATE $2,063.00

IMPLANT BREAST GEL 485XX MODERATE $2,838.00

IMPLANT BREAST GEL 520CC MODERATE $2,838.00

IMPLANT BREAST GEL 650CC EXTA-FULL $3,338.00

IMPLANT BREAST GEL HI PROFILE 300CC $2,063.00

IMPLANT BREAST GEL RND HP 175CC $2,063.00

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IMPLANT BREAST GEL RND HP 200CC $2,063.00

IMPLANT BREAST GEL RND HP 225CC $2,063.00

IMPLANT BREAST GEL RND HP 250CC $2,063.00

IMPLANT BREAST GEL RND HP 275CC $2,063.00

IMPLANT BREAST GEL RND HP 300CC $2,063.00

IMPLANT BREAST GEL RND HP 325CC $2,063.00

IMPLANT BREAST GEL RND HP 350CC $2,063.00

IMPLANT BREAST GEL RND HP 375CC $2,000.00

IMPLANT BREAST GEL RND HP 400CC 354-4400 $2,000.00

IMPLANT BREAST GEL RND HP 425CC $2,000.00

IMPLANT BREAST GEL RND HP 450CC 354-4450 $2,305.00

IMPLANT BREAST GEL RND HP 475CC $2,063.00

IMPLANT BREAST GEL RND HP 500CC 354-4500 $2,000.00

IMPLANT BREAST GEL RND HP 550CC 354-4550 $2,000.00

IMPLANT BREAST GEL RND HP 600CC 354-4600 $2,000.00

IMPLANT BREAST GEL RND HP ULTRA 215CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 240CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 270CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 295CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 320CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 350CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 375CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 400CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 430CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 455CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 480CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 590CC $2,063.00

IMPLANT BREAST GEL RND HP ULTRA 700CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 170CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 190CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 215CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 235CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 255CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 275CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 300CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 320CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 340CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 360CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 385CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 405CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 425CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 445CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 470CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 490CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 510CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 555CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 595CC $2,063.00

Page 256: DESCRIPTION Price - Fairview

IMPLANT BREAST GEL RND MP CLASSIC 640CC $2,063.00

IMPLANT BREAST GEL RND MP CLASSIC 750CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 150CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 175CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 200CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 225CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 250CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 275CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 300CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 325CC 354-3251 $2,000.00

IMPLANT BREAST GEL RND MP PLUS 350CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 375CC 354-3751 $2,000.00

IMPLANT BREAST GEL RND MP PLUS 400CC 354-4001 $2,000.00

IMPLANT BREAST GEL RND MP PLUS 425CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 450CC 354-4501 $2,000.00

IMPLANT BREAST GEL RND MP PLUS 475CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 500CC 354-5001 $2,000.00

IMPLANT BREAST GEL RND MP PLUS 525CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 550CC 354-5501 $2,000.00

IMPLANT BREAST GEL RND MP PLUS 575CC $2,063.00

IMPLANT BREAST GEL RND MP PLUS 600CC $2,063.00

IMPLANT BREAST GEL RND TEXTURED MP 700CC $2,063.00

IMPLANT BREAST GEL SMTH RND 295CC $2,063.00

IMPLANT BREAST GEL SMTH RND 320CC $2,063.00

IMPLANT BREAST INSPIRA 220CC $2,438.00

IMPLANT BREAST INSPIRA 235CC $2,438.00

IMPLANT BREAST INSPIRA GEL 260CC ROUND $2,438.00

IMPLANT BREAST INSPIRA GEL 290CC ROUND $2,438.00

IMPLANT BREAST INSPIRA GEL 320CC ROUND $2,438.00

IMPLANT BREAST INSPIRA SSL 350CC $3,338.00

IMPLANT BREAST INSPIRA SSL 380CC $3,338.00

IMPLANT BREAST INSPIRA SSL 410CC $3,338.00

IMPLANT BREAST INSPIRA SSLP 440CC $3,338.00

IMPLANT BREAST INSPIRA SSLP 490CC $3,338.00

IMPLANT BREAST INSPIRA SSLP 540CC $3,338.00

IMPLANT BREAST INSPIRA SSM 560CC $3,338.00

IMPLANT BREAST INSPRIA SSLP 400CC $3,338.00

IMPLANT BREAST SH RND BASE HI PROJ 370CC 20646-370RB $2,250.00

IMPLANT BREAST SH RND BASE HI PROJ 425CC 20646-425RB $2,250.00

IMPLANT BREAST SILTEX 535CC $2,063.00

IMPLANT BREAST SM RND MED PROJ 190CC $1,813.00

IMPLANT BREAST SM RND MED PROJ 210CC 10512-210MP $1,813.00

IMPLANT BREAST SM RND MED PROJ 230CC 10512-230MP $1,813.00

IMPLANT BREAST SM RND MED PROJ 250CC 10512-250MP $1,813.00

IMPLANT BREAST STYLE 168 SALINE 330CC $1,475.00

IMPLANT BREAST STYLE 168 SALINE 390CC $1,475.00

IMPLANT BREAST STYLE 20 SILICONE 500CC $2,200.00

Page 257: DESCRIPTION Price - Fairview

IMPLANT BREAST TEXTURED 520CC $3,338.00

IMPLANT BREAST TEXTURED 560CC $3,338.00

IMPLANT BREAST TEXTURED 605CC $3,338.00

IMPLANT BREAST TEXTURED 650CC $3,338.00

IMPLANT BREAST TEXTURED 750CC $3,338.00

IMPLANT BREAST TEXTURED 800CC $3,338.00

IMPLANT COLLAGEN ALLOMAX 10CM X 10CM SQ $7,900.00

IMPLANT COLLAGEN ALLOMAX 7CM X 10CM RECT $5,525.00

IMPLANT COLLAGEN PORCINE COLLAMEND 4X6 $4,807.00

IMPLANT COLLAGEN PORCINE COLLAMEND 6X8 $8,068.00

IMPLANT COLLAGEN PORCINE COLLAMEND 8X10 $11,897.00

IMPLANT CUSTOM ORBITAL 993-03-5501 $37,500.00

IMPLANT ELBOW HUM 4X100MM FLANGED 114905 $11,353.00

IMPLANT ELBOW HUM 5X100MM FLANGED 114907 $11,353.00

IMPLANT ELBOW HUM 5X150MM FLANGED $6,823.00

IMPLANT ELBOW HUM 6X150MM FLANGED 114918 $11,353.00

IMPLANT ELBOW HUM4X100MM FLANGED 114904 $11,353.00

IMPLANT ELBOW ULNA KIT REVISION $5,815.00

IMPLANT ELBOW ULNA W BEARING 3X75MM 114812 $12,505.00

IMPLANT ELBOW ULNA W BEARING 3X75MM 114813 $12,505.00

IMPLANT ELBOW ULNA W BEARING 4X75MM $7,518.00

IMPLANT ELBOW ULNA W BEARING 4X75MM 114823 $12,505.00

IMPLANT FEMORAL COMPONENT LP SZ-XS R $23,242.00

IMPLANT GLENOID BASE 4MM $2,333.00

IMPLANT GLENOID BASE 4MM $2,333.00

IMPLANT GLENOID BASE 4MM $2,333.00

IMPLANT GLENOID POLY W/PEG LG $1,500.00

IMPLANT GLENOID POLY W/PEG MED $1,500.00

IMPLANT GLENOID POLY W/PEG SM $1,500.00

IMPLANT GLENOID REVERSE BASE PLATE $2,813.00

IMPLANT GLENOID W KEEL LG $1,500.00

IMPLANT GLENOID W KEEL MED $1,500.00

IMPLANT GLENOID W/CLEAT SM $3,150.00

IMPLANT GLOBAL AP BALL TAPER ASSY $375.00

IMPLANT HEMI SM $2,338.00

IMPLANT HTO IBALANCE MED 9DEG $4,750.00

IMPLANT IBALANCE PATELLFEMORAL SZ 2 L $11,900.00

IMPLANT MCP FINGER JOINT SZ 20 $2,631.00

IMPLANT MCP FINGER JOINT SZ 50 $2,631.00

IMPLANT MEDPOR CUSTOMIZED LRG 54440310 $41,636.00

IMPLANT MEDPOR CUSTOMIZED SML $29,206.00

IMPLANT MEDPOR CUSTOMIZED XL $49,713.00

IMPLANT MEPOR CRANIAL CUSTOM XL $48,310.00

IMPLANT METATARSAL ZS 3 $9,083.00

IMPLANT NEUFLEX PIP SZ 3 $2,450.00

IMPLANT PEEK PSI SD800.419 $26,745.00

IMPLANT PEEK PSI SD800.435 $36,100.00

Page 258: DESCRIPTION Price - Fairview

IMPLANT PIP FINGER JOINT SZ 20 $2,631.00

IMPLANT PIP FINGER JOINT SZ 40 $2,631.00

IMPLANT PIP SZ 4 SURFACE REPLACE SYSTEM $9,374.00

IMPLANT PIP SZ SURFACE REPLACE SYSTEM $9,374.00

IMPLANT PREVAIL 7X8MM $5,963.00

IMPLANT PREVAIL 8X9MM $5,963.00

IMPLANT RADIAL SIZE 1 RIGHT $17,100.00

IMPLANT SALTO TALARIS TIBIAL BASE SZ 0 $16,250.00

IMPLANT SHOULDER PEGGED GLENOID SZ 9 5361-6109 $1,500.00

IMPLANT SILICON PIP SZ 2 $2,967.00

IMPLANT SILICONE PIP SZ 0 $2,967.00

IMPLANT SILICONE PIP SZ 3 $2,967.00

IMPLANT SIZE 20 HEMI METATARSAL $5,749.00

IMPLANT SUBTALAR 10MM $4,536.00

IMPLANT SUBTALAR 6MM $4,536.00

IMPLANT SUBTALAR 8MM $4,536.00

IMPLANT SZ 20 MCP DISTAL $3,404.00

IMPLANT SZ 20MCP PROXIMAL $5,063.00

IMPLANT SZ 30 MCP DISTAL MCP-100-30D-WW $2,865.00

IMPLANT SZ 30 MCP PROXIMAL MCP-100-30P-WW $5,063.00

IMPLANT SZ 40 MCP DISTAL $3,404.00

IMPLANT SZ 40 MCP PROXIMAL $5,063.00

IMPLANT TOE ANGLED SMART 19MM $1,688.00

IMPLANT TOE FLEX HINGE SZ 2S G426-0102 $2,663.00

IMPLANT TOE FLEX HINGE SZ 4S G426-0104 $1,813.00

IMPLANT TOE FLEX HINGED W GROMMETS SM G426-0105 $1,813.00

IMPLANT TOE SMART II 16MM $1,688.00

IMPLANT TOE SZ 3S FLEX HINGE G426-0103 $2,663.00

IMRT TREATMENT PLAN $7,406.00

IN-111 AUTOLOGOUS WBC SUSPENSION AND BLOOD KIT $7,153.00

IN-111 DTPA (PER 0.5MCI) $4,875.00

IN-111 WBC (PER 0.5 MCI) $2,298.00

INADM ANY ROUTE ADDL VAC/TOX $85.00

INC MULTI SQ TOE TENDONS $5,181.00

INC/DRAIN ABSCESS PERITONSILLA $908.00

INC/DRAIN BARTH GLAND ABSCESS $428.00

INC/DRAIN PERIANAL ABSCESS $1,476.00

INC/DRAIN PERINEAL ABSCESS $701.00

INC/DRAIN PERIRECTAL ABSCESS $4,324.00

INC/DRAIN SCROTAL ABSCESS/HEMA $5,394.00

INC/DRAIN SUBMUCOSAL ABSCESS $5,040.00

INCENTIVE SPIROMETER $83.00

INCISE THROMBOSED HEMORRHOID $681.00

INCISION & DRAINAGE-SINGLE $489.00

INDAPAMIDE 1.25 MG TABLET $5.00

INDAPAMIDE 2.5 MG TABLET $5.00

INDICATOR LQD NEUTRALIZER ACID $304.00

Page 259: DESCRIPTION Price - Fairview

INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION $50.00

INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION $50.00

INDOMETHACIN 1 MG INTRAVENOUS SOLUTION $2,299.00

INDOMETHACIN 25 MG CAPSULE $5.00

INDOMETHACIN 50 MG CAPSULE $5.00

INDOMETHACIN 50 MG RECTAL SUPPOSITORY $369.00

INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE $5.00

INFANT MOBILE ECHOCARDIOGRAPHY $1,129.00

INF-CHEMO PUMP INITIATION>8HR $1,234.00

INF-IV INFUSION PUMP INITIAT $999.00

INF-LAB DRAW-PERIPHERAL $52.00

INF-LAB PORT DRAW $331.00

INFLATION DEVICE BALLOON SINUPLASTY LF SEID $932.00

INFLATION DEVICE BIG 60 ENDO-AN6012 $438.00

INFLIXIMAB 100 MG INTRAVENOUS SOLUTION $4,463.00

INFLUENZA A AGN $96.00

INFLUENZA A IGG ABY $88.00

INFLUENZA A IGM ABY $88.00

INFLUENZA B AGN $96.00

INFLUENZA B IGG ABY $88.00

INFLUENZA B IGM ABY $88.00

INF-PICC LINE DRAW $295.00

INFUSION KIT $11.00

INHALATIONAL SPACING DEVICE $9.00

INHIBIN A, QD SCREEN, SO $102.00

INHIBIN A, TUMOR MARKER SO $308.00

INHIBIN B, SO $304.00

INHIBITION/NEUTRALIZATION - REF LAB $148.00

INITIAL INHAL RX, AIRWAY OBST/DX SPUTUM INDUCT $325.00

INITIAL INHAL RX, AIRWAY OBST/DX SPUTUM INDUCT $325.00

INJ ANESTH ; GREATER OCCIPITA $1,080.00

INJ A/S TF EPID L/S SGL LEV $1,759.00

INJ AN/ST TF EPID CRV/TH 1 LEV $1,980.00

INJ ANES OTHR PERIPH NRV/BRNCH $1,387.00

INJ ANESTH GRTR OCCIPITAL NRV $1,080.00

INJ ANESTH INTCOST NRV MULTI $2,311.00

INJ ANESTH LUMB/THOR SYMPATH $2,085.00

INJ ANESTH SPHENO GANGLION $618.00

INJ ANESTH TRIGEMINAL NERVE $618.00

INJ ANESTH; AXILLARY NERVE $1,502.00

INJ ANESTH; STELLATE GANGLION $2,397.00

INJ ANESTH; SUPRASCAPULAR NERVE $1,502.00

INJ CORPORA CAVERNOSA $746.00

INJ EPIDURAL BLOOD/CLOT PATCH $1,759.00

INJ NRV BLK C/T ADD $1,028.00

INJ PARAVERT F JNT C/T 2 LEV $724.00

INJ PARAVERT F JNT C/T 3 LEV $828.00

Page 260: DESCRIPTION Price - Fairview

INJ PARAVERT F JNT L/S 1 LEV $2,406.00

INJ PARAVERT F JNT L/S 2 LEV $644.00

INJ PARAVERT F JNT L/S 3 LEV $849.00

INJ PROC EST PSEUDOANEURYSM $1,100.00

INJ PROC FOR CONTRAST KNEE ARTHROGRAPHY OR CONTRAST ENHNCD CT/MRI KNEE ARTHROGRAPHY $903.00

INJ PX ANTEGRADE NEPHROSTOGRAM AND/OR URETEROGRAM; EXISTING ACCESS $1,726.00

INJ PX ANTEGRADE NEPHROSTOGRAM AND/OR URETEROGRAM; NEW ACCESS $1,726.00

INJ PX FOR CHOLANGIO, PERCUTANEOUS, WITH IMAGING GUIDANCE; EXISTING ACCESS $4,384.00

INJ PX FOR CHOLANGIO, PERCUTANEOUS, WITH IMAGING GUIDANCE; NEW ACCESS $7,127.00

INJ SCLEROSING SOLUTION HEMORR $1,874.00

INJ TENDON ORIGIN/INSERT $832.00

INJ TRIGGER POINT 1/2 MUSCL $755.00

INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE ,1 LEVEL $1,980.00

INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL $1,759.00

INJECT CARPAL TUNNEL, THERAPEUTIC $832.00

INJECT DISKOGRAM,LUMBAR,EA LEVEL $1,364.00

INJECT FOR LYMPHATIC X-RAY $944.00

INJECT NORIAN DRILLABLE 10CC STERILE $6,727.00

INJECT NORIAN DRILLABLE 3CC STERILE $2,083.00

INJECT RETROGRADE/CONDUIT X-RAY $480.00

INJECT TENDON SHEATH/LIGAMENT $832.00

INJECT TRIGGER POINTS =/> 3 $755.00

INJECTION EPIDURAL $1,759.00

INJECTION FOR PARATHYROID $856.00

INJECTION FOR SALIVARY X-RAY $285.00

INJECTION FOR SENTINEL NODE $853.00

INJECTION FOR URETER X-R $397.00

INJECTION HIP ARTHROGRAM $880.00

INJECTION IVP EA INITIAL DRUG $344.00

INJECTION IVP EA SEQ DRUG $164.00

INJECTION PROC,EXTREMITY,VENOGRAPHY $544.00

INJECTION PROLARYN PLUS $1,563.00

INJECTION SKIN LESIONS 7 OR < $357.00

INJECTION SQ/IM EACH $184.00

INJECTION,SACROILIAC JOINT $714.00

INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG $164.00

INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, SAME DRUG $209.00

INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG $344.00

INJECTION/MAJOR JOINT W/O US GUIDANCE $973.00

INJX SEL HRT ART CONGENITAL HRT CATH W/S&I $770.00

INPATIENT CIRCUMCISION $306.00

INR $54.00

INS CATH REN ART 1ST BILAT $9,183.00

INS CATH REN ART 1ST UNILAT $9,183.00

INS CATH REN ART 2ND+ UNILAT $9,865.00

INS ENDOVAS VENA CAVA FILTR $12,710.00

INSERT ACETABULAR 28MM ID 62MM OD 13.9MM THK RESTORATION SEL $2,001.00

Page 261: DESCRIPTION Price - Fairview

INSERT ACETABULAR 28X58MM $2,001.00

INSERT ACETABULAR 32MM 10 DEG P5 $2,897.00

INSERT ACETABULAR 32MM 10DEG P4 6352-5-104 $2,897.00

INSERT ACETABULAR 32MM ID 46-48MM OD D SHELL CROSSFIRE 10DEG $1,813.00

INSERT ACETABULAR 32MM ID CROSSFIRE 0DEG PRIMARY TRIDENT $1,813.00

INSERT ACETABULAR 36MM ID 58-60MM OD G SHELL CROSSFIRE 0DEG $1,813.00

INSERT ACETABULAR CONSTRAINED 22X50MM 2099-2250 $7,176.00

INSERT ACETABULAR CONSTRAINED 22X54MM 2099-2254 $7,176.00

INSERT ACETABULAR ECCENTRIC 36MM ID 54-56MM OD F SHELL X3 0D $2,000.00

INSERT ACETABULAR ECCENTRIC 36MM ID 54-56MM OD G SHELL X3 0D $2,000.00

INSERT ACETABULAR ECCENTRIC 36MM ID E SHELL X3 0DEG PRIMARY $2,000.00

INSERT ACETABULAR ECCENTRIC SZ G 36MM ID 58-60MM OD 15MM T $2,000.00

INSERT ACETABULAR MDM LINER 22.2-38 38D $2,001.00

INSERT ACETABULAR MDM LINER 22.2X36MM $2,001.00

INSERT ACETABULAR NEUTRAL SZ A 28MM ID 44MM OD 8.9MM THK X $2,000.00

INSERT ACETABULAR TRIDENT 0DEG $1,750.00

INSERT ACETABULAR TRIDENT 0DEG X3 28MM $2,001.00

INSERT ACETABULAR TRIDENT 0DEG X3 32MM $2,001.00

INSERT ACETABULAR TRIDENT 0DEG X3 32MM $2,001.00

INSERT ANKLE PRIMARY 9MM $4,144.00

INSERT ARTICULAR BCS XP SZ 3-4 L 10MM $2,050.00

INSERT ARTICULAR BCS XP SZ 3-4 L 11MM $2,050.00

INSERT ARTICULAR BCS XP SZ 3-4 L 13 $2,050.00

INSERT ARTICULAR BCS XP SZ 3-4 L 15MM $2,050.00

INSERT ARTICULAR BCS XP SZ 3-4 L 18MM $2,050.00

INSERT ARTICULAR BCS XP SZ 3-4-R 10MM $2,050.00

INSERT ARTICULAR BCS XP SZ 3-4-R 18MM $2,050.00

INSERT ARTICULAR BCS XP SZ 5-6 L 11MM $2,050.00

INSERT ARTICULAR BCS XP SZ 5-6 L 12MM $2,050.00

INSERT ARTICULAR BCS XP SZ 5-6 L 15MM $2,050.00

INSERT ARTICULAR BCS XP SZ 5-6 R 12MM $2,050.00

INSERT ARTICULAR BCS XP SZ 5-6 R 18MM $2,050.00

INSERT ARTICULAR BCS XP SZ 5-6 R 9M $2,050.00

INSERT ARTICULAR BCS XP SZ 7-8 L 13 $2,050.00

INSERT ARTICULAR BCS XP SZ 7-8 L 15MM $2,050.00

INSERT ARTICULAR BCS XP SZ 7-8 R 15MM $2,050.00

INSERT ARTICULATAR BCS XP SZ 3-4-R 9MM $2,050.00

INSERT ASF PS 13MM VD R 6-9 CD $2,408.00

INSERT ASF PS 14MM VD R 6-9 CD $2,408.00

INSERT BLADDER CATH COMPLEX $879.00

INSERT CATH PLEURA W/O IMAGE $2,365.00

INSERT CATHETER ARTERY $516.00

INSERT CR SZ 3-4 11MM $6,195.00

INSERT CR SZ 3-4 9MM $6,195.00

INSERT CR SZ 508 9MM $6,195.00

INSERT CR SZ 5-6 13MM $6,195.00

INSERT CROSSFIRE SERIES II 10DEG 32X62MM $2,981.00

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INSERT DRUG IMPLANT DEVICE $456.00

INSERT DURATION 32X58-61MM 10DEG 6299-7-581 $2,322.00

INSERT EVOLUTION MP SZ 6 STD 10MM R $2,250.00

INSERT FIX BEAR PS SZ 2 7MM $2,000.00

INSERT FIX BEAR PS SZ 2 8MM $2,000.00

INSERT FIX BEARING CR SZ 2 6MM $2,000.00

INSERT FOGARTY 61MM SOFT JAW SOFT61 $311.00

INSERT GEN W/ EXIST MULT LEADS $43,048.00

INSERT GENESIS II ART SZ 1-2 13MM $6,195.00

INSERT GENESIS II SZ 3-4 15MM $6,195.00

INSERT GRASPER DIRECT DRIVE APPLIED MEDICAL 5MMX35CM C4130 $1,125.00

INSERT HING LPS UNIVERSAL TIBIA XS 28MM $7,982.00

INSERT HINGE LPG UNIVERSAL TIBIA SM 18MM $7,982.00

INSERT HINGE LPS CEMENTED 13X125MM STR $10,160.00

INSERT HINGE LPS UNIVERSAL SM 14MM $7,982.00

INSERT HINGE LPS UNIVERSAL TIBIA MD 21MM $7,982.00

INSERT HINGE LPS UNIVERSAL TIBIA SM 12MM $7,982.00

INSERT HINGE LPS UNIVERSAL TIBIA SM 21MM $7,982.00

INSERT HINGE LPS UNIVERSAL TIBIA SM 23MM $7,982.00

INSERT HINGE LPS UNIVERSAL TIBIA XS 12MM $7,982.00

INSERT HINGE LPS UNIVERSAL TIBIA XS 16MM $7,982.00

INSERT HINGE LPS UNIVERSAL TIBIA XS 18MM $7,982.00

INSERT HINGE LPS UNIVERSAL TIBIA XS 21MM $7,982.00

INSERT HINGE LPS UNIVERSAL TIBIA XS 23MM $7,982.00

INSERT HINGE LPS UNIVERSAL TIBIA XXS 14M $7,982.00

INSERT HUMERAL $1,903.00

INSERT HUMERAL 36X9MM $4,620.00

INSERT HUMERAL LG 42MM +3MM $2,538.00

INSERT HUMERAL MED 39MM +3 $1,903.00

INSERT HUMERAL SM 36MM +3MM $1,903.00

INSERT HUMERAL SMALL 36MM +3 $2,538.00

INSERT INDWELLING CATH SIMPLE $330.00

INSERT JAW 86MM SOFTJAW SOFT86 $317.00

INSERT JOURNEY II XLPE DD L SZ 5-6 13MM $2,050.00

INSERT K-WIRE SYN 1.25MM 324.084 $387.00

INSERT LOCKING 4MM $108.00

INSERT LOCKING 5MM $155.00

INSERT OMNIFIT SERIES II 20D 32/50MM $2,196.00

INSERT OMNIFIT SERIES II 20D 32/54MM $2,196.00

INSERT OXFORD ANATOMIC BEAR L LG SZ 5 $1,625.00

INSERT OXFORD ANATOMIC BEAR L MED SZ 4 $1,625.00

INSERT OXFORD ANATOMIC BEAR L MED SZ 4 $1,625.00

INSERT OXFORD ANATOMIC BEAR L MED ZS 3 $1,625.00

INSERT OXFORD ANATOMIC BEAR L SM SZ 4 $1,625.00

INSERT OXFORD ANATOMIC BEAR R LG SZ 4 $1,625.00

INSERT OXFORD ANATOMIC BEAR R LG SZ 5 $1,625.00

INSERT OXFORD ANATOMIC BEAR R LG SZ 5 $1,625.00

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INSERT OXFORD ANATOMIC BEAR R MED SZ 4 $1,625.00

INSERT OXFORD ANATOMIC BEAR R MED SZ 5 $1,625.00

INSERT OXFORD ANATOMIC BEAR R SM SZ 4 $1,625.00

INSERT OXFORD ANATOMIC BEAR R SM SZ 5 $1,625.00

INSERT OXFORD ANATOMIC BEARING L SM SZ 3 $1,625.00

INSERT OXFORD ANATOMIC R LG SZ 3 $1,625.00

INSERT OXFORD MENISCAL BEAR 3MM $1,625.00

INSERT OXFORD MENISCAL BEAR R SM SZ 6 $1,625.00

INSERT PICC $2,524.00

INSERT PICC W/ALL IMAGING GUIDANCE INCLUDED SUB-Q PORT,W/O GUIDANCE >= 5 Y/O $2,175.00

INSERT RESTORATION ADM 28X56MM $2,001.00

INSERT RESTORATION ADM X3 CUP SZ ID 28 $2,001.00

INSERT RETENTATIVE REVERSE =6/12.5 B $4,440.00

INSERT REVISION REVERSE +6/12 36MM $2,000.00

INSERT REVISION REVERSE +9/1 36MM $4,440.00

INSERT REVISION REVERSE +9/12 36MM $2,000.00

INSERT REVISION REVERSE +9/12 42MM $2,000.00

INSERT SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG $16,931.00

INSERT SYSTEM 12 32MM 10DEG +4MM P3 $2,537.00

INSERT SYSTEM 12 32MM 10DEG P3 $1,961.00

INSERT TIABAIAL PROLONG SZ 3 +2 $4,488.00

INSERT TIBIA ASF UC 16MM POLY L 7-12 GH $1,413.00

INSERT TIBIA C3 2 25MM $3,612.00

INSERT TIBIA CROSSLINK STABIL 12MM SZ 6 $1,500.00

INSERT TIBIA DURACON CS MED 9MM 6742-4-209 $2,419.00

INSERT TIBIA DURACON CS SM 13MM $2,419.00

INSERT TIBIA DURACON CS XL 13MM $3,314.00

INSERT TIBIA FLEX PS 15MM $2,288.00

INSERT TIBIA SCORPIO FLEX CR X3 #10 8MM $2,288.00

INSERT TIBIA SCORPIO FLEX CR X3 #7 8MM $2,288.00

INSERT TIBIA SCORPIO FLEX CR X3 #9 8MM $2,288.00

INSERT TIBIA SCORPIO FLEX CR X3 10MM $2,288.00

INSERT TIBIA SCORPIO FLEX PS 8MM $2,288.00

INSERT TIBIA SIGMA CURVED XLOCK 2.5 10MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 2.5 12.5 $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 2.5 15MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 2.5 8MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 3 10MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 3 12.5MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 3 15MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 3 17.5MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 3 8MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 4 10MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 4 12.5MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 4 15MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 4 8MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 5 10MM $1,500.00

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INSERT TIBIA SIGMA CURVED XLOCK 5 12.5MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 5 15MM $1,500.00

INSERT TIBIA SIGMA CURVED XLOCK 5 8MM $1,500.00

INSERT TIBIA SIGMA CVD PLUS 2.5 15MM $1,500.00

INSERT TIBIA SIGMA CVD PLUS 2.5 17.5MM $1,500.00

INSERT TIBIA SIGMA CVD PLUS 4 15MM $1,500.00

INSERT TIBIA SIGMA CVD PLUS 5 10MM $1,500.00

INSERT TIBIA SIGMA CVD PLUS 5 17.5MM $1,500.00

INSERT TIBIA SIGMA CVD PLUS 5 8MM $1,500.00

INSERT TIBIA SIGMA FIXED BEARING STABILE $1,500.00

INSERT TIBIA SIGMA STAB GVF 3 22.5MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 2 10MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 2 12.5MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 2 15MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 2 8MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 2.5 10MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 2.5 12.5MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 2.5 15MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 2.5 8MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 3 10MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 3 12.5MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 3 15MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 3 17.5MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 3 8MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 4 10MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 4 12.5MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 4 15MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 4 8MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 5 10MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 5 12.5MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 5 15MM $1,500.00

INSERT TIBIA SIGMA STAB XLOCK 5 8MM $1,500.00

INSERT TIBIA STAB + SZ 3 10MM $3,566.00

INSERT TIBIA STAB + SZ 4 10MM $3,566.00

INSERT TIBIA STAB SZ 2 17.5MM 96-2114 $2,000.00

INSERT TIBIA STAB SZ 3 22.5MM $2,000.00

INSERT TIBIA STAB XP 2.5 17.5MM $1,500.00

INSERT TIBIA STAB XP 6 10MM $1,500.00

INSERT TIBIA TAB 25MM $2,000.00

INSERT TIBIA TC3 RP SZ 2 10MM $4,767.00

INSERT TIBIA TC3 RP SZ 2 12.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 2 15.0MM $4,767.00

INSERT TIBIA TC3 RP SZ 2 20.0MM $4,767.00

INSERT TIBIA TC3 RP SZ 2 22.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 2.5 10MM $4,767.00

INSERT TIBIA TC3 RP SZ 2.5 12.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 2.5 15MM $4,767.00

Page 265: DESCRIPTION Price - Fairview

INSERT TIBIA TC3 RP SZ 2.5 17.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 2.5 20.0MM $4,767.00

INSERT TIBIA TC3 RP SZ 2.5 22.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 3 10.0MM $4,767.00

INSERT TIBIA TC3 RP SZ 3 12.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 3 17.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 3 20.0MM $4,767.00

INSERT TIBIA TC3 RP SZ 3 22.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 4 10.0MM $4,767.00

INSERT TIBIA TC3 RP SZ 4 12.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 4 15MM $4,767.00

INSERT TIBIA TC3 RP SZ 4 17.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 4 20MM $4,767.00

INSERT TIBIA TC3 RP SZ 4 25MM $4,767.00

INSERT TIBIA TC3 RP SZ 5 10MM $4,767.00

INSERT TIBIA TC3 RP SZ 5 12.5MM $4,767.00

INSERT TIBIA TC3 RP SZ 5 15MM $4,767.00

INSERT TIBIA TC3 SZ 2 10MM $3,612.00

INSERT TIBIA TRIATHLON X3 CS #5 19MM $2,288.00

INSERT TIBIA TS X3 POLY PLUS SZ 1 11MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 1 13MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 2 11MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 2 19MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 2 22MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 2 9MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 3 11MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 3 16MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 4 9MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 5 11MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 5 16MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 5 19MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 5 22MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 6 19MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 6 22MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 6 9MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 7 13MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 7 16MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 7 19MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 8 11MM $5,746.00

INSERT TIBIA TS X3 POLY PLUS SZ 8 16MM $5,746.00

INSERT TIBIAL 11MM VE 4-5 CR $2,408.00

INSERT TIBIAL 14MM VE L 3-9 CD $2,408.00

INSERT TIBIAL 7MM THK UHMWPE STAINLESS STEEL CORE SLIDING ST $4,144.00

INSERT TIBIAL ARTICULAR SURFACE MED 50MML 16MM THK POLYET $2,080.00

INSERT TIBIAL ARTICULAR SURFACE MED 72MM/48MML 16MM THK D $2,080.00

INSERT TIBIAL ARTICULAR SURFACE MED 72MM/48MML 19MM THK D $2,080.00

INSERT TIBIAL ARTICULAR SURFACE SZ 1 11MM THK POLYETHYLENE $1,750.00

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INSERT TIBIAL ARTICULAR SURFACE SZ 2 11MM THK POLYETHYLENE $1,750.00

INSERT TIBIAL ARTICULAR SURFACE SZ 2 13MM THK POLYETHYLENE $1,750.00

INSERT TIBIAL ARTICULAR SURFACE SZ 3 15MM THK UHMWPE POSTE $4,767.00

INSERT TIBIAL ARTICULAR SURFACE SZ 3 STANDARD 25MM THK X3 $5,746.00

INSERT TIBIAL ARTICULAR SURFACE SZ 4 13MM THK POLYETHYLENE $1,750.00

INSERT TIBIAL ARTICULAR SURFACE SZ 4 9MM THK POLYETHYLENE $1,750.00

INSERT TIBIAL ARTICULAR SURFACE SZ 5 11MM THK POLYETHYLENE $1,750.00

INSERT TIBIAL ARTICULAR SURFACE SZ 5 13MM THK POLYETHYLENE $1,750.00

INSERT TIBIAL ARTICULAR SURFACE SZ 5 STANDARD 9MM THK X3 T $5,746.00

INSERT TIBIAL ARTICULAR SURFACE SZ 6 11MM THK POLYETHYLENE $681.00

INSERT TIBIAL ARTICULAR SURFACE SZ 6 9MM THK POLYETHYLENE $1,750.00

INSERT TIBIAL ARTICULAR SURFACE SZ 6 STANDARD 11MM THK X3 $5,746.00

INSERT TIBIAL ARTICULAR SURFACE SZ 7 9MM THK POLYETHYLENE $1,750.00

INSERT TIBIAL ARTICULAR SURFACE SZ 7 STANDARD 11MM THK X3 $5,746.00

INSERT TIBIAL ARTICULAR SURFACE SZ 8 STANDARD 19MM THK X3 $5,243.00

INSERT TIBIAL AS AS 3-4 YELLOW 20MM $1,750.00

INSERT TIBIAL AS PS 10MM POLY L 3-5 CD $2,408.00

INSERT TIBIAL AS PS 12MM POLY L 3-5CD $2,408.00

INSERT TIBIAL ASF 14MM POLY L 3-7 CD $1,413.00

INSERT TIBIAL ASF CF 18MM POLY L 3-9 CD $1,413.00

INSERT TIBIAL ASF CFF 10MM VE L 6-9 EF $2,408.00

INSERT TIBIAL ASF CPF 10MM VE L 10-12GH $2,408.00

INSERT TIBIAL ASF CPF 11MM VE L 10-12GH $2,408.00

INSERT TIBIAL ASF CPF 11MM VE L 6-9EF $2,408.00

INSERT TIBIAL ASF CPF 12MM VE L 10-12GH $2,408.00

INSERT TIBIAL ASF CPF 13MM VE L 10-12GH $2,408.00

INSERT TIBIAL ASF CPF 13MM VE L 6-9EF $2,408.00

INSERT TIBIAL ASF CPF 14MM 3-5 EF $2,408.00

INSERT TIBIAL ASF CPF 14MM L 6-9EF $2,408.00

INSERT TIBIAL ASF CPF 14MM VE L 10-12EF $2,408.00

INSERT TIBIAL ASF CPS 10MM VE L $2,408.00

INSERT TIBIAL ASF CPS 10MM VE L 3-5 EF $2,408.00

INSERT TIBIAL ASF CPS 10MM VE L 3-5CD $2,408.00

INSERT TIBIAL ASF CPS 11MM VE L 6-9EF $2,408.00

INSERT TIBIAL ASF CPS 12MM VE L 6-9 EF $2,408.00

INSERT TIBIAL ASF CPS 14MM VE L 3-5 EF $2,408.00

INSERT TIBIAL ASF CR 10MM POLY L 3-11 EF $1,413.00

INSERT TIBIAL ASF CR 10MM POLY L 3-9 CD $1,413.00

INSERT TIBIAL ASF CR 10MM POLY L 7-12 GH $1,413.00

INSERT TIBIAL ASF CR 10MM POLY R 3-11 EF $1,413.00

INSERT TIBIAL ASF CR 10MM POLY R 3-9 CD $1,413.00

INSERT TIBIAL ASF CR 10MM POLY R 7-12 GH $1,413.00

INSERT TIBIAL ASF CR 10MM VE L 3-9 CD $2,408.00

INSERT TIBIAL ASF CR 10MM VE L 6-7 $2,408.00

INSERT TIBIAL ASF CR 10MM VE L 8-11 $2,408.00

INSERT TIBIAL ASF CR 10MM VE R 3-11 EF $2,408.00

INSERT TIBIAL ASF CR 10MM VE R 4-11 EF $2,408.00

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INSERT TIBIAL ASF CR 10MM VE R 7-12 GH $2,408.00

INSERT TIBIAL ASF CR 11MM POLY L 3-11 EF $1,413.00

INSERT TIBIAL ASF CR 11MM POLY L 3-9 CD $1,413.00

INSERT TIBIAL ASF CR 11MM POLY R 3-11 EF $1,413.00

INSERT TIBIAL ASF CR 11MM POLY R 3-9 CD $1,413.00

INSERT TIBIAL ASF CR 11MM VE L 6-7 $2,408.00

INSERT TIBIAL ASF CR 12MM POLY L 3-9 CD $1,413.00

INSERT TIBIAL ASF CR 12MM POLY R 3-11 EF $1,413.00

INSERT TIBIAL ASF CR 12MM POLY R 3-9 CD $1,413.00

INSERT TIBIAL ASF CR 12MM VE L 3-9 CD $1,750.00

INSERT TIBIAL ASF CR 12MM VE L 4-11 EF $2,408.00

INSERT TIBIAL ASF CR 12MM VE L 8-11 $2,408.00

INSERT TIBIAL ASF CR 12MM VE L 8-9 $2,408.00

INSERT TIBIAL ASF CR 12MM VE R 4-11 EF $2,408.00

INSERT TIBIAL ASF CR 13MM POLY L 3-11 EF $1,413.00

INSERT TIBIAL ASF CR 13MM POLY L 3-9 CD $1,413.00

INSERT TIBIAL ASF CR 13MM POLY R 3-11 EF $1,413.00

INSERT TIBIAL ASF CR 13MM VE L 7-12 GH $2,408.00

INSERT TIBIAL ASF CR 13MM VE R 3-11 EF $2,408.00

INSERT TIBIAL ASF CR 13MM VE R 4-11 EF $2,408.00

INSERT TIBIAL ASF CR 14MM POLY L 3-11 EF $1,413.00

INSERT TIBIAL ASF CR 14MM POLY R 3-11 EF $1,413.00

INSERT TIBIAL ASF CR 14MM POLY R 3-9 CD $1,413.00

INSERT TIBIAL ASF CR 14MM VE L 3-11 EF $2,408.00

INSERT TIBIAL ASF CR 16MM POLY L 3-11 EF $1,413.00

INSERT TIBIAL ASF CR POLY 14MM $1,413.00

INSERT TIBIAL ASF MLC 12MM VE R 6-7EF $2,408.00

INSERT TIBIAL ASF PF 12MM VE L 6-9 EF $2,408.00

INSERT TIBIAL ASF PS 10MM POLY L 6-9 EF $1,413.00

INSERT TIBIAL ASF PS 10MM VE R 10-11 EF $2,408.00

INSERT TIBIAL ASF PS 10MM VE R 10-12 GH $2,408.00

INSERT TIBIAL ASF PS 10MM VE R 6-9 CD $2,408.00

INSERT TIBIAL ASF PS 11MM POLY L 3-5 CD $1,413.00

INSERT TIBIAL ASF PS 11MM POLY L 6-9 EF $1,413.00

INSERT TIBIAL ASF PS 11MM POLY R 10-11EF $1,413.00

INSERT TIBIAL ASF PS 11MM POLY R 10-12GH $1,413.00

INSERT TIBIAL ASF PS 11MM R 10-12 GH $2,408.00

INSERT TIBIAL ASF PS 11MM VE R 10-11 EF $2,408.00

INSERT TIBIAL ASF PS 12MM POLY L 3-5 CD $1,413.00

INSERT TIBIAL ASF PS 12MM POLY L 6-9 EF $1,413.00

INSERT TIBIAL ASF PS 12MM POLY R 10-12GH $1,413.00

INSERT TIBIAL ASF PS 12MM POLY R 6-9 EF $1,413.00

INSERT TIBIAL ASF PS 12MM VE R 10-12 GH $2,408.00

INSERT TIBIAL ASF PS 12MM VE R 3-5 CD $2,408.00

INSERT TIBIAL ASF PS 13MM POLY R 6-9 EF $1,413.00

INSERT TIBIAL ASF PS 13MM VE L 6-9CD $2,408.00

INSERT TIBIAL ASF PS 13MM VE R 10-12 GH $2,408.00

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INSERT TIBIAL ASF PS 13MM VE R 3-5 CD $2,408.00

INSERT TIBIAL ASF PS 14MM L 10-12 GH $1,413.00

INSERT TIBIAL ASF PS 14MM POLY R 6-9 EF $1,413.00

INSERT TIBIAL ASF PS 14MM VE L 3-5CD $2,408.00

INSERT TIBIAL ASF PS 14MM VE R 3-5 CD $2,408.00

INSERT TIBIAL ASF PS 16MM VE R 6-9 GH $2,408.00

INSERT TIBIAL ASF PS VE L 6-9 CD $2,408.00

INSERT TIBIAL ASF UC 10MM POLY R 4-11 EF $1,413.00

INSERT TIBIAL ASF UC 10MM VE R $2,408.00

INSERT TIBIAL ASF UC 11MM POLY L 4-11 EF $1,413.00

INSERT TIBIAL ASF UC 11MM POLY R 3-7 CD $1,413.00

INSERT TIBIAL ASF UC 11MM POLY R 4-11 EF $1,413.00

INSERT TIBIAL ASF UC 11MM POLY R 7-12 GH $1,413.00

INSERT TIBIAL ASF UC 11MM VE R 3-7 CD $2,408.00

INSERT TIBIAL ASF UC 11MM VE R 3-7 CD $2,408.00

INSERT TIBIAL ASF UC 12MM POLY L 4-11 EF $1,413.00

INSERT TIBIAL ASF UC 12MM POLY R 3-7 CD $1,413.00

INSERT TIBIAL ASF UC 12MM POLY R 4-11 EF $1,413.00

INSERT TIBIAL ASF UC 16MM POLY R 4-11 EF $1,413.00

INSERT TIBIAL ASF US 10MM POLY L 4-11 EF $1,413.00

INSERT TIBIAL ASF US 10MM VE L 7-12 GH $2,408.00

INSERT TIBIAL ASF US 13MM POLY R 1-2AB $1,413.00

INSERT TIBIAL ASF US 14MM VE L 3-7 CD $2,408.00

INSERT TIBIAL ASF US 16MM VE L 7-12GH $2,408.00

INSERT TIBIAL ASP PS 11MM VE L 6-9 GH $2,408.00

INSERT TIBIAL BASE W/O TAPER $1,750.00

INSERT TIBIAL CON LG 46X34MM $10,255.00

INSERT TIBIAL CON LG 51X34MM R $10,255.00

INSERT TIBIAL CONE 31X31X25MM $10,255.00

INSERT TIBIAL CONE 41X34X25MM $10,255.00

INSERT TIBIAL CR 10MM VE 4-5 $2,408.00

INSERT TIBIAL CR 10MM VE 4-5 CD $2,408.00

INSERT TIBIAL CR 10MM VE R 8-11 EF $2,408.00

INSERT TIBIAL CR 11MM RIGHT $2,408.00

INSERT TIBIAL CR 11MM VE R 6-7 CD $2,408.00

INSERT TIBIAL CR 11MM VE R 6-9 EF $2,408.00

INSERT TIBIAL CR 11MM VE R 6-9 EF $2,408.00

INSERT TIBIAL CR 11MM VE R 8-11 EF $2,408.00

INSERT TIBIAL CR 11MM VE SZ 6-7 $2,408.00

INSERT TIBIAL CR 12MM RIGHT $2,408.00

INSERT TIBIAL CR 12MM VE L 6-7 $2,408.00

INSERT TIBIAL CR 12MM VE R 6-7 CD $2,408.00

INSERT TIBIAL CR 12MM VE R 6-9 EF $2,408.00

INSERT TIBIAL CR 12MM VE R 8-11 EF $2,408.00

INSERT TIBIAL CR 13MM VE L 6-7 $2,408.00

INSERT TIBIAL CR 13MM VE R 6-9 PS $2,408.00

INSERT TIBIAL CR 13MM VE R 8-11 EF $2,408.00

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INSERT TIBIAL CR 13MM VE SZ 6-7 $2,408.00

INSERT TIBIAL CR 14MM VE R 6-9 EF $2,408.00

INSERT TIBIAL CR 16MM VE R 6-9 EF $2,408.00

INSERT TIBIAL CR SZ 4-5 10MM $2,408.00

INSERT TIBIAL CR SZ 4-5 11MM $2,408.00

INSERT TIBIAL CR SZ 4-5 12MM $2,408.00

INSERT TIBIAL CR SZ 6 7-14MM $2,408.00

INSERT TIBIAL CR SZ 8-11 12MM $2,408.00

INSERT TIBIAL CRS ROTATING PLATFORM AOX SZ-5 18MM F/ATTUNE $5,360.00

INSERT TIBIAL DURACON A/P LIP LG 9MM 6642-1-809 $2,080.00

INSERT TIBIAL DURACON A/P LIP SM 11MM 6642-1-611 $2,322.00

INSERT TIBIAL DURATION S1-S2 10MM $2,569.00

INSERT TIBIAL EF CR 11MM VE L 6-7 $2,408.00

INSERT TIBIAL LCCK AS EF 5-6 GREEN 14MM 00599404014 $5,768.00

INSERT TIBIAL LM\RL #4 10MM $2,500.00

INSERT TIBIAL LSI LG+ 10MM $5,270.00

INSERT TIBIAL MODULAR 2XSM UNIV 21MM THK UHMWPE GVF $7,982.00

INSERT TIBIAL MODULAR SM UNIV 26MM THK UHMWPE GVF HI $13,028.00

INSERT TIBIAL MODULAR XSM UNIV 26MM THK UHMWPE GVF H $7,982.00

INSERT TIBIAL OMNIFIT II #7/8MM $2,236.00

INSERT TIBIAL OMNIFIT II #9/8MM $2,236.00

INSERT TIBIAL PROLONG SZ 3 +0 $4,488.00

INSERT TIBIAL PS LEFT 16MM $2,408.00

INSERT TIBIAL PS SZ 5 11MM $4,256.00

INSERT TIBIAL PS SZ 5 13MM $4,256.00

INSERT TIBIAL PSN ASF PS 11MM VE R 6-9 GH $2,408.00

INSERT TIBIAL RP STAB 1.5 10MM $2,000.00

INSERT TIBIAL SCORPIO TS SZ 7 16MM $3,788.00

INSERT TIBIAL SIGMA CURVED XP 2 10MM $1,500.00

INSERT TIBIAL SIGMA CURVED XP 2 8MM $1,500.00

INSERT TIBIAL SZ 00X 8MM R $3,250.00

INSERT TIBIAL SZ 2 15MM THK XLK POLYETHYLENE CURVED CRUCIA $1,500.00

INSERT TIBIAL SZ 2 17.5MM THK GVF POLYETHYLENE POST S $4,767.00

INSERT TIBIAL SZ 2 25MM THK GVF POLYETHYLENE POST STA $2,000.00

INSERT TIBIAL SZ 2 30MM THK UHMWPE POST STABILIZED RO $4,767.00

INSERT TIBIAL SZ 2.5 30MM THK UHMWPE POST STABILIZED $543.00

INSERT TIBIAL SZ 3 12.5MM THK XLK POLYETHYLENE CURVED CRUC $1,500.00

INSERT TIBIAL SZ 3 25MM THK UHMWPE POST STABILIZED RO $4,767.00

INSERT TIBIAL SZ 3 30MM THK UHMWPE POST STABILIZED RO $4,767.00

INSERT TIBIAL SZ 3 71MML 12.5MM THK XLK POLYETHYLENE CURVE $1,500.00

INSERT TIBIAL SZ 3 7MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 3 8MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 4 10MM THK POLYETHYLENE POST STABILI $2,000.00

INSERT TIBIAL SZ 4 15MM THK GVF POLYETHYLENE POST STA $3,566.00

INSERT TIBIAL SZ 4 18MM THK POLYETHYLENE POST STABILI $2,000.00

INSERT TIBIAL SZ 4 22.5MM THK UHMWPE POST STABILIZED $4,767.00

INSERT TIBIAL SZ 4 5MM THK POLYETHYLENE CRUCIATE RETAINING $2,000.00

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INSERT TIBIAL SZ 4 6MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 4 6MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 4 76MML 10MM THK XLK POLYETHYLENE CURVED $1,500.00

INSERT TIBIAL SZ 4 7MM THK UHMWPE POST STABILIZED ROT $2,000.00

INSERT TIBIAL SZ 4 8MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 4 8MM THK POLYETHYLENE RIGHT MEDIAL LEFT $1,625.00

INSERT TIBIAL SZ 5 10MM THK GVF POLYETHYLENE POST STA $2,000.00

INSERT TIBIAL SZ 5 10MM THK POLYETHYLENE POST STABILI $2,000.00

INSERT TIBIAL SZ 5 12.5MM THK XLK POLYETHYLENE CURVED CRUC $1,500.00

INSERT TIBIAL SZ 5 5MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 5 6MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 5 7MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 5 8MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 5 8MM THK XLK POLYETHYLENE CURVED CRUCIAT $1,500.00

INSERT TIBIAL SZ 6 12MM THK POLYETHYLENE POST STABILI $2,000.00

INSERT TIBIAL SZ 6 5MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 6 7MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 6 8MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 7 5MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 8 12MM THK POLYETHYLENE POST STABILI $2,000.00

INSERT TIBIAL SZ 8 6MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 8 7MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 8 8MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 9 10MM THK POLYETHYLENE POST STABILI $2,000.00

INSERT TIBIAL SZ 9 5MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ 9 7MM THK POLYETHYLENE POST STABILIZ $2,000.00

INSERT TIBIAL SZ-4 9MML BEARING ONLAY $2,500.00

INSERT TIBIAL SZ6-7 CR 11MM $2,408.00

INSERT TIBIAL TC3 RP SZ 3 15MM $4,767.00

INSERT TIBIAL TC3 RP SZ 4 22.5MM $4,767.00

INSERT TIBIAL TC3 RP SZ 5 17.5MM $4,767.00

INSERT TIBIAL TC3 RP SZ 5 20MM $4,767.00

INSERT TIBIAL TC3 RP SZ 5 20MM $4,767.00

INSERT TISSUE EXPANDER(S) $8,013.00

INSERT TRIATHLON PKR X3 #1 LM/RL -9MM $2,500.00

INSERT TRIATHLON PKR X3 #1 RM/LL -8MM $2,500.00

INSERT TRIATHLON PKR X3 #2 LM/RL -10MM $2,500.00

INSERT TRIATHLON PKR X3 #2 LM/RL -8MM $2,500.00

INSERT TRIATHLON PKR X3 #2 LM/RL -9MM $2,500.00

INSERT TRIATHLON PKR X3 #2 RM/LL -9MM $2,500.00

INSERT TRIATHLON PKR X3 #3 LM/RL -10MM $2,500.00

INSERT TRIATHLON PKR X3 #3 RM/LL -8MM $2,500.00

INSERT TRIATHLON PKR X3 #5 RM/LL -8MM $2,500.00

INSERT TRIATHLON PKR X3 #5 RM/LL -9MM $2,500.00

INSERT TRIATHLON PKR X3 #6 LM/RL -8MM $2,500.00

INSERT TRIATHLON PKR X3 #6 LM/RL -9MM $2,500.00

INSERT TRIATHLON PKR X3 #6 RM/LL -10MM $2,500.00

Page 271: DESCRIPTION Price - Fairview

INSERT TRIDENT 0DEG X3 ECCENTRIC 32MM $2,000.00

INSERT TRIDENT 0DEG X3 ECCENTRIC 32MM $2,000.00

INSERT TRIDENT 0DEG X3 ECCENTRIC 32MM $2,000.00

INSERT TRIDENT 0DEG X3 ECCENTRIC 32MM $2,000.00

INSERT TRIDENT 0DEG X3 ECCENTRIC 36MM $2,000.00

INSERT TRIDENT 0DEG X3 ECCENTRIC 36MM $2,000.00

INSERT TRIDENT 0DEG X3 ECCENTRIC 36MM $2,000.00

INSERT TRIDENT 10DEG X3 ECCENTRIC 32MM $2,000.00

INSERT TRIDENT 10DEG X3 ECCENTRIC 32MM $2,000.00

INSERT TRIDENT 10DEG X3 ECCENTRIC 32MM $2,000.00

INSERT TRIDENT 10DEG X3 ECCENTRIC 36MM $2,000.00

INSERT TRIDENT 10DEG X3 ECCENTRIC 36MM $2,000.00

INSERT TRIDENT 10DEG X3 ECCENTRIC 36MM $2,000.00

INSERT TRIDENT CO 22MM-SZ D $7,278.00

INSERT TRIDENT CO 22MM-SZ E $7,278.00

INSERT TRIDENT CO 22MM-SZ E 690-10-22E $7,222.00

INSERT TRIDENT CO 28MM-SZ F $7,278.00

INSERT TRIDENT CO 28MM-SZ G $7,278.00

INSERT ULTAMET MOM 40X58MM $2,750.00

INSERT UNI KNEE AS SZ 2 11MM $1,250.00

INSERT UNI KNEE AS SZ 2 11MM $1,250.00

INSERT UNI KNEE AS SZ 2 8MM $1,250.00

INSERT UNI KNEE AS SZ 2 9MM $1,250.00

INSERT UNI KNEE AS SZ 3 8MM $1,250.00

INSERT UNI KNEE AS SZ 3 9MM $1,250.00

INSERT UNI KNEE AS SZ 4 14MM $1,250.00

INSERT UNI KNEE AS SZ 5 9MM $1,250.00

INSERT UNI KNEE AS SZ 6 9MM $1,250.00

INSERT UNI KNEE AS ZS 3 10MM $1,250.00

INSERT UNI SIGMA HP SZ 1 8MM LM/RL $1,625.00

INSERT UNI SIGMA HP SZ 2 7MM RM/LL $1,625.00

INSERT UNI SIGMA HP SZ 2 8MM LM/RL $1,625.00

INSERT UNI SIGMA HP SZ 2 8MM RM/LL $1,625.00

INSERT UNI SIGMA HP SZ 2 LM 9MM $1,625.00

INSERT UNI SIGMA HP SZ 3 7MM RM/LL $1,625.00

INSERT UNI SIGMA HP SZ 4 7MM LM/RL $1,625.00

INSERT UNI SIGMA HP SZ 4 7MM RM/LL $1,625.00

INSERT UNI SIGMA HP SZ 4 9MM LM/RL $1,625.00

INSERT UNI SIGMA HP SZ 5 10MM LM/RL $1,625.00

INSERT UNI SIGMA HP SZ 5 8MM LM/RL $1,625.00

INSERT UNI SIGMA HP SZ 5 8MM RM/LL $1,625.00

INSERT UNI SIGMA HP SZ 5 9MM LS RM $1,625.00

INSERT UNI SIGMA HP SZ 6 7MM LM/ $1,625.00

INSERT UNI SIGMA HP SZ3 7MM LM/RL $1,625.00

INSERT UNI SIGMA HP SZ3 8MM LM/RL $1,625.00

INSERT UNI SIGMA HP SZ4 8MM $1,625.00

INSERT UNI SIGMA SZ2 11MM LM/RL $1,625.00

Page 272: DESCRIPTION Price - Fairview

INSERT UNI SIGMA SZ2 7MM LM/RL $1,625.00

INSERT UNI TIBIAL S3-4RM/LL8MM $2,125.00

INSERT UNI TIBIAL S5-6RM/LL8MM $2,125.00

INSERT UNICONDYLAR X3 #2 RM/LL 8MM $2,500.00

INSERT,NON-INDWELLING BLADDER CATHETER $330.00

INSERT/REPLACE PERMANENT SUBQ IMPLANABLE DEFIB WITH SUBQ ELECTRODE $75,856.00

INSERT/REPLACE TEMP PACEMAKER $18,044.00

INSERTER T WRNCH BN 14008 $731.00

INSERTION BLADDER CATHETER $330.00

INSERTION INDWELLING TUNNELED PLEURAL CATHETER $7,127.00

INSERTION OF PICC; YOUNGER THAN 5 YRS OF AGE $3,597.00

INSERTION OF TEMP INDWELLING BLADDER CATHETER, COMPLICATED $879.00

INSERTION TEMP CATH SIMPLE $330.00

INSERTION VENOUS CATH <5YEARS $3,427.00

INSERTION VENOUS CATH >5 YEARS $2,589.00

INSET OXFORD ANATOMIC BEAR L MED SZ 6 $1,625.00

INSITU HYBRIDIZATION MANUAL $881.00

INSP MUSCLE TRAINER $135.00

INST BIPOLAR 0.75MM YLW GK769R $1,786.00

INST CAN COUNTERSINK 4.0MM W/AO COUPLING 702473 $776.00

INST LEGEND TOOL 14CM 2MM BA $250.00

INST PKS L HOOK 5MMX33CM 954000PK $3,500.00

INST PROBE STIM PEDICLE SCREW 100MM $1,775.00

INSTRUCT/ISSUE HOME TENS UNIT - EACH 15 MIN. $149.00

INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN $1,305.00

INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN $486.00

INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION $1,258.00

INSULIN ASSAY $75.00

INSULIN DETEMIR (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION $1,339.00

INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION $1,233.00

INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN $477.00

INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION $1,234.00

INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP $681.00

INSULIN LIKE GFBP 3, SO $78.00

INSULIN LIKE GROWTH FACTOR 1 $91.00

INSULIN LIKE GROWTH FACTOR 1, LC-MS $123.00

INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION $1,194.00

INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (50-50) SUBCUTANEOUS SUSP $1,237.00

INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP $1,237.00

INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION $681.00

INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION $681.00

INTENSITY MODULATED RADIATION TX DELIVERY INC GUIDE AND TRACK, COMPLEX $1,606.00

INTENSITY MODULATED RADIATION TX DELIVERY INC GUIDE AND TRACK, SIMPLE $1,455.00

INTERACTIVE COMPLEXITY $24.00

INTERACTIVE COMPLEXITY $40.00

INTERBODY 14MM MEDIUM 18DEG $10,575.00

INTERBODY 16MM X 18DEG $10,575.00

Page 273: DESCRIPTION Price - Fairview

INTERBODY LARGE 18MM 6 DEG $10,575.00

INTERBODY MED 20MM 12 DEG $10,575.00

INTERBODY SMALL 12MM 18 DEGREES $10,575.00

INTERCOSTAL NRV DESTR NEURLTC $1,736.00

INTERCOSTAL STEROID INJ/MULTI $2,311.00

INTERCOSTAL STEROID INJ/SINGLE $1,505.00

INTERFERON ALFA-2B 50 MILLION UNIT (1 ML) SOLUTION FOR INJECTION $5,871.00

INTERFERON BETA-1A (ALBUMIN) 30 MCG INTRAMUSCULAR KIT $2,623.00

INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE $1,688.00

INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS SOLUTION $484.00

INTERMEDIATE TREATMENT DEVICE $663.00

INTERNALBRACE LISFRANC REPAIR KIT $3,738.00

INTERPRETER SERVICE 15 MIN $24.00

INTERROG DEVICE EVAL HEART $403.00

INTERROGATION DVC EVAL,TECH RVW, SUPPORT, DIST RESULTS $291.00

INTMD WND REPAIR S/A/T/EXT $761.00

INTR PEELAWAY 18FRX15.5CM G06444 PLVW-18.0-38 $123.00

INTR PEELAWAY 20FRX20CM G06445 PLVW-20.0-38 $119.00

INTRA AORTIC BALLOON INSERTION $2,804.00

INTRA-AORTIC BALLOON PUMP REMOVAL $164.00

INTRACRANIAL BALLOON ANGIOPLSTY W/STENT $4,473.00

INTRAVASCULAR US, NONCORONARY; ADDITIONAL VESSEL $443.00

INTRAVASCULAR US, NONCORONARY; INITIAL VESSEL $468.00

INTRA-VENTRICULAR/ATRIAL MAPPING OF TACHYCARDIA SITE/S WITH CATH $5,978.00

INTRINSIC FACTOR BLK ABY $121.00

INTRO CATH CHECK-FLO FLEXOR ANSEL-1 6FRX90CM G29989 $241.00

INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I $2,167.00

INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT $24,297.00

INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP $11,882.00

INTRO ENDO REAR ENTRY ACFX ACL 013644 $1,198.00

INTRO ENDO REAR ENTRY AIMER 013645 $1,163.00

INTRO LONG GI TUBE $1,941.00

INTRO NEEDLE/INTRACATHTER VEIN $136.00

INTRO SHEATH 4FRX25CM PINNACLE MARKER RSB403 $650.00

INTRO SHEATH 5FRX25CM PINNACLE MARKER RSB503 $650.00

INTRODUCER ENDOSCOPIC OASIS 10FRX205CM OA-10 $145.00

INTRODUCER FLEXOR CHECK-FLO 4FR X 90CM $255.00

INTRODUCER GIANTURCO Z STENT 16.5FRX70CM $416.00

INTRODUCER PEELAWAY SHEATH 24FRX20CM G06446 PLVW-24.0-38 $119.00

INTRODUCER SHEATH MICRA $1,500.00

INTRODUCER SHEATH SENTRANT 26FRX28CM $625.00

INTRODUCTION OF NEEDLE OR INTRACATHETER, AORTIC, TRANSLUMBAR $1,493.00

INTUBATION ENDOTRACHEAL EMERGE $624.00

INTUBATION ENDOTRACHEAL EMERGE $624.00

IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION $53.00

IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION $45.00

IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION $46.00

Page 274: DESCRIPTION Price - Fairview

IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION $50.00

IONIZED CALCIUM $80.00

IONTOPHORESIS - EACH 15 MIN - OT $149.00

IONTOPHORESIS - EACH 15 MIN - PT $149.00

IOPAMIDOL 41 % INJECTION SOLUTION $42.00

IOPAMIDOL 61 % INTRAVENOUS SOLUTION $71.00

IOTHALAMATE MEGLUMINE 43 % INTRAVENOUS SOLUTION $477.00

IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION $128,495.00

IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION $32,124.00

IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION $1,749.00

IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION $5.00

IPRATROPIUM BROMIDE 0.03 % NASAL SPRAY $181.00

IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER $1,687.00

IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY $180.00

IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML NEBULIZATION SOLN $5.00

IRBESARTAN 150 MG TABLET $5.00

IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION $155.00

IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION $155.00

IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS $9,354.00

IRON $60.00

IRON DEXTRAN 50 MG/ML INJECTION SOLUTION $50.00

IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION $237.00

IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,IRON SUCROSE 100 MG IRON/5 ML IV SOLN,IRON SUCROSE 100 MG/5 ML IV SOLUTION$237.00

IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION $475.00

IRRAD. APHERESIS PLT L/R 1UNIT $1,796.00

IRRAD. PRE LEUK FILTERED CELLS $991.00

IRRIG IMPLANTED DRUG DELIVERY DEVICE $515.00

IRRIGATION SIMPLE (FILL/PULL) $646.00

IRRIGATION CORPORA CAVERNOSA $721.00

IRRIGATION OF IMPLANTED VAD $515.00

ISAVUCONAZONIUM SULFATE 186 MG CAPSULE $805.00

ISH EACH ADD'L PROBE STAIN $466.00

ISH PROBE EACH $566.00

ISOFLURANE 99.9 % INHALATION LIQUID $74.00

ISONIAZID 100 MG TABLET $5.00

ISONIAZID 300 MG TABLET $5.00

ISONIAZID 50 MG/5 ML ORAL SOLUTION $1,443.00

ISOPROPYL ALCOHOL 70 % SOLUTION $7.00

ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION $7,781.00

ISOSORBIDE DINITRATE 10 MG TABLET $5.00

ISOSORBIDE DINITRATE 20 MG TABLET $5.00

ISOSORBIDE DINITRATE 30 MG TABLET $5.00

ISOSORBIDE DINITRATE 5 MG TABLET $8.00

ISOSORBIDE DINITRATE ER 40 MG TABLET,EXTENDED RELEASE $10.00

ISOSORBIDE MONONITRATE 20 MG TABLET $5.00

ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR $5.00

ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR $5.00

Page 275: DESCRIPTION Price - Fairview

ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION $304.00

ISOVUE $2.00

ISRADIPINE 2.5 MG CAPSULE $5.00

ISRADIPINE 5 MG CAPSULE $5.00

ITM1106 CATH DIALYSIS MAHURKAR STR 13.5CM DUAL $415.00

ITM1108 CATH DIALYSIS MAHURKAR STR 11.5FR 19.5CM $505.00

ITM1402 KIT CATH TRIPLE 7 X 20 CDC-45703-1A $430.00

ITM19583 CATH VENTRICULAR ANTIBIOTIC 1.5MM $895.00

ITM20580 KIT VENTRICULOSTOMY STANDARD INSHITH $689.00

ITM20914 DEVICE CLOSURE FEMOSTOP GOLD C11165 $223.00

ITM2102 TRAY THORACENTESIS AK01000 $137.00

ITM2552 ELECTRODE KIT TRANSVENOUS PACING 008566 $423.00

ITM2558 KIT INTRO PERCU SHEATH 9.0FR AK-09903-S $87.00

ITM2559 TRAY PERICARDIOCENTESIS 8FR PC801 $295.00

ITM28229 CATH UMBILICAL VESSEL 3.5FR DUAL LUMEN $112.00

ITM28230 CATH UMBILICAL VESSEL 5FR DUAL LUMEN $112.00

ITM33538 SENSOR MONITOR BIS PEDS 186-0160 $84.00

ITM34550 DEVICE CLOSURE D'STAT BANDAGE 3000 $331.00

ITM35509 AQUADEX SYST 100 FILTER SET 114157 $2,796.00

ITM42440 CATH PRESEP CV OXIMETRY CDC KIT W/AMC $1,656.00

ITM42441 CATH SWAN COMBO CCO/SV02 8FR 110CM W/VIP $1,129.00

ITM42442 CATH SWAN CCO/SV02/CEDV 8FR 110CM W/HEP $1,474.00

ITM42445 DRAINAGE EXTERNAL ACCUDRAIN NO REFLUX $559.00

ITM42486 BAG DRAINAGE ACCUDRAIN INS8700 $97.00

ITM43642 SENSOR FLOTRAC W/VAMP ADLT 60" MHD6AZ $749.00

ITM47983 COLLECTOR FECAL INCONTINENCE DIGNICARE $628.00

ITM48573 PAD ARTICGEL UNIVERSAL 317-00-04 $916.00

ITM48574 KIT ARTICGEL MEDIUM 317-07-02 $3,625.00

ITM48575 KIT ARTICGEL LARGE 317-09-02 $3,176.00

ITM48887 KIT ARTICGEL SMALL 317-05-02 $3,176.00

ITM51421 CATH MIDLINE POWERGLIDE 8CM FULL KIT $242.00

ITM5363 ELECTRODE KIT TRANSVENOUS PACING 008416 $355.00

ITM664 CATH THERMODILTION 7.5FR 931HF75 $287.00

ITM685 CATH SWAN 7.5FR 5 LUMEN 831HF75P $599.00

ITM7124 TRAY ARTERIAL LINE W/20G CATH HENRY FORD $94.00

ITM7563 TUBE MINNESOTA LATEX 0092220 $1,362.00

ITRACONAZOLE 10 MG/ML ORAL SOLUTION $97.00

ITRACONAZOLE 100 MG CAPSULE $38.00

IV FLUIDS $91.00

IV INFUSION CONCURRENT $247.00

IV INFUSION EACH ADDITIONAL HOUR $293.00

IV INFUSION EACH SEQ DRUG $368.00

IV INFUSION INIT DRUG 1 HOUR $522.00

IV INFUSION, EA ADD HOUR $293.00

IV INFUSION, HYDRATION, 31-60 MIN $370.00

IV INFUSION, HYDRATION, EA ADD HOUR $223.00

IV INFUSION, INITIAL 1ST HOUR $522.00

Page 276: DESCRIPTION Price - Fairview

IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR $368.00

IV INFUSION, THERAP/PROPH/DIAGNOST,CONCURRENT INFUSION $247.00

IV PYELOGRAM $1,013.00

IVABRADINE 5 MG TABLET $18.00

IVERMECTIN 3 MG TABLET $23.00

IVUS - ADDL VESSEL $3,202.00

IVUS - INITIAL VESSEL $3,558.00

IXABEPILONE 15 MG INTRAVENOUS SOLUTION $5,524.00

IXABEPILONE 45 MG INTRAVENOUS SOLUTION $16,685.00

JAK2 V617F $340.00

JAK2V617F MUTATION,WH BLD $343.00

JAPANESE ENCEPHALITIS VACCINE (PF) 6 MCG/0.5 ML INTRAMUSCULAR SYRINGE $448.00

JEJUNOSTOMY TUBE INSERT (NEW) $3,079.00

JOINT FL CRYSTALS $120.00

JOINT/BURSA INJEC WRST/ELB/ANK W/O US GUIDANCE $832.00

JRNY II BCS FEM COCR RT SZ 1 $3,250.00

JRNY II BCS FEM COCR RT SZ 2 $3,250.00

JRNY II BCS FEM COCR RT SZ 3 $3,250.00

JRNY II BCS FEM COCR RT SZ 4 $3,250.00

JRNY II BCS FEM COCR RT SZ 5 $3,250.00

JRNY II BCS FEM COCR RT SZ 6 $3,250.00

JRNY II BCS FEM COCR RT SZ 7 $3,250.00

JRNY II BCS FEM COCR RT SZ 8 $3,250.00

JRNY II BCS FEM COCR RT SZ 9 $3,250.00

JRNY II BCS FEMORAL OXIN RT SZ 1 $4,125.00

JRNY II BCS FEMORAL OXIN RT SZ 10 $4,125.00

JRNY II BCS FEMORAL OXIN RT SZ 2 $4,125.00

JRNY II BCS FEMORAL OXIN RT SZ 7 $4,125.00

JRNY II BCS FEMORAL OXIN RT SZ 9 $4,125.00

JRNY II BCS XLPE ART ISRT SZ 1-2 LT 10MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 LT 11MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 LT 12MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 LT 13MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 LT 15MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 LT 18MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 LT 21MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 LT 9MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 RT 10MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 RT 11MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 RT 12MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 RT 13MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 RT 15MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 RT 18MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 RT 21MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 1-2 RT 9MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 3-4 LT 12MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 3-4 LT 21MM $2,050.00

Page 277: DESCRIPTION Price - Fairview

JRNY II BCS XLPE ART ISRT SZ 3-4 LT 9MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 3-4 RT 21MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 3-4-RT 11MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 3-4-RT 12MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 3-4-RT 13MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 3-4-RT 15MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 5-6 LT 10MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 5-6 LT 13MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 5-6 LT 18MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 5-6 LT 21MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 5-6 LT 9MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 5-6 RT 10MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 5-6 RT 11MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 5-6 RT 13MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 5-6 RT 15MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 5-6 RT 21MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 LT 10MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 LT 11MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 LT 12MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 LT 21MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 LT 9MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 RT 10MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 RT 11MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 RT 12MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 RT 13MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 RT 18MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 RT 21MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ 7-8 RT 9MM $2,050.00

JRNY II BCS XLPE ART ISRT SZ7-8 LT 18MM $2,050.00

KERECIS OMEGA 3, PER SQ CM $0.01

KETAMINE 10 MG/ML INJECTION SOLUTION $95.00

KETAMINE 50 MG/ML INJECTION SOLUTION $50.00

KETOCONAZOLE 2 % SHAMPOO $109.00

KETOCONAZOLE 2 % TOPICAL CREAM $122.00

KETOCONAZOLE 200 MG TABLET $5.00

KETONES QUAL $27.00

KETOPROFEN 50 MG CAPSULE $5.00

KETOPROFEN 75 MG CAPSULE $5.00

KETOROLAC 0.4 % EYE DROPS $276.00

KETOROLAC 0.5 % EYE DROPS $158.00

KETOROLAC 10 MG TABLET $9.00

KETOROLAC 15 MG/ML INJECTION SOLUTION $5.00

KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION $50.00

KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION $5.00

KETOTIFEN 0.025 % (0.035 %) EYE DROPS $45.00

KEYHOLE REAMER ARTHREX HTO IBALANCE AR-13425 $1,147.00

KIDNEY STONE ANALYSIS $23.00

Page 278: DESCRIPTION Price - Fairview

KIRBY BAUER SENSITIVITY (KB) $88.00

KIT ACCESSORY PERC LEAD EXT 3550-05 $463.00

KIT ACCESSORY PERCUTANEOUS LEAD INTRODUCER 3550-63 $178.00

KIT ACCESSORY PERIPHERAL LEAD INTR 18CM 3550-18 $700.00

KIT ACCESSORY REVISION 3550-10 $690.00

KIT ACCESSORY TUNNELING TOOL 1X8MM 38CM 3550-38 $215.00

KIT ACCESSORY UCS AMS 800 720066-01 $3,200.00

KIT ACCESSORY WRENCHES AND SCR 3550-02 $143.00

KIT ACL TRANSTIBIAL AR-1898S $1,813.00

KIT ANCHOR ARTHREX BIO-SU TAK 3.0MM W/SPEAR AR-1934DS-2 $400.00

KIT ARTHREX BIO-TENODESIS AR-1676DS $488.00

KIT ARTHREX PERCUTANEOUS PUSHLOCK 2.9MM AR-1923PK $550.00

KIT ARTHREX PUSHLOCK SHORT 2.9MM DISP AR-2923DS $438.00

KIT ARTHROSCOPIC SURGICAL PROCEDURE DISP AR-8990DS $688.00

KIT ARTICULATION SZ 4 $2,569.00

KIT ARTICULATION SZ 5/6 $2,569.00

KIT ATTUNE EPAK PIN SYSTEM 254400111 $200.00

KIT ATTUNE TRUMATCH RIGHT 420946 $1,750.00

KIT ATTUNE TRUMATCH TIBIA RIGHT 420949 $875.00

KIT BIO-SUTURETAK 2MM W/ANCHOR $438.00

KIT BIO-TENODESIS ARTHREX DISP FOR 3MM SCR AR-1530DS $438.00

KIT BLOOD COLLECTION ARTHREX SERIES I ACP BLD DRAW ABS-10011 $438.00

KIT BONE CEMENT CALC PHOSPHATE 8ML INJ MACROPOROUS QUICKSET $4,988.00

KIT BONE CEMENT SYN TRAUMACEM V+ INJ 07.702.040S $1,494.00

KIT BONE MARROW ASPIRAATION ANGEL $2,450.00

KIT BONE MARROW MAR0MAX45 $3,750.00

KIT BONE MARROW MAROMAX MAR0MAX $3,750.00

KIT CAMINO W/CRANIAL ACCESS 1104BC $2,360.00

KIT CATH ANTIBIOTIC IMPREGNATED 95001 $1,309.00

KIT CATH BACTISEAL BARIUM SILICONE PERIT $1,166.00

KIT CHARGER $4,698.00

KIT CHARGING 2.0 $6,500.00

KIT CONTACT LEAD $7,750.00

KIT CRANIAL ACCESS INS5HND $637.00

KIT CRANIOPLASTIC 43-1280 $3,159.00

KIT DECOMPRESSION 10FR MARCON 10 SIDEPORT GW TUBE CDSM-10 $303.00

KIT DEVICE COR-KNOT MINI $5,250.00

KIT DILATORS M5 XLIF $1,750.00

KIT DRAIN CLOSED WOUND SUCTION MED 400ML RESVR $281.00

KIT ELBOW TRIMANO AR-1646 $1,125.00

KIT ENDO VASOVIEW ACCESSORY PACK VH-2004 $1,576.00

KIT ENDO VASOVIEW PLUS W/SCISSOR VH-4000 $2,488.00

KIT FEM CANN MULSTG EXCRPR 21F $1,029.00

KIT FLEXITIP W/HEMADERM 2GM ENT0001-2 $1,625.00

KIT FOR SWIVELOCK DX 3.5X13.5MM S $688.00

KIT GSTRMY 18FR MIC-KEY LAP INTRO G-18 $556.00

KIT GUIDE TRAJECTORY NAVIGUS STEALTH INTERNAL 9733066 $3,420.00

Page 279: DESCRIPTION Price - Fairview

KIT HOLE COVER REDAPT $249.00

KIT IMPLANT COMPRESSION OFFSET 1OMM $4,358.00

KIT INST MINI SU TAK W/DRILL GUIDE & PUNCH DISP AR-1322DSC $438.00

KIT INSTR DISP FOR MICRO S-TAK $438.00

KIT IPG SENZA $43,213.00

KIT IPG TEMPLATE $375.00

KIT JII VISIONAIRE LT CUTTING GUIDE $1,750.00

KIT KYPHOPLASTY IVAS SYSTEM 11GA 10MM 0705-310-000 $9,988.00

KIT LEAD 65CM $13,750.00

KIT LEAD DBS ONE 4 ELECTRODE $5,585.00

KIT LEAD SURGICAL COVEREDGE $15,000.00

KIT LEAD TRIAL INFINION 50CM SC-2316-50E $5,000.00

KIT MALB UA 2229 $89.00

KIT METATARSALPHALANGEAL INTERP STR $688.00

KIT MICRO SNARE AMP GOOSE NK 2.3-3X175X7 $1,559.00

KIT MIXING/DELIVERY SYSTEM SMALL JOINT $613.00

KIT MONOTUBE STERILE YELLOW 2 $4,521.00

KIT MULTI-SINUS DILATION TOOL XPRESS 6MM W/LED LIGHT FIBER $4,563.00

KIT NAIL INTRAMEDULLARY LOCKING LONG 11MM 1.5MM RADIUS 3 $5,248.00

KIT NAIL INTRAMEDULLARY LOCKING LONG 11MM 1.5MM RADIUS 3 $5,248.00

KIT NAIL INTRAMEDULLARY LOCKING LONG 11MM 1.5MM RADIUS 3 $5,248.00

KIT NAIL INTRAMEDULLARY LOCKING LONG 11MM 1.5MM RADIUS 3 $5,248.00

KIT NAIL INTRAMEDULLARY LOCKING LONG 11MM 1.5MM RADIUS 4 $5,248.00

KIT NAIL INTRAMEDULLARY LOCKING LONG 11MM 1.5MM RADIUS 4 $5,248.00

KIT NDL HIP PAC ARTHROSCOPY 17GA W/1.2MM GW 7209874 $717.00

KIT PASSING ELEVATOR $625.00

KIT PATIENT CARE HANA TABLE PROFX SUPINE 6855 $533.00

KIT PATIENT CARE JACKSON SPINE PACK 5808PV $628.00

KIT PATIENT CARE PROAXIS SYSTEM 6988-PV-ACP $1,567.00

KIT PATIENT CARE WILSON FRAME W/PRONE VIEW INSERT 5322PV $646.00

KIT PATIENT POSITIONING PIGAZZI LATEX FREE 40580 $1,355.00

KIT PATIENT REMOTE $3,383.00

KIT PEDICLE ACCESS NDL SPINAL 11GA 5" 8670015 $213.00

KIT PERC INTRO 8.5FR SHEATH W/GW 18GA CATH AK-09903-CDC $1,020.00

KIT PERICARDIOCENTESIS 8FR PC801 $1,250.00

KIT PROCEDURE PINPOINT PP9031 $1,913.00

KIT PROSTATE PROCEDURE 4.2MM V-PROBES $12,500.00

KIT PULSE GENERATOR $46,128.00

KIT REMOTE CONTROL $2,838.00

KIT REPAIR ACUTE AC $2,813.00

KIT REPAIR MINI TIGHTROPE CMC AR-8919DS $2,238.00

KIT SCP KNEE $7,750.00

KIT SCROTAL SUPPORT 3650 $175.00

KIT SHOULDER POSITIONING BEACH CHAIR ARM HOLDER AR-1644 $188.00

KIT STERNAL TALON HOSPITAL STARTUP $488.00

KIT STERNAL TALON PATIENT $488.00

KIT STYLET EXT TAPER BALL TIP 6082-45CM $90.00

Page 280: DESCRIPTION Price - Fairview

KIT SU ANCHOR BIOCOMP CORKSCREW 4.5X14MM FT AR-8927BC $813.00

KIT SURFACE ELECTRODE ENSITE PERCISION $13,063.00

KIT SUT 6MM FLIPCUTTER II 3.5MM 2-HOLE BUT KNEE SCORPION NDL $2,488.00

KIT SUTURE DBL PIGTAIL W/RETRV F/PLATE PLANTAR PLATE REPAIR $2,738.00

KIT SUTURE IMPLANT POLYETHYLENE W/TAPE STERILE $3,738.00

KIT SUTURETAK 3MM PERCUTANEOUS $488.00

KIT SYRYINGE SYN TRAUMACEM 03.702.150S $498.00

KIT TEST STIMULATION LEAD $738.00

KIT TISSUE SHAPED MED SHAPED SF22000 $24,166.00

KIT TKR ATTUNE REVISION TIBIAL SLEEVE POROCOAT PARTIALLY COA $6,606.00

KIT TOTAL HIP OPTIVAC CARTRIDGE 600-99-004 $228.00

KIT TRIAL PATIENT SPECTRA $215.00

KIT TRUMATCH HP 0 SZ 6 $875.00

KIT TRUMATCH HP 1.5T/1.5F/L $1,750.00

KIT TRUMATCH HP 1.5T/2F/L $1,750.00

KIT TRUMATCH HP 1.5T/2F/R $1,750.00

KIT TRUMATCH HP 2.5T/2.5F/L $1,750.00

KIT TRUMATCH HP 2.5T/2.5F/R $1,750.00

KIT TRUMATCH HP 2.5T/2F/R $1,750.00

KIT TRUMATCH HP 2.5T/3F/L $1,750.00

KIT TRUMATCH HP 2.5T/3F/R $1,750.00

KIT TRUMATCH HP 2T/2.5F/L $1,750.00

KIT TRUMATCH HP 2T/2.5F/R $1,750.00

KIT TRUMATCH HP 2T/2F/L $1,750.00

KIT TRUMATCH HP 2T/2F/R $1,750.00

KIT TRUMATCH HP 2T/3F/L $1,750.00

KIT TRUMATCH HP 2T/3F/R $1,750.00

KIT TRUMATCH HP 3T/2.5F/R $1,750.00

KIT TRUMATCH HP 3T/3F/L $1,750.00

KIT TRUMATCH HP 3T/3F/R $1,750.00

KIT TRUMATCH HP 3T/4F/L $1,750.00

KIT TRUMATCH HP 3T/4F/R $1,750.00

KIT TRUMATCH HP 4T/3F/L $1,750.00

KIT TRUMATCH HP 4T/4F/L $1,750.00

KIT TRUMATCH HP 4T/4F/R $1,750.00

KIT TRUMATCH HP 4T/5F/L $1,750.00

KIT TRUMATCH HP 4T/5F/R $1,750.00

KIT TRUMATCH HP 5T/4F/L $1,750.00

KIT TRUMATCH HP 5T/5F/L $1,750.00

KIT TRUMATCH HP 5T/5F/R $1,750.00

KIT TRUMATCH HP 5T/6F/L $1,750.00

KIT TRUMATCH HP 5T/6F/R $1,750.00

KIT TRUMATCH HP 6T/5F/R $1,750.00

KIT TRUMATCH HP 6T/6F/L $1,750.00

KIT UNIVERS II TRUNION $1,125.00

KIT VALVE HT SAPIEN 3 TRANSCATHETER EDWARDS 23MM 9600CM23A $81,250.00

KIT VALVE HT SAPIEN 3 TRANSCATHETER EDWARDS 26MM 9600CM26A $81,250.00

Page 281: DESCRIPTION Price - Fairview

KIT VEIN HARVEST VASOVIEW 7 BIFECTOR $2,394.00

KIT WASH CELL SAVING ATL2001 $1,004.00

KLEIHAUER $354.00

KLEIHAUER- BETKE - REF LAB $307.00

K-LESS T-ROPE W/DRV SYN REPR SS $3,738.00

KNEE FEMORAL COMPONENT ANTIBIOTIC MEDIUM $5,000.00

KNEE FEMUR CR CEMENT CCR NAR SZ 10 L $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 10 R $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 11 L $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 11 R $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 5 L $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 5 R $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 6 L $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 6 R $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 7 L $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 7 R $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 8 L $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 8 R $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 9 L $3,963.00

KNEE FEMUR CR CEMENT CCR NAR SZ 9 R $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 10 L $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 10 R $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 11 R $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 3 R $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 4 L $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 5 L $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 5 R $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 6 L $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 6 R $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 7 L $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 7 R $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 8 L $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 8 R $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 9 L $3,963.00

KNEE FEMUR CR CEMENT CCR STD SZ 9 R $3,963.00

KNEE FEMUR CR-CCR STANDARD CEMENT SZ 4 R $3,963.00

KNEE FEMUR PS CEMENT CC NAR SZ 6 L $3,963.00

KNEE FEMUR PS CEMENT CC NAR SZ 6 R $3,963.00

KNEE FEMUR PS CEMENT CC STD SZ 10 L $3,963.00

KNEE FEMUR PS CEMENT CC STD SZ 10 R $3,963.00

KNEE FEMUR PS CEMENT CC STD SZ 4 R $3,963.00

KNEE FEMUR PS CEMENT CC STD SZ 5 R $3,963.00

KNEE FEMUR PS CEMENT CC STD SZ 6 L $3,963.00

KNEE FEMUR PS CEMENT CC STD SZ 7 L $3,963.00

KNEE FEMUR PS CEMENT CC STD SZ 7 R $3,963.00

KNEE FEMUR PS CEMENT CC STD SZ 8 L $3,963.00

KNEE FEMUR PS CEMENT CC STD SZ 8 R $3,963.00

Page 282: DESCRIPTION Price - Fairview

KNEE FEMUR PS CEMENT CCR NAR SZ 8 R $3,963.00

KNEE FEMUR PS CEMENT CCR STD SZ L $3,963.00

KNEE FEMUR PS CEMENT NAR SZ 9 L $3,963.00

KNEE FEMUR PS CEMENT NARROW SZ 7 $3,963.00

KNEE FEMUR PS CEMENT TM NAR SZ 4 L $3,963.00

KNEE FEMUR PS CEMENT TM NAR SZ 4 R $3,963.00

KNEE FEMUR PS CEMENT TM STD SZ 3 L $3,963.00

KNEE OXFORD FEMUR LG $5,000.00

KNEE OXFORD FEMUR XLG $5,000.00

KNEE OXFORD UNI FEMORAL MED $5,000.00

KNEE OXFORD UNI FEMORAL SM $5,000.00

KNEE PFJ FEMORAL CEMENTED SZ 1 L $7,963.00

KNEE PFJ FEMORAL CEMENTED SZ 1 R $7,963.00

KNEE PFJ FEMORAL CEMENTED SZ 2 L $7,963.00

KNEE PFJ FEMORAL CEMENTED SZ 5 L $7,625.00

KNEE TIBIA COMPONENT CR 12.5MM SZ 2.5 $2,250.00

KNEE TIBIA COMPONENT CR 15MM SZ 2.5 $2,250.00

KNEE TIBIA STEM 5 DEG SIZE C R $1,750.00

KNEE TIBIA STEM 5 DEG SZ H L $1,750.00

KNEE TIBIA STEM 5DEG SZ F L $1,750.00

KNEE TIBIA STEM 5DEG SZ F R $1,750.00

KNEE TIBIA STEM 5DEG SZ G R $1,750.00

KNEE TIBIAL BLOCK FULL AUGMENT 10MM SZ 3 $3,478.00

KNEE TIBIAL COMPONENT ANTIBIOTIC MEDIUM $5,000.00

KNEE UNI TIBIA MOBILE BEAR D6 LM/RL $3,000.00

KNEE UNI TIBIA TRAY MOB BEAR SZ C LM/RL $3,000.00

KNEE UNI TIBIA TRAY MOBILE BEAR D5 RM/LL $3,000.00

KNEE UNI TIBIA TRAY MOBILE BEAR D6 RM/LL $3,000.00

KNEE UNI TIBIA TRAY MOBILE BEAR D7 LM/RL $3,000.00

KNEE UNI TIBIA TRAY MOBILE BEAR D7 RM/LL $3,000.00

KNEE UNI TIBIA TRAY MOBILE BEAR SZ B LM $3,000.00

KNEE UNI TIBIA TRAY MOBILE BEAR SZ B RM $3,000.00

KNEES-AP STANDING-BILAT $719.00

KNIFE ARACHNOID 0711 $768.00

KNIFE BALL BROWN 27FR A22258C $5,194.00

KNIFE COLLINS 26FR 27050K $1,900.00

KNIFE MEDT BAYONETTED 134MM 1563-00 $651.00

KNIFE MEDT METRX BAYONET F/DISCECTOMY 1564-00 $651.00

KNIFE METRX SHEATHED 160MM $538.00

KOH COLPOTOMIZER OCCLUDER CPO-6 $1,040.00

K-WIRE .035 $38.00

K-WIRE 2.4X170MM $38.00

K-WIRE 2MM BLUNT $30.00

K-WIRE JONES 228MM $108.00

K-WIRE WITH DRILL TIP 02.0 X 234MM $123.00

LAB DRAW PERIPHERAL $52.00

LAB DRAW-PERIPHERAL $52.00

Page 283: DESCRIPTION Price - Fairview

LAB PORT DRAW $331.00

LAB-BLD BANK MD INVEST TRAN RX $381.00

LAB-BLOOD PARASITES SMEARS $253.00

LAB-BNP $268.00

LAB-CA CHANNEL BINDING P/QTYPE $220.00

LAB-CHLAMYDIA AMP PROBE $198.00

LAB-CHROM-ADD'L CELLS $165.00

LAB-CHROM-ADD'L KARYOTYPES $211.00

LAB-CMV-PCR $321.00

LAB-ENTEROVIRUS ABY/EACH $121.00

LAB-ENTEROVIRUS ABY/EACH $121.00

LABETALOL 100 MG TABLET $5.00

LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE $50.00

LABETALOL 200 MG TABLET $5.00

LABETALOL 5 MG/ML INTRAVENOUS SOLUTION $124.00

LAB-FACTOR 10 CHROMOGENIC $175.00

LAB-FACTOR 11 ASSAY $254.00

LAB-FACTOR 12 ASSAY $319.00

LAB-FERN TEST $87.00

LAB-GC AMP PROBE $212.00

LAB-ID AEROBIC UR/EACH ISOLATE $70.00

LAB-ID AEROBIC/EACH ISOLATE $82.00

LAB-ID ANAROBIC/EACH ISOLATE $119.00

LAB-ID MOLD/EACH ORGANISM $120.00

LAB-ID MYCOBACTERIAL/EACH ISOL $256.00

LAB-ID YEAST/EACH ORGANISM $75.00

LABOR CARE VAGINAL DELIVERY MULT $3,440.00

LABOR CARE VAGINAL DELIVERY SINGLE $5,335.00

LABOR LEVEL 1 $3,440.00

LABOR LEVEL 2 $3,440.00

LABOR LEVEL 3 $3,440.00

LAB-PLT CLOSURE TIME/ADP $211.00

LAB-SUSCEPTIBILITY-DISK/PLATE $88.00

LAB-SUSCEPTIBILITY-MIC/PLATE $85.00

LAB-TSI $383.00

LAB-URINALYSIS W/O MICROSCOPY $33.00

LAB-URINALYSIS WITH MICROSCOPY $74.00

LACOSAMIDE 10 MG/ML ORAL SOLUTION $38.00

LACOSAMIDE 100 MG TABLET $36.00

LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION $374.00

LACOSAMIDE 50 MG TABLET $46.00

LACOSAMIDE, SO $330.00

LACTASE 3,000 UNIT TABLET $5.00

LACTATED RINGERS INTRAVENOUS SOLUTION $70.00

LACTATED RINGERS IRRIGATION SOLUTION $70.00

LACTIC ACID $75.00

LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET $5.00

Page 284: DESCRIPTION Price - Fairview

LACTOBACILLUS ACIDOPH-L.BULGARICUS 100 MILLION CELL ORAL POWDER PACKET $8.00

LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL CAPSULE,LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL CAPSULE WITH INULIN 200 MG$5.00

LACTOBACILLUS RHAMNOSUS GG 15 BILLION CELL SPRINKLE CAPSULE $5.00

LACTULOSE 10 GRAM/15 ML (15 ML) ORAL SOLUTION $5.00

LACTULOSE 10 GRAM/15 ML ORAL SOLUTION $5.00

LACTULOSE 20 GRAM ORAL PACKET $5.00

LACTULOSE 20 GRAM/30 ML ORAL SOLUTION $5.00

LAMIVUDINE 10 MG/ML ORAL SOLUTION $548.00

LAMIVUDINE 100 MG TABLET $20.00

LAMIVUDINE 150 MG TABLET $12.00

LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET $32.00

LAMOTRIGINE 100 MG TABLET $5.00

LAMOTRIGINE 150 MG TABLET $5.00

LAMOTRIGINE 200 MG TABLET $5.00

LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET $5.00

LAMOTRIGINE 25 MG TABLET $63.00

LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET $5.00

LAMOTRIGINE 50 MG DISINTEGRATING TABLET $57.00

LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR $26.00

LAMOTRIGINE ER 250 MG TABLET,EXTENDED RELEASE 24 HR $15.00

LAMOTRIGINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR $49.00

LAMOTRIGINE, SO $32.00

LANOLIN 100 % TOPICAL OINTMENT $10.00

LANOLIN 50 % TOPICAL CREAM $16.00

LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM $27.00

LANOLIN-MINERAL OIL LOTION $9.00

LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE $5.00

LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE $5.00

LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET $34.00

LANTHANUM 500 MG CHEWABLE TABLET $30.00

LARYNGOSCOPY FLEX FIBER $1,006.00

LARYNGOSCOPY ASSIST BH $1,006.00

LARYNGOSCOPY DIRECT DIAGNOSTIC $3,853.00

LARYNGOSCOPY FLEX REMOVAL FB $1,348.00

LARYNGOSCOPY FLEXIBLE DIAGNOST $1,006.00

LARYNGOSCOPY INDIRECT DIAGNOST $595.00

LARYNGOSCOPY W/FB REMOVAL $3,250.00

LARYNGOSCOPY WITH REMOVAL FB $376.00

LASER MOSES 200 D/F/L FIBER AC-10030100 $1,164.00

LASER MOSES 365 D/F/L FIBER AC-10030110 $914.00

LASER MOSES 550 D/F/L FIBER AC-10030120 $1,247.00

LASER MOSES EXPEEDA D/S/L FIBER AC-1000729 $2,580.00

LASER RENTAL CO2 < 2 HOURS #VALUE!

LASER RENTAL CO2 > 2 HOURS #VALUE!

LASER RENTAL CO2 W/FIBER #VALUE!

LASER RENTAL HOLMIUM 100W (INCLUDES FIBER) #VALUE!

LASER RENTAL KTP < 2 HOURS #VALUE!

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LASER RENTAL KTP > 2 HOURS #VALUE!

LASER RENTAL KTP ACCUSTAT #VALUE!

LASER RENTAL QUANTA EQUIP/FIBER - OBM001316 #VALUE!

LASER RENTAL STANDBY #VALUE!

LASER RENTAL UROLOGY QUANTA THULIUM EQUIP FIBER $4,563.00

LASER TREATMENT SPIDER VEINS $220.00

LATANOPROST 0.005 % EYE DROPS $89.00

LATERAL DECUBITUS SHOULDER TRACTION TOWER $9,500.00

LD (LDH) $44.00

LDL CHOLESTEROL DIRECT $68.00

LEAD BLOOD, SO $32.00

LEAD ACUITY SPIRAL CRT 4592 $4,608.00

LEAD ARTIRIAL PACING TEMPORARY 53CM 6495F $875.00

LEAD ARTISAN SURGICAL WITH PLATNALOCK TE $13,475.00

LEAD ATTAIN STARFIX LV DEPLOY $4,170.00

LEAD ATTAIN SUREVALVE 50CM MULTI $1,230.00

LEAD ICD PLEXA PROMRI S DX DF4 65/15 436909 $8,750.00

LEAD ICD PLEXA PROMRI S DX DF4 65/17 436910 $8,750.00

LEAD INGEVITY ACTIVE MRI 45 CM $1,213.00

LEAD INGEVITY ACTIVE MRI 52 CM $1,213.00

LEAD INGEVITY ACTIVE MRI 59 CM $1,213.00

LEAD INGEVITY PASSIVE MRI 52CM $1,213.00

LEAD INGEVITY PASSIVE MRI 59 CM $1,213.00

LEAD INGEVITY PASSIVE MRI J 45 CM $1,213.00

LEAD INGEVITY PASSIVE MRI J 52 CM $1,213.00

LEAD INTERSTIM KIT 3889-28 $8,888.00

LEAD INTERSTIM QUAD 41CM 3889-41 $8,538.00

LEAD KIT BLUE PERC $4,698.00

LEAD KIT BLUE PERC $4,698.00

LEAD KIT VECTRIS TRIAL COMPACT SURESCAN 1X8MMX90CM 977D260 $1,250.00

LEAD LAMITRODE TRIPOLE $8,750.00

LEAD OPTISURE 8FR X 65CM $10,750.00

LEAD OPTISURE SNG COIL 8FRX65CM $10,750.00

LEAD OPTISURE SNG-COIL 8FR X 58CM $9,500.00

LEAD PACER EPICARDIAL 35CM 4968-35 $1,125.00

LEAD PACER EPICARDIAL 60CM 4968-60 $1,013.00

LEAD PACER EPICARDIAL MYOPORE SUTURELESS 54CM $2,235.00

LEAD PACER VENTRICULAR 53CM 5071-53 $1,013.00

LEAD PACING BIPOLAR TEMP TRANSVENOUS 100 $700.00

LEAD PADDLE KIT 90CM $13,750.00

LEAD PENTA 3MM LEAD 60CM $15,000.00

LEAD PLEXA PROMRI S 65 $8,750.00

LEAD PLEXA PROMRI X DX 65 $8,750.00

LEAD SENTUS PROMRI OTW QP L-85/49 $7,500.00

LEAD SENTUS PROMRI OTW QP S-85/49 $7,500.00

LEAD SPINAL STIMULATOR ANS EXT $2,238.00

LEAD STANDARD KIT MEDT 1X8MM 3777-45 $4,375.00

Page 286: DESCRIPTION Price - Fairview

LEAD TENDRIL MRI 46CM $1,200.00

LEAD TENDRIL MRI 52CM $1,000.00

LEAD TENDRIL MRI 56CM $1,000.00

LEAD TEST STIMULATION $283.00

LEAD, REFLEX $94.00

LEAD, URINE, S/O $91.00

LEAD-BLOOD $32.00

LEFLUNOMIDE 10 MG TABLET $13.00

LEG LIFTER- RIGID $4.00

LEGIONELLA ABY $114.00

LEGIONELLA AGN, SO $195.00

LEGIONELLA BY PCR $183.00

LEGIONELLA BY PCR $183.00

LEMON OIL $300.00

LENS TORIC $464.00

LENS INTRAOCULAR $464.00

LENS RESTOR/REZOOM - PATIENT PAYMENT AMOUNT $819.00

LENS RESTOR/REZOOM- UPGRADE CONTRACTUAL $1,484.00

LENS TORIC - PATIENT PAYMENT AMOUNT $407.00

LENS TORIC- UPGRADE CONTRACTUAL $660.00

LESION 1 PARING/CUTTING $380.00

LESION 2-4 PARINGS/CUTTINGS $395.00

LESIONS >4 PARING/CUTTING $614.00

LETROZOLE 2.5 MG TABLET $12.00

LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION $155.00

LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION $155.00

LEUCOVORIN CALCIUM 25 MG TABLET $11.00

LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION $304.00

LEUCOVORIN CALCIUM 5 MG TABLET $6.00

LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION $50.00

LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION $342.00

LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT $8,379.00

LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE $5,178.00

LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT $2,344.00

LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT $23,686.00

LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE $6,912.00

LEUPROLIDE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE $9,423.00

LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE $1,963.00

LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION $14.00

LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION $14.00

LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION $5.00

LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION $34.00

LEVALBUTEROL HFA 45 MCG/ACTUATION AEROSOL INHALER $337.00

LEVEL ONE THORACIC, PLATE, STERNAL, LOCKING, BODY, 2.3 MM SC $2,193.00

LEVEL ONE THORACIC, PLATE, STERNAL, LOCKING, JLT, 2.3 MM SCR $2,193.00

LEVEL ONE THORACIC, PLATE, STERNAL, LOCKING, JLT, 2.3 MM SCR $2,573.00

LEVEL ONE THORACIC, PLATE, STERNAL, LOCKING, LADDER, 2.3 MM $3,018.00

Page 287: DESCRIPTION Price - Fairview

LEVEL ONE THORACIC, PLATE, STERNAL, LOCKING, STR, 2.3 MM SCR $1,625.00

LEVEL ONE THORACIC, PLATE, STERNAL, LOCKING, STR, 2.3 MM SCR $1,948.00

LEVEL ONE THORACIC, PLATE, STERNAL, LOCKING, Y SHP, 2.3 MM S $1,948.00

LEVEL ONE THORACIC, PLATE, STERNAL, LOCKING, Y SHP, 2.3 MM S $2,153.00

LEVEL ONE THORACIC, SCREW, STERNAL, MAXDRIVE, EMERGENCY, 2.5 $188.00

LEVEL ONE THORACIC, SCREW, STERNAL, MAXDRIVE, EMERGENCY, 2.5 $188.00

LEVEL ONE THORACIC, SCREW, STERNAL, MAXDRIVE, EMERGENCY, 2.5 $188.00

LEVEL ONE THORACIC, SCREW, STERNAL, MAXDRIVE, LOCKING, DRILL $188.00

LEVEL ONE THORACIC, SCREW, STERNAL, MAXDRIVE, LOCKING, DRILL $188.00

LEVEL ONE THORACIC, SCREW, STERNAL, MAXDRIVE, LOCKING, DRILL $188.00

LEVEL ONE THORACIC, SCREW, STERNAL, MAXDRIVE, LOCKING, DRILL $188.00

LEVEL ONE THORACIC, STERILE, PLATE, STERNAL, LSS, STR, 2.3 M $4,450.00

LEVETIRACETAM $107.00

LEVETIRACETAM 100 MG/ML ORAL SOLUTION $5.00

LEVETIRACETAM 250 MG TABLET $5.00

LEVETIRACETAM 500 MG TABLET $5.00

LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION $50.00

LEVETIRACETAM 750 MG TABLET $5.00

LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR $35.00

LEVOBUNOLOL 0.5 % EYE DROPS $89.00

LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION $183.00

LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION $164.00

LEVOCARNITINE 330 MG TABLET $5.00

LEVOFLOXACIN 0.5 % EYE DROPS $315.00

LEVOFLOXACIN 250 MG TABLET $5.00

LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION $552.00

LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK $50.00

LEVOFLOXACIN 500 MG TABLET $5.00

LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK $104.00

LEVOFLOXACIN 750 MG TABLET $5.00

LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK $54.00

LEVOLEUCOVORIN CALCIUM 50 MG INTRAVENOUS POWDER FOR SOLUTION $793.00

LEVOMILNACIPRAN ER 20 MG CAPSULE,24 HR,EXTENDED RELEASE $65.00

LEVOMILNACIPRAN ER 40 MG CAPSULE,24 HR,EXTENDED RELEASE $32.00

LEVONORGESTREL 0.15 MG-ETHINYL ESTRADIOL 0.03 MG TABLET $5.00

LEVONORGESTREL 1.5 MG TABLET $64.00

LEVONORGESTREL 14 MCG/24 HRS (3 YRS) 13.5 MG INTRAUTERINE DEVICE $1,172.00

LEVONORGESTREL 17.5 MCG/24 HRS (5YRS) 19.5MG INTRAUTERINE DEVICE $1,364.00

LEVONORGESTREL 20 MCG/24 HOURS (5 YRS) 52 MG INTRAUTERINE DEVICE $1,547.00

LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION $459.00

LEVOTHYROXINE 100 MCG TABLET $5.00

LEVOTHYROXINE 112 MCG TABLET $5.00

LEVOTHYROXINE 125 MCG TABLET $5.00

LEVOTHYROXINE 137 MCG TABLET $5.00

LEVOTHYROXINE 150 MCG TABLET $5.00

LEVOTHYROXINE 175 MCG TABLET $5.00

LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION $482.00

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LEVOTHYROXINE 200 MCG INTRAVENOUS POWDER FOR SOLUTION $918.00

LEVOTHYROXINE 200 MCG TABLET $5.00

LEVOTHYROXINE 25 MCG TABLET $5.00

LEVOTHYROXINE 50 MCG TABLET $5.00

LEVOTHYROXINE 75 MCG TABLET $5.00

LEVOTHYROXINE 88 MCG TABLET $5.00

LGI1-IGG CBA $437.00

LH $120.00

LHC/CA/LV $8,597.00

LHC/CA/LV/GRAFTS $8,597.00

LHC/LV $9,108.00

LIDOCAINE $96.00

LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION $50.00

LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE $50.00

LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION $50.00

LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION $4.00

LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION $7.00

LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION $50.00

LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION $50.00

LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION $50.00

LIDOCAINE (PF) 50 MG/ML (5 %) IN 7.5 % DEXTROSE INTRATHECAL SOLUTION $50.00

LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION $50.00

LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION $50.00

LIDOCAINE 10 MG/ML (1 %) INJECTION SOLUTION $50.00

LIDOCAINE 2 % MUCOSAL JELLY $51.00

LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR $28.00

LIDOCAINE 2 % MUCOSAL SOLUTION $5.00

LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE $170.00

LIDOCAINE 20 MG/ML (2 %) INJECTION SOLUTION $50.00

LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:200,000 INJECTION SOLUTION $50.00

LIDOCAINE 4 % (40 MG/ML) MUCOSAL SOLUTION $19.00

LIDOCAINE 4 % TOPICAL CREAM $138.00

LIDOCAINE 4 % TOPICAL PATCH $18.00

LIDOCAINE 5 % TOPICAL CREAM $243.00

LIDOCAINE 5 % TOPICAL OINTMENT $1,187.00

LIDOCAINE 5 MG/ML (0.5 %) INJECTION SOLUTION $50.00

LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION $50.00

LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION $50.00

LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION $50.00

LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION $50.00

LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM $41.00

LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL KIT $180.00

LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT $120.00

LIDOCAINE-VIT E-ALOE VERA-COLL 2 % TOPICAL GEL $71.00

LIFITEGRAST 5 % EYE DROPS IN A DROPPERETTE $43.00

LIG/DIV/EXCIS VARICOSE VEIN $6,765.00

LIGACLIP LARGE AESCULAP O4120-1 $855.00

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LIGACLIP MED AESCULAP B2180-1 $735.00

LIGACLIP SMALL AESCULAP J1180-1 $590.00

LIGATION/BIOPSY TEMPORAL ARTER $5,559.00

LIGHT CHAINS FREE/EACH, SO $116.00

LIGHT SOURCE SPINE METRIX 9560702 $886.00

LIGHT SOURCE SPINE METRIX 9560757 $1,075.00

LIGHT SOURCE SPINE METRX 22X5CM 9560705 $526.00

LIGHT SOURCE SPINE QUAD 9560658 $1,006.00

LINACLOTIDE 145 MCG CAPSULE $70.00

LINACLOTIDE 290 MCG CAPSULE $70.00

LINAGLIPTIN 5 MG TABLET $72.00

LINE PERFUSION PRESSURE 5FRX61CM 50011 $726.00

LINER ACETABLAR DUAL MOBILITY $3,920.00

LINER ACETABULAR $2,813.00

LINER ACETABULAR +4 32MM ID 58MM OD POLYETHYLENE 10DEG CONST $6,869.00

LINER ACETABULAR +4 36MM ID 54MM OD ALTRX 10DEG PINNACLE $1,500.00

LINER ACETABULAR +4 36MM ID 62MM OD 10DEG LATERALIZED DURALO $3,633.00

LINER ACETABULAR +4 40MM ID 62MM OD ALTRX PINNACLE $1,500.00

LINER ACETABULAR +4 40MM ID 64MM OD 10DEG PINNACLE ALTRX $2,250.00

LINER ACETABULAR +4 40MM ID 66MM OD ALTRX PINNACLE $1,500.00

LINER ACETABULAR +4 NEUTRAL 36MM ID 52MM OD PINNACLE ALTRX $1,500.00

LINER ACETABULAR +4 NEUTRAL 36MM ID 56MM OD PINNACLE ALTRX $1,500.00

LINER ACETABULAR +4 NEUTRAL 36MM ID 60MM OD MARATHON 0DEG DU $3,633.00

LINER ACETABULAR +4 NEUTRAL 36MM ID 66MM OD ALTRX PINNACLE $2,250.00

LINER ACETABULAR +4 NEUTRAL 36MM ID 68MM OD ALTRX PINNACLE $1,500.00

LINER ACETABULAR 10 DEG 40MM $3,000.00

LINER ACETABULAR 36MM 10 DEG E $2,813.00

LINER ACETABULAR 36MM 10 DEG E1 $2,813.00

LINER ACETABULAR 36MM 10 DEG F $2,813.00

LINER ACETABULAR 36MM 10 DEG G $2,813.00

LINER ACETABULAR ALTREX +4 10DEG 40X62MM $1,500.00

LINER ACETABULAR ALTRIX NEUTRAL 40X56MM $1,500.00

LINER ACETABULAR ALTRIX NEUTRAL 40X68MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 28X44MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 28X46MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 32X50MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 36X52MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 36X56MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 36X60MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 36X62MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 36X64MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 36X66MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 40X56MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 40X58MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 40X60MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 40X64MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 40X66MM $1,500.00

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LINER ACETABULAR ALTRX +4 10DEG 44X62MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 44X64MM $1,500.00

LINER ACETABULAR ALTRX +4 10DEG 44X66MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 32X52MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 32X54MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 32X56MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 32X58MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 36X52MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 36X62MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 36X64MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 36X66MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 40X56MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 40X58MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 40X60MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 44X62MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 44X64MM $1,500.00

LINER ACETABULAR ALTRX +4 NEUT 44X66MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 28X44MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 28X46MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 28X48MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 28X50MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 28X50MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 32X48MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 32X50MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 32X52MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 32X54MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 32X56MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 32X58MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 36X56MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 36X58MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 36X60MM $1,500.00

LINER ACETABULAR ALTRX NEUTRAL 36X62MM $1,500.00

LINER ACETABULAR HIP L SERIES 10DEG 32MM $4,294.00

LINER ACETABULAR LIPPED 32MM ID 54MM OD ALTRX PINNACLE $2,250.00

LINER ACETABULAR NEUTRAL 36MM ID 52MM OD ALTRX PINNACLE $2,250.00

LINER ACETABULAR NEUTRAL 36MM ID 54MM OD ALTRX PINNACLE $1,500.00

LINER ACETABULAR NEUTRAL 36MM ID 56MM OD ALTRX PINNACLE $1,500.00

LINER ACETABULAR NEUTRAL 36MM ID 60MM OD ALTRX PINNACLE $1,500.00

LINER ACETABULAR NEUTRAL 36MM ID 64MM OD PINNACLE ALTRX $2,250.00

LINER ACETABULAR NEUTRAL 36MM ID 66MM OD PINNACLE ALTRX $1,500.00

LINER ACETABULAR NEUTRAL 40MM ID 58MM OD WHITE PINNACLE ALTR $2,250.00

LINER ACETABULAR NEUTRAL 40MM ID 62MM OD ALTRX PINNACLE $2,250.00

LINER ACETABULAR PFC 28X60-64MM 10DEG $2,007.00

LINER ACETABULAR XLPE 36X80MM 0DEG $3,228.00

LINER ACT 28MM X 40MM OD $5,258.00

LINER ARCOM 28 HEXLOC SZ A $1,563.00

LINER ARCOM XL ALL PE 36X54MM $3,800.00

Page 291: DESCRIPTION Price - Fairview

LINER ARCOM XL ALL PE 36X62MM $3,800.00

LINER CO 50X28MM $8,045.00

LINER CO 56X32MM $8,045.00

LINER CO 62X36MM $8,045.00

LINER CO 64X36MM $8,045.00

LINER DURALOC CONST 64X32MM $5,315.00

LINER E1 ACTIVE ARTICULATION BEAR 46MM $5,258.00

LINER ELEVATED PP 36X66MM $2,813.00

LINER E-POLY RINGLOC 10DEG 22X28MM $2,813.00

LINER E-POLY RINGLOC HW +5 25X40MM $3,000.00

LINER E-POLY RINGLOC HW 26X36MM $2,813.00

LINER E-POLY RINGLOC LINER MROM 24X36MM $2,813.00

LINER FREEDOM STD FACE SZ 24 $5,795.00

LINER G7 DUAL MOBILITY 46MM G $3,920.00

LINER G7 NEUTRAL 40MM $3,920.00

LINER HI WALL G7 ACETABULAR ANTIOXIDANT $2,813.00

LINER MARATHON +4 36X56MM 10DEG $3,633.00

LINER MARATHON +4 50X28MM $3,118.00

LINER MARATHON =4 36X58MM 10DEG $3,633.00

LINER MARATHON 10DEG 50X28MM $2,838.00

LINER MARATHON 20DEG 52X28MM $2,869.00

LINER MARATHON L 32MM +3MM 10DEG $2,926.00

LINER MARATHON NEUTRAL 52X32MM $2,868.00

LINER MDM 36 C $2,500.00

LINER MDM 38MM D $3,125.00

LINER MED COCR 52MM H $3,125.00

LINER NEUTRAL 40X72 SS $1,563.00

LINER OBLIQUE OO 36X64MM $1,563.00

LINER OBLIQUE SS 36X72MM $1,563.00

LINER PINNACLE CO +4 10DEG 36X56MM $6,869.00

LINER PINNACLE CO +4 10DEG 36X60MM $6,869.00

LINER PINNACLE CO +4 10DEG 48X28MM $6,869.00

LINER PINNACLE CO +4 10DEG 50X28MM $6,869.00

LINER PINNACLE CO +4 NEUTRAL 36X56MM $7,412.00

LINER PINNACLE CO +4 NEUTRAL 40X62MM $7,954.00

LINER PINNACLE CO NEUTRAL +4 36X58MM $7,412.00

LINER PINNACLE CO NEUTRAL +4 36X60MM $7,412.00

LINER PINNACLE CO NEUTRAL 48X28MM $7,412.00

LINER PINNACLE CO NEUTRAL 50X28MM $7,412.00

LINER PINNACLE CON +4 10D 52X32MM $7,231.00

LINER PINNACLE CON +4 10D 54X32MM $7,231.00

LINER PINNACLE CONST NEUT 52X32MM $7,412.00

LINER PINNACLE CONST NEUT 54X34MM $7,412.00

LINER PINNACLE MARATHON +4 52X32MM 1219-32-452 $1,500.00

LINER PINNACLE MARATHON +4 54X36MM 1219-36-454 $1,500.00

LINER PINNACLE MARATHON +4 58X32MM $1,500.00

LINER R3 0 DEG +4 XLPE ACET 40X58MM $1,625.00

Page 292: DESCRIPTION Price - Fairview

LINER R3 20 DEG +4 XLPE ACET 40X56MM $1,625.00

LINER R3 20 DEG +4 XLPE ACET 40X58MM $1,625.00

LINER R3 20 DEG +4 XLPE ACET 40X60MM $1,625.00

LINER R3 ACETABULAR 44X60MM 2DEG+4 $1,625.00

LINER R3 ACETABULAR 44X62MM 2DEG+4 $1,625.00

LINER REV OBLIQUE 58X36MM 10DEG $4,663.00

LINER TM REV SHELL CEMENTED 54X32 $8,598.00

LINER XLPE 0 DEG POLY 64X40 $1,563.00

LINEZOLID 100 MG/5 ML ORAL SUSPENSION $6,600.00

LINEZOLID 600 MG TABLET $739.00

LINEZOLID IN 5% DEXTROSE IN WATER 200 MG/100 ML INTRAVENOUS PIGGYBACK $282.00

LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK $234.00

LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION $1,673.00

LIOTHYRONINE 25 MCG TABLET $5.00

LIOTHYRONINE 5 MCG TABLET $5.00

LIPASE $60.00

LIPASE 5,000-PROTEASE 17,000-AMYLASE 24,000 UNIT CAPSULE, DELAYED REL,LIPASE 5,000-PROTEASE 17,000-AMYLASE 24,000 UNIT CAPSULE, DELAYED RELEASE$8.00

LIPASE, BODY FLUID $65.00

LIPASE-PROTEASE-AMYLASE 10,440-39,150-39,150 UNIT TABLET $15.00

LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL $15.00

LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL $30.00

LIPID PROFILE $118.00

LIPOPROTEIN BY NMR $129.00

LIPOPROTEIN, SO $60.00

LIQUID AMNIOTIC 2.0CC F/SOFT TISSUE PROCEDURE AMNION $4,500.00

LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR $1,336.00

LISDEXAMFETAMINE 10 MG CAPSULE $50.00

LISDEXAMFETAMINE 20 MG CAPSULE $25.00

LISDEXAMFETAMINE 30 MG CAPSULE $50.00

LISDEXAMFETAMINE 60 MG CAPSULE $17.00

LISDEXAMFETAMINE 70 MG CAPSULE $21.00

LISINOPRIL 10 MG TABLET $5.00

LISINOPRIL 10 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET $5.00

LISINOPRIL 2.5 MG TABLET $5.00

LISINOPRIL 20 MG TABLET $5.00

LISINOPRIL 20 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET $5.00

LISINOPRIL 20 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET $5.00

LISINOPRIL 40 MG TABLET $5.00

LISINOPRIL 5 MG TABLET $5.00

LITHIUM $53.00

LITHIUM CARBONATE 150 MG CAPSULE $5.00

LITHIUM CARBONATE 300 MG CAPSULE $5.00

LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE $5.00

LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE $5.00

LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION $742.00

LITHOTRIPTOR LITHOCRUSH BASKET SOFT 26MM 3.2MM CHANNEL $789.00

LIVER SPLEEN IMAGING $1,070.00

Page 293: DESCRIPTION Price - Fairview

LKM TYPE 1 ANTIBODY $98.00

LOCKING COMPRESSION PLATE 6 HOLE / L84 MM 4.0MM LOCKING $3,204.00

LOCKING COMPRESSION PLATE 7 HOLE / L97 MM 4.0MM LOCKING $3,204.00

LOCKING COMPRESSION PLATE BROAD 10 HOLE / L191 MM 5.0MM LOCK $4,300.00

LOCKING COMPRESSION PLATE NARROW 8 HOLE / L151 MM 5.0MM LOCK $4,300.00

LOCKING DIST FIBULA PLATE TI LEFT4H $1,500.00

LOCKING DIST FIBULA PLATE TI LEFT6H $1,938.00

LOCKING PLATE POLYAXIAL LNG $3,012.00

LOCKING PLATE POLYAXIAL SHORT $2,841.00

LOCKING SCR SS 2.7X20 MM $400.00

LOCKING SCR T10 FT 2.7MM / L22MM $454.00

LOCKING SCR T10 FT 3.5MM / L10MM $454.00

LOCKING SCR T10 FT 3.5MM / L20MM $454.00

LOCKING SCR T10 FT 3.5MM / L22MM $454.00

LOCKING SCR T10 FT 3.5MM / L30MM $454.00

LOCKING SCR T10 FT 3.5MM / L32MM $454.00

LOCKING SCR T10 FT 3.5MM / L34MM $454.00

LOCKING SCR T10 FT 3.5MM / L36MM $454.00

LOCKING SCR T10 FT 3.5MM / L38MM $454.00

LOCKING SCR T10 FT 3.5MM / L40MM $454.00

LOCKING SCR T10 FT 3.5MM / L46MM $454.00

LOCKING SCR T10 FT 3.5MM / L55MM $454.00

LOCKING SCR T10 FT 3.5MM / L8MM $454.00

LOCKING SCR T8 FT 2.4MM / L10MM $408.00

LOCKING SCR T8 FT 2.4MM / L12MM $408.00

LOCKING SCR T8 FT 2.4MM / L14MM $408.00

LOCKING SCR T8 FT 2.4MM / L16MM $408.00

LOCKING SCR T8 FT 2.4MM / L18MM $408.00

LOCKING SCR T8 FT 2.4MM / L20MM $408.00

LOCKING SCR T8 FT 2.4MM / L22MM $408.00

LOCKING SCR T8 FT 2.4MM / L8MM $408.00

LOCKING SCR T8 FT 2.7MM / L10MM $408.00

LOCKING SCR T8 FT 2.7MM / L22MM $408.00

LOCKING SCR T8 FT 2.7MM / L24MM $408.00

LOCKING SCR T8 FT 2.7MM / L28MM $408.00

LOCKING THIRD TUBULAR PLATE TI 6H $600.00

LOCKING THIRD TUBULAR PLATE TI 7H $638.00

LODOXAMIDE TROMETHAMINE 0.1 % EYE DROPS $846.00

LONG NAIL KIT R1/5 TI RIGHT11X400MM X 125 $6,558.00

LOOP CUTTING 24FR 30 DEG SCOP A22205C $3,919.00

LOOP CUTTING 26FR FOR 30 DEG A22206C $3,919.00

LOPERAMIDE 1 MG/5 ML ORAL LIQUID $7.00

LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID $5.00

LOPERAMIDE 2 MG CAPSULE $5.00

LOPINAVIR-RITONAVIR 100 MG-25 MG TABLET $84.00

LOPINAVIR-RITONAVIR 200 MG-50 MG TABLET $84.00

LO-PRO LOCK SCRSS 2.7X 34MM $288.00

Page 294: DESCRIPTION Price - Fairview

LO-PRO LOCK SCRSS 2.7X 36MM $288.00

LO-PRO LOCK SCRSS 2.7X 38MM $288.00

LO-PRO SCR CAN BLUNT TIP 4X36 MM $413.00

LO-PRO SCR CAN BLUNT TIP 4X38 MM $413.00

LO-PRO SCR TMSS 3.5X 52MMCORT $88.00

LORATADINE 10 MG DISINTEGRATING TABLET $5.00

LORATADINE 5 MG/5 ML ORAL SOLUTION $5.00

LORATADINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR $5.00

LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR $5.00

LORAZEPAM 0.5 MG TABLET $12.00

LORAZEPAM 1 MG TABLET $5.00

LORAZEPAM 2 MG TABLET $5.00

LORAZEPAM 2 MG/ML INJECTION SOLUTION $50.00

LORAZEPAM 2 MG/ML ORAL CONCENTRATE $5.00

LORDORIC BLOCK CANCELLOUS 5X14X14MM $2,250.00

LORDOTIC ASR CANCELLOUS BLK 10X14X11MM $2,250.00

LORDOTIC ASR CANCELLOUS BLK 10X14X14MM $2,250.00

LOSARTAN 100 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET $5.00

LOSARTAN 100 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET $28.00

LOSARTAN 25 MG TABLET $5.00

LOSARTAN 50 MG TABLET $5.00

LOSARTAN 50 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET $5.00

LOTEPREDNOL ETABONATE 0.2 % EYE DROPS,SUSPENSION $981.00

LOTEPREDNOL ETABONATE 0.5 % EYE DROPS,SUSPENSION $1,033.00

LOVASTATIN 10 MG TABLET $5.00

LOVASTATIN 20 MG TABLET $5.00

LOW DOSE LUNG SCREENING EXAM $821.00

LOW PROFILE LOCKING SCR 4.5X60 MM $488.00

LOW PROFILE LOCKING SCR 4.5X65 MM $488.00

LOW PROFILE LOCKING SCR 4.5X70 MM $488.00

LOW PROFILE SCR 2.4X24MM CORTEX $275.00

LOW PROFILE SCR 4.0X36MM PT LONG THD $413.00

LOW PROFILE SCR PART THREAD TI 5.5X55MM $1,988.00

LOXAPINE SUCCINATE 10 MG CAPSULE $5.00

LOXAPINE SUCCINATE 25 MG CAPSULE $5.00

LOXAPINE SUCCINATE 5 MG CAPSULE $5.00

LP SCR 6.7X100 MM CAN FT $625.00

LP SCR CORT 3.0X18MM HYBRID $275.00

LP SCR CORT 3.0X22MM HYBRID $275.00

LP SCR CORT 3.0X36MM HYBRID $275.00

LP SCR CORTICAL 3.0X28MM HYBRID $275.00

LP VA LOCKING SCR 3.0X12MM HYBRID $438.00

LP VA LOCKING SCR 3.0X22MM HYBRID $438.00

LP VA LOCKING SCR 3.0X24MM HYBRID $438.00

LP VA LOCKING SCR 3.0X26MM HYBRID $438.00

LP VA LOCKING SCR 3.0X28MM HYBRID $438.00

L-PLATE 7HOLE 8MM $614.00

Page 295: DESCRIPTION Price - Fairview

LT CHAIN/NEPHELOMETRY EAC, SO $263.00

LTRANSSEPTAL/TRANSAPICAL $8,597.00

LUBIPROSTONE 24 MCG CAPSULE $10.00

LUBIPROSTONE 8 MCG CAPSULE $31.00

LUMBAR DRAIN (NEEDLE/CATH) $1,692.00

LUMBAR PUNCTURE FOR MYELOGRAM $699.00

LUMBAR PUNCTURE UNDER FLUORO $669.00

LUMBAR SPINE COMPLETE W/OBL $718.00

LUMBAR SPINE W/BEND MINIM 6 VW $395.00

LUNG PERFUSION ONLY $1,053.00

LUNG VENTILAT&PERFUS DIFERENTL $2,645.00

LUNG VENTILAT&PERFUS IMAGING $1,316.00

LUNG VENTILATION IMAGING $1,450.00

LUPUS ANTICOAG CONFIRMATION $98.00

LURASIDONE 120 MG TABLET $44.00

LURASIDONE 20 MG HALF-TABLET $89.00

LURASIDONE 20 MG TABLET $177.00

LURASIDONE 40 MG TABLET $89.00

LURASIDONE 60 MG TABLET $59.00

LURASIDONE 80 MG TABLET $44.00

LV LEAD, QUARTET $19,282.00

LV LEAD, QUICKFLEX MICRO $8,034.00

LYME DETECTION BY PCR $382.00

LYME DETECTION BY PCR $382.00

LYME IG EIA $52.00

LYME IGG ABY CONFIRMATION $114.00

LYMPHATICS & LYMPH GLANDS IMAGING $1,110.00

LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION $8,666.00

LYMPHOSEEK (PER STUDY) $1,597.00

LYSINE 500 MG TABLET $5.00

M. TUBERCULOSIS PRIMARY MIC (AFBTB1) $248.00

M. TUBERCULOSIS SECONDARY MIC (AFBTB2) $91.00

M. TUBERCULOSIS SECONDARY MIC (AFBTB2) $68.00

MAA (PER DOSE) $358.00

MAC BROTH MICRODILUTION MIC PANEL (AFBMAI) $460.00

MACITENTAN 10 MG TABLET $1,399.00

MACROGLOBULINS $152.00

MAESTRO RAD FX CARPAL HEAD STD $2,110.00

MAESTRO RAD FX SZ1 12MM LT $7,058.00

MAESTRO RADICAL STEM 4.5X60MM $2,678.00

MAESTRO TC CAPITATE STEM 6X15MM $2,988.00

MAESTRO TC CARPAL PLT 9X37MM $2,988.00

MAFENIDE 85 MG/G TOPICAL CREAM $2,061.00

MAG-3 (PER DOSE) $756.00

MAGNESIUM $60.00

MAGNESIUM 24 HR $60.00

MAGNESIUM RANDOM UR $60.00

Page 296: DESCRIPTION Price - Fairview

MAGNESIUM 250 MG (AS MAGNESIUM OXIDE) TABLET $5.00

MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE $5.00

MAGNESIUM CARBONATE 54 MG/5 ML ORAL LIQUID $40.00

MAGNESIUM CITRATE ORAL SOLUTION $5.00

MAGNESIUM GLUCONATE 27 MG MAGNESIUM (500 MG) TABLET $5.00

MAGNESIUM HYDROXIDE 311 MG CHEWABLE TABLET $5.00

MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION $5.00

MAGNESIUM OXIDE 200 MG HALF-TABLET $5.00

MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET $5.00

MAGNESIUM OXIDE 500 MG TABLET $5.00

MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES $18.00

MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK $72.00

MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK $50.00

MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION $50.00

MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION $50.00

MAGNESIUM, SERUM $61.00

MAGNESIUM,FECAL, SO $152.00

MAGNESIUM,RBC, SO $152.00

MAGNETIC RESONANCE SPECT $1,575.00

MAGNEVIST $5.00

MALATHION 0.5 % LOTION $1,096.00

MALLET 250G 43-09830 $1,068.00

MAMMARY TRANSFER SET 350-8400 $273.00

MAMMO GUIDED SENTINEL NODE INJECTION $853.00

MANDIBLE 4+ VIEWS $579.00

MANGANESE, RBC $257.00

MANGANESE, WHOLE BLOOD $159.00

MANIPULATOR UTERINE LIGHTED FORNISE 30MM $2,700.00

MANIPULATOR UTERINE LIGHTED FORNISE 35MM $2,700.00

MANIPULATOR UTERINE LIGHTED FORNISE 40MM $2,700.00

MANNITOL 20 % INTRAVENOUS SOLUTION $94.00

MANNITOL 25 % INTRAVENOUS SOLUTION $50.00

MANUAL THER,EA 15 MIN $149.00

MANUAL THER,EA 15 MIN $149.00

MATRIX 1.4MM DRILL BIT/J-LATCH CALIBRATED F/BASIC TROCAR SYS $485.00

MATRIX HUMAN THICK 3CMX8CM F/HOMO SOFT TISSUE COVERING $11,000.00

MAXFRAME 5/8 RING 180MM/ALUMINUM $4,577.00

MAXFRAME STANDARD STRUT/MED $4,476.00

MAXILLARY DISTRACTOR BODY 25MM $13,268.00

MAXIMUM VOLUNTARY VENTILATION $242.00

MAYO MUSCLE SPECIAL STAIN ENZYME $460.00

MAYO SPECIAL STAIN GRP 2 $108.00

MDMA, REFLEX $69.00

MDP (PER DOSE) $110.00

MEAS,POST-VOID RES,US,NON-IMAGING $246.00

MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT $359.00

MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT $76.00

Page 297: DESCRIPTION Price - Fairview

MECH THROM/SECONDARY/ARTERIAL $6,568.00

MECH THROMB/ADD'L/ARTERIAL $6,487.00

MECH THROMB/INITIAL/ARTERIAL $12,710.00

MECH THROMB/VENOUS $12,710.00

MECKEL'S DIVERTICULA IMAGING $1,357.00

MECLIZINE 12.5 MG TABLET $5.00

MECLIZINE 25 MG TABLET $5.00

MECOBALAMIN (VITAMIN B12) 1,000 MCG DISINTEGRATING TABLET,SUBLINGUAL $5.00

MED NTRN THER GROUP-2 OR MORE $70.00

MED NUTR THER, 1ST, INDIV, EA 15 MIN $114.00

MED NUTR THER, SUBSQ, INDIV, EA 15 MIN $100.00

MEDROXYPROGESTERONE 10 MG TABLET $5.00

MEDROXYPROGESTERONE 104 MG/0.65 ML SUBCUTANEOUS SYRINGE $421.00

MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION $354.00

MEDROXYPROGESTERONE 2.5 MG TABLET $5.00

MEDROXYPROGESTERONE 5 MG TABLET $5.00

MEDTRONIC KIT ACCESSORY CABLE LEAD MULTI TRIALING $618.00

MEDTRONIC KIT LEAD TRIAL COMPACT SPACING 1X8MM $1,545.00

MEDTRONIC NEURO PEN 2120-025 $2,323.00

MEGESTROL 20 MG TABLET $12.00

MEGESTROL 40 MG TABLET $12.00

MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION $12.00

MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION $12.00

MEL DISTAL TIBIA PLATE SS LEFT 10H $4,450.00

MELATONIN 1 MG TABLET $5.00

MELATONIN 3 MG TABLET $5.00

MELATONIN 5 MG TABLET $5.00

MELATONIN ER 1 MG TABLET,EXTENDED RELEASE $5.00

MELOXICAM 15 MG TABLET $5.00

MELOXICAM 7.5 MG TABLET $5.00

MELPHALAN 2 MG TABLET $56.00

MELPHALAN 50 MG INTRAVENOUS SOLUTION $6,279.00

MEMANTINE 10 MG TABLET $18.00

MEMANTINE 21 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR $6.00

MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR $19.00

MEMANTINE 5 MG TABLET $5.00

MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR $77.00

MEMORY MONITOR UNIT RECORDING $3,192.00

MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION $122.00

MENINGOCOCCAL A CONJ VACC 1 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION $234.00

MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE $170.00

MENINGOCOCCAL VACCINE A,C,Y,W-135 (PF) 50 MCG SUBCUTANEOUS SOLUTION $122.00

MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT $17.00

MENTHOL 2 % TOPICAL GEL $18.00

MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION $50.00

MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE $50.00

MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE $50.00

Page 298: DESCRIPTION Price - Fairview

MEPERIDINE 50 MG TABLET $12.00

MEPERIDINE AND METABOLITE, UR $120.00

MEPERIDINE, REFLEX $121.00

MEPHOBARBITAL CONFIRMATION, SO $114.00

MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION $50.00

MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION $50.00

MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION $50.00

MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION $5,326.00

MEPROBAMATE 200 MG TABLET $27.00

MERCAPTOPURINE 50 MG TABLET $12.00

MERCURY $107.00

MERCURY BLOOD $107.00

MERCURY, 24 HOUR URINE $107.00

MERCURY, URINE, S/O $107.00

MERCURY, WHOLE BLOOD $107.00

MEROPENEM 1 GRAM INTRAVENOUS SOLUTION $50.00

MEROPENEM 500 MG INTRAVENOUS SOLUTION $146.00

MESALAMINE 1,000 MG RECTAL SUPPOSITORY $84.00

MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE $46.00

MESALAMINE 4 GRAM/60 ML ENEMA $66.00

MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE) $38.00

MESALAMINE 800 MG TABLET,DELAYED RELEASE $46.00

MESALAMINE CR 250 MG CAPSULE,CONTROLLED RELEASE $30.00

MESALAMINE CR 500 MG CAPSULE,CONTROLLED RELEASE $30.00

MESH 120 X 120 X 1MM $5,451.00

MESH 3D MAX LIGHT 10.3X15.7CM LEFT LG 0117311 $918.00

MESH 3D MAX LIGHT 10.3X15.7CM RIGHT LG 0117321 $918.00

MESH 3D MAX LIGHT 3.1X5.3 M LT 0117310 $866.00

MESH 3D MAX LIGHT 3.1X5.3 M RT 0117320 $866.00

MESH 3DMAX LEFT LG 0115311 $718.00

MESH 3DMAX LEFT MED 0115310 $674.00

MESH 3DMAX LEFT XL 0115312 $793.00

MESH 3DMAX LIGHT 12.9X17.02CM LEFT XLG 0117312 $1,011.00

MESH 3DMAX LIGHT 12.9X17.02CM RIGHT XLG 0117322 $1,011.00

MESH 3DMAX RIGHT LG 0115321 $718.00

MESH 3DMAX RIGHT MED 0115320 $674.00

MESH BIO-A TISSUE REINFORCEMENT 20X20CM $6,405.00

MESH BIO-A TISSUE REINFORCEMENT 7X10CM HH0710 $1,245.00

MESH BIO-A TISSUE REINFORCEMENT 8X8CM $998.00

MESH COLLAGEN XENMATRIX AB PORC 10X15CM $11,850.00

MESH COLLAGEN XENMATRIX AB PORC 15X20CM $23,700.00

MESH COLLAGEN XENMATRIX AB PORCINE 30X30 $69,125.00

MESH COLLAGEN XENMATRIX PORCINE 20X40CM $5,525.00

MESH COMPOSITE PARIETENE DS 15X10X1CM PPDS1510 $906.00

MESH COMPOSITE PARIETENE DS 20X15X1CM PPDS2015 $1,453.00

MESH CONTOURED #10 FRONT APPROACH XLLT $12,791.00

MESH CONTOURED #10 FRONT PAR APPROACH LT $12,358.00

Page 299: DESCRIPTION Price - Fairview

MESH CONTOURED #11 FRONT APPROACH XL RT $12,791.00

MESH CONTOURED #11 FRONT PAR APPROACH RT $12,358.00

MESH CONTOURED #2 PTERIONAL APPROACH LT $6,286.00

MESH CONTOURED #3 PTERIONAL APPROACH RT $6,286.00

MESH CONTOURED #4 PARIETAL APPROACH LT $6,286.00

MESH CONTOURED #5 PARIETAL APPROACH RT $6,286.00

MESH CONTOURED #6 ANT PARASAG APPROACH $6,286.00

MESH CONTOURED #8 SUBOCCIPIT APPROACH LT $6,286.00

MESH CONTOURED #9 SUBOCCIPIT APPROACH RT $6,286.00

MESH CONTOURED BIFRONTAL APPROACH .6MM $6,286.00

MESH C-QUR MOSAIC OBLONG 4X6" 31128 $963.00

MESH C-QUR TACSHIELD 6X8" 31633 $1,923.00

MESH DULEX 15CM X 19CM 0115191 $2,275.00

MESH DULEX 15CM X 19CM 2MM THICKNESS $3,989.00

MESH DULEX 20CM X 30CM 0120301 $4,792.00

MESH DULEX 26CM X 34CM 0126341 $6,300.00

MESH GYNAMESH 4X6" GPSL $1,331.00

MESH KNITTED POLYPROPYLENE 01X4" MARLEX 0112640 $574.00

MESH KNITTED POLYPROPYLENE 02X12" MARLEX 0112670 $563.00

MESH KNITTED POLYPROPYLENE 02X4" 0112650 $756.00

MESH KNITTED POLYPROPYLENE 06X6" MARLEX 0112720 $959.00

MESH KNITTED POLYPROPYLENE 10X14" 0112660 $536.00

MESH MACROPOROUS POLY 30X30CM PPM3030 $254.00

MESH MOSAIC 10X14 31140 $5,163.00

MESH MOSAIC 6X8 OBLONG 31133 $1,966.00

MESH MOSAIC 8X10 OBLONG 31136 $3,328.00

MESH PELVIC FL ANT PROLAPSE EXAIR 501000 $3,220.00

MESH PELVIC POST PROLAPSE EXAIR 501500 $3,038.00

MESH PERFIX PLUG 1.3X1.55" MED 0112760 $1,478.00

MESH PERFIX PLUG LG W/PATCH 0112770 $746.00

MESH PHASIX RECONSTRUCTIVE RESORB 10X12" 1190500 $29,450.00

MESH PHASIX RECONSTRUCTIVE RESORB 12X14" 1203035 $49,900.00

MESH PHASIX RECONSTRUCTIVE RESORB 4X6" 1190200 $6,075.00

MESH PHASIX RECONSTRUCTIVE RESORB 4X6" 1200011 $5,700.00

MESH PHASIX RECONSTRUCTIVE RESORB 4X6" 1201015 $8,038.00

MESH PHASIX RECONSTRUCTIVE RESORB 6X8" 1190300 $11,688.00

MESH PHASIX RECONSTRUCTIVE RESORB 6X8" 1201520 $14,650.00

MESH PHASIX RECONSTRUCTIVE RESORB 8X10" 1190400 $19,838.00

MESH PHASIX RECONSTRUCTIVE RESORB 8X10" 1202025 $24,300.00

MESH PHASIX ST 10CM X 10CM $5,500.00

MESH PHASIX ST 15CM $10,175.00

MESH PHASIX ST 3X4" 7X10CM $4,025.00

MESH PLUG MARLEX S 011275 $1,464.00

MESH PLUG MARLEX XL 0112780 $1,720.00

MESH PROGRIP LAPAROSCOPIC 5.9X3.9" PARIETEX SELF-FIX LPG1510 $786.00

MESH PROLENE 3X6" PMII $894.00

MESH PROLENE HERNIA ETHICON PHSE $1,978.00

Page 300: DESCRIPTION Price - Fairview

MESH PROLENE HERNIA PHSM $3,956.00

MESH PYRAMESH SPINE ROUND 10X30MM 905-103 $5,445.00

MESH REPAIR UPHOLD LITE W/CAPIO SLIM $6,324.00

MESH SCREEN JANNETTA OVAL LG 2MM $787.00

MESH SCREEN PITTSBURGH .3MM CP TITANIUM $1,055.00

MESH SEPRAMESH IP 4X8 5959480 $1,859.00

MESH SEPRAMESH IP 8X12 5959812 $4,295.00

MESH SLING ADVANTAGE FIT SYSTEM M0068502110 $3,218.00

MESH SLING ADVANTAGE MID URETHERAL 850-200 $3,163.00

MESH SLING LYNX SYSTEM M0068503000 $3,094.00

MESH SLING OBTRYX II TRANSOBTURATOR HALO 850-511 $3,465.00

MESH SLING PROLAPSE POLYFORM SYNTH 10X15CM M0068402580 $1,120.00

MESH SLING SINGLE INCISION ALTIS 519650 $3,058.00

MESH SLING UPSYLON Y-MESH M0068318200 $2,720.00

MESH SOFT 6X6" 0117011 $1,242.00

MESH SOFT POLYPROPLENE 12X12IN $1,063.00

MESH SURGICAL 26MMW X 33MML X 64MMH TITANIUM T1-T5 THORACOLU $18,963.00

MESH SURGICAL INGUINAL HRN REP MACROPOR 15CMX15CM PPM1515X3 $337.00

MESH SURGICAL INGUINAL HRN REP MACROPOROUS 6CMX11CM $182.00

MESH TACSHIELD 3X6 OVAL 31626 $1,023.00

MESH TITANIUM 3D 80X80MM .3MM $3,594.00

MESH VENTALIGHT ST 10 X 14 ELLIPES $7,070.00

MESH VENTRALEX HERNIA 1.7" CIRCLE SM W/STRAP 5950007 $1,669.00

MESH VENTRALEX HERNIA 2.5" CIRCLE MED W/STRAP 5950008 $2,002.00

MESH VENTRALEX HERNIA 3.2" CIRCLE LG W/STRAP 5950009 $2,139.00

MESH VENTRALIGHT PERM CIRCLE 4.5 $2,526.00

MESH VENTRALIGHT ST 12X14 5954124 $7,453.00

MESH VENTRALIGHT ST 6" CIRCLE $2,797.00

MESH VENTRALIGHT ST W/ECHO POS SYSTEM 10X13" ELLIPSE 5955113 $8,743.00

MESH VENTRALIGHT ST W/ECHO POS SYSTEM 4.5" CIRCLE 5955450 $3,064.00

MESH VENTRALIGHT ST W/ECHO POS SYSTEM 4X6" ELLIPSE 5955460 $2,486.00

MESH VENTRALIGHT ST W/ECHO POS SYSTEM 6" CIRCLE 5955600 $3,633.00

MESH VENTRALIGHT ST W/ECHO POS SYSTEM 6X10" OVAL 5955610 $5,301.00

MESH VENTRALIGHT ST W/ECHO POS SYSTEM 6X8" ELLIPSE 5955680 $4,331.00

MESH VENTRALIGHT ST W/ECHO POS SYSTEM 8" CIRCLE 5955800 $6,020.00

MESH VENTRALIGHT ST W/ECHO POS SYSTEM 8X10" ELLIPSE 5955810 $6,945.00

MESH VENTRIO ST HERNIA 3.0" CIRCLE SM 5950010 $1,972.00

MESH VENTRIO ST HERNIA 3.1X4.7" OVAL SM 5950030 $2,427.00

MESH VENTRIO ST HERNIA 4.3X5.5" OVAL MED 5950040 $3,610.00

MESH VENTRIO ST HERNIA 4.5" CIRCLE LG 5950020 $2,761.00

MESH VENTRIO ST OVAL 6X12 5950060 $7,341.00

MESH VENTRIO ST OVAL 7X9 5950070 $6,143.00

MESH VENTRIO ST OVAL L 5.4 X 7 5950050 $4,550.00

MESH VENTRIO ST OVAL XL 8.7X10.7 5950080 $7,356.00

MESH VENTRIO ST OVAL XXL 10X13 5950090 $9,101.00

MESNA 100 MG/ML INTRAVENOUS SOLUTION $163.00

METACARPAL SPLINT $18.00

Page 301: DESCRIPTION Price - Fairview

METAGLENE DELTA XTEND $5,997.00

METANEPHRINES, PLASMA, SO $173.00

METANEPHRINES,URINE, SO $146.00

METAXALONE 800 MG TABLET $10.00

METFORMIN 500 MG TABLET $5.00

METFORMIN 850 MG TABLET $5.00

METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR $5.00

METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR $5.00

METH. CHALL. $769.00

METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION $214.00

METHADONE 10 MG TABLET $12.00

METHADONE 10 MG/1 ML ORAL CONCENTRATE $12.00

METHADONE 10 MG/10 ML ORAL SOLUTION $12.00

METHADONE 10 MG/10 ML ORAL SOLUTION CHEM DEP $12.00

METHADONE 10 MG/5 ML ORAL SOLUTION $274.00

METHADONE 10 MG/ML INJECTION SOLUTION $1,923.00

METHADONE 10 MG/ML INTRAVENOUS SYRINGE $95.00

METHADONE 10 MG/ML ORAL CONCENTRATE $12.00

METHADONE 100 MG/10 ML ORAL CONCENTRATE $12.00

METHADONE 100 MG/10 ML ORAL CONCENTRATE CHEM DEP $33.00

METHADONE 15 MG/15 ML ORAL SOLUTION CHEM DEP $12.00

METHADONE 2 MG/2 ML INTRAVENOUS SYRINGE $163.00

METHADONE 2 MG/2 ML ORAL SOLUTION CHEM DEP $12.00

METHADONE 2.5 MG HALF-TAB $12.00

METHADONE 2.5 MG HALF-TAB CHEM DEP $5.00

METHADONE 2.5 MG/2.5 ML ORAL SOLUTION $12.00

METHADONE 2.5 MG/2.5 ML ORAL SOLUTION CHEM DEP $12.00

METHADONE 20 MG/2 ML ORAL CONCENTRATE $12.00

METHADONE 20 MG/20 ML ORAL SOLUTION CHEM DEP $12.00

METHADONE 25 MG/25 ML ORAL SOLUTION CHEM DEP $12.00

METHADONE 30 MG/30 ML ORAL SOLUTION CHEM DEP $12.00

METHADONE 5 MG TABLET $12.00

METHADONE 5 MG TABLET CHEM DEP $12.00

METHADONE 5 MG/0.5 ML ORAL CONCENTRATE $12.00

METHADONE 5 MG/5 ML ORAL SOLUTION $158.00

METHADONE 5 MG/5 ML ORAL SOLUTION CHEM DEP $12.00

METHADONE 50 MG/5 ML ORAL CONCENTRATE $12.00

METHADONE 50 MG/5 ML ORAL CONCENTRATE CHEM DEP $16.00

METHADONE 50 MG/50 ML ORAL SOLUTION CHEM DEP $15.00

METHADONE 7.5 MG/0.75 ML ORAL CONCENTRATE $12.00

METHADONE 7.5 MG/7.5 ML ORAL SOLUTION CHEM DEP $12.00

METHADONE AND METAB. URINE, QUANT $101.00

METHADONE AND METABOLITE $101.00

METHADONE CONFIRMATION, SO $135.00

METHADONE, REFLEX $98.00

METHAZOLAMIDE 25 MG TABLET $15.00

METHEMOGLOBIN $81.00

Page 302: DESCRIPTION Price - Fairview

METHENAMINE HIPPURATE 1 GRAM TABLET $5.00

METHENAMINE MANDELATE 0.5 G TABLET $5.00

METHIMAZOLE 10 MG TABLET $5.00

METHIMAZOLE 5 MG TABLET $5.00

METHLYMALONIC ACID $369.00

METHOCARBAMOL 100 MG/ML INJECTION SOLUTION $50.00

METHOCARBAMOL 500 MG TABLET $5.00

METHOCARBAMOL 750 MG TABLET $5.00

METHOHEXITAL 500 MG SOLUTION FOR INJECTION $308.00

METHOHEXITAL IN STERILE WATER (PF) 100 MG/10 ML (10 MG/ML) IV SYRINGE $131.00

METHOTREXATE $135.00

METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION $179.00

METHOTREXATE SODIUM 2.5 MG TABLET $14.00

METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION $155.00

METHSUXIMIDE 300 MG CAPSULE $21.00

METHYL SALICYLATE-MENTHOL 29 %-7.6 % TOPICAL OINTMENT $20.00

METHYL SALICYLATE-MENTHOL TOPICAL OINTMENT $7.00

METHYLCELLULOSE (LAXATIVE) 500 MG TABLET $5.00

METHYLCELLULOSE (WITH SUGAR) 2 GRAM/19 GRAM ORAL POWDER $29.00

METHYLCELLULOSE 4000CPS (BULK) 30 % POWDER $49.00

METHYLDOPA 250 MG TABLET $5.00

METHYLDOPA 500 MG TABLET $5.00

METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION $885.00

METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) INTRAVENOUS SOLUTION $885.00

METHYLENEDIOXYAMPHETAMINES $201.00

METHYLENEDIOXYAMPHETAMINES URINE, QUANT $202.00

METHYLERGONOVINE 0.2 MG TABLET $234.00

METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION $107.00

METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE$335.00

METHYLPHENIDATE 10 MG TABLET $5.00

METHYLPHENIDATE 5 MG TABLET $12.00

METHYLPHENIDATE AND METABOLITE, UR $142.00

METHYLPHENIDATE CD 10 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE $22.00

METHYLPHENIDATE ER 10 MG TABLET,EXTENDED RELEASE $15.00

METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR $57.00

METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE $12.00

METHYLPHENIDATE LA 10 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE $49.00

METHYLPREDNISOLONE 16 MG TABLET $5.00

METHYLPREDNISOLONE 32 MG TABLET $5.00

METHYLPREDNISOLONE 4 MG TABLET $5.00

METHYLPREDNISOLONE ACETATE 20 MG/ML SUSPENSION FOR INJECTION $6.00

METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION $50.00

METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION $50.00

METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION $247.00

METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION $50.00

METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION $50.00

METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION $149.00

Page 303: DESCRIPTION Price - Fairview

METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION $100.00

METIPRANOLOL 0.3 % EYE DROPS $103.00

METOCLOPRAMIDE 10 MG TABLET $5.00

METOCLOPRAMIDE 5 MG TABLET $5.00

METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION $5.00

METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION $50.00

METOLAZONE 10 MG TABLET $5.00

METOLAZONE 2.5 MG TABLET $9.00

METOLAZONE 5 MG TABLET $5.00

METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR $5.00

METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR $5.00

METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR $5.00

METOPROLOL TARTRATE 100 MG TABLET $5.00

METOPROLOL TARTRATE 25 MG TABLET $5.00

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION $50.00

METOPROLOL TARTRATE 50 MG TABLET $5.00

METRONIDAZOLE 0.75 % LOTION $1,018.00

METRONIDAZOLE 0.75 % TOPICAL CREAM $750.00

METRONIDAZOLE 0.75 % TOPICAL GEL $681.00

METRONIDAZOLE 0.75 % VAGINAL GEL $605.00

METRONIDAZOLE 1 % TOPICAL GEL $1,861.00

METRONIDAZOLE 250 MG TABLET $5.00

METRONIDAZOLE 50 MG/ML ORAL SUSPENSION (SYRINGE) $62.00

METRONIDAZOLE 500 MG TABLET $5.00

METRONIDAZOLE 500 MG/100 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK $50.00

METRONIDAZOLE IN SODIUM CHLORIDE (ISO-OSM) 500 MG/100 ML IV PIGGY BACK $50.00

METYRAPONE 250 MG CAPSULE $93.00

MEXILETINE 150 MG CAPSULE $6.00

MEXILETINE 200 MG CAPSULE $6.00

MEXILETINE, SO $113.00

MGLUR1 AB CBA, REFLEX $625.00

MGLUR1 AB IFA TITER, REFLEX $188.00

MGLUR1 AB IFA, REFLEX $188.00

MIC (MIC) $85.00

MIC GRAM NEGATIVE PANEL (MICGNR) $85.00

MIC GRAM POS PANEL (MICGPC) $85.00

MIC SOUTHDALE PSEUDOMONAS PANEL (MICSD) $85.00

MICAFUNGIN 100 MG INTRAVENOUS SOLUTION $813.00

MICAFUNGIN 50 MG INTRAVENOUS SOLUTION $406.00

MICONAZOLE NITRATE 100 MG VAGINAL SUPPOSITORY $36.00

MICONAZOLE NITRATE 2 % TOPICAL CREAM $45.00

MICONAZOLE NITRATE 2 % TOPICAL OINTMENT $32.00

MICONAZOLE NITRATE 2 % TOPICAL POWDER $18.00

MICONAZOLE NITRATE 2 % TOPICAL SPRAY POWDER $16.00

MICONAZOLE NITRATE 2 % TOPICAL TINCTURE $86.00

MICONAZOLE NITRATE 2 % VAGINAL CREAM $29.00

MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY $43,318.00

Page 304: DESCRIPTION Price - Fairview

MICONAZOLE NITRATE 200 MG/5 GRAM (4 %) VAGINAL CREAM $16.00

MICROALBUMIN UR QUANT $49.00

MICROFIBRILLAR COLLAGEN HEMOSTAT 10 MM SHEETS $869.00

MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 35 MM SHEETS $826.00

MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 70 MM SHEETS $1,043.00

MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER $826.00

MICROSPORIDIA STAIN $177.00

MIDAS REX DISSECTING TOOL 14BA50 $249.00

MIDAS REX DISSECTING TOOL 14MH30 $236.00

MIDAS REX DISSECTING TOOL 9AC90 $230.00

MIDAS REX DISSECTING TOOL F2/8TA23 $194.00

MIDAS REX DISSECTING TOOL MC254 $266.00

MIDAS REX DISSECTING TOOL MC30 $323.00

MIDAS REX DISSECTING TOOL 03MM 14MH30D $255.00

MIDAS REX DISSECTING TOOL 03MM 21MH30 $231.00

MIDAS REX DISSECTING TOOL 03MM 9MH30 $234.00

MIDAS REX DISSECTING TOOL 14CM 5MM ACORN 14AC50 $234.00

MIDAS REX DISSECTING TOOL 2.5MM T12MH25 $220.00

MIDAS REX DISSECTING TOOL 3MM F3/9TA30 $223.00

MIDAS REX DISSECTING TOOL 6MM 9BA60 $236.00

MIDAS REX DISSECTING TOOL 7.6MM 14CY76L $411.00

MIDAS REX DISSECTING TOOL 9BA50 $228.00

MIDAS REX DISSECTING TOOL TWIST DRILL TIP 1.1MMX8CM 8TD114 $172.00

MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION $2.00

MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION $50.00

MIDAZOLAM 1 MG/ML INJECTION SOLUTION $50.00

MIDAZOLAM 2 MG/ML ORAL SYRUP $321.00

MIDAZOLAM 5 MG/ML INJECTION SOLUTION $57.00

MIDODRINE 2.5 MG TABLET $5.00

MIDODRINE 5 MG TABLET $5.00

MILNACIPRAN 25 MG TABLET $16.00

MILNACIPRAN 50 MG TABLET $8.00

MILRINONE 1 MG/ML INTRAVENOUS SOLUTION $50.00

MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK $78.00

MINERAL OIL $69.00

MINERAL OIL ENEMA $9.00

MINERAL OIL ORAL $5.00

MINERAL OIL TOPICAL $5.00

MINERAL OIL-HYDROPHIL PETROLAT TOPICAL OINTMENT $21.00

MINERAL OIL-ISOPROPYL MYRISTAT LOTION $19.00

MINERAL OIL-PETROLAT,WHT-WATER LOTION $12.00

MINI BAL PROCEDURE $4,574.00

MINIMAL SERV ER VISIT LEVEL 1 $201.00

MINOCYCLINE 100 MG CAPSULE $5.00

MINOCYCLINE 100 MG INTRAVENOUS SOLUTION $772.00

MINOCYCLINE 50 MG CAPSULE $5.00

MINOXIDIL 10 MG TABLET $5.00

Page 305: DESCRIPTION Price - Fairview

MINOXIDIL 2.5 MG TABLET $5.00

MIP / MEP $181.00

MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR $63.00

MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR $32.00

MIRTAZAPINE 15 MG DISINTEGRATING TABLET $9.00

MIRTAZAPINE 15 MG TABLET $5.00

MIRTAZAPINE 3.75 MG HALF-TABLET $11.00

MIRTAZAPINE 30 MG TABLET $5.00

MIRTAZAPINE 45 MG DISINTEGRATING TABLET $5.00

MIRTAZAPINE 7.5 MG TABLET $10.00

MISCARRIAGE FIRST TRIMESTER $5,564.00

MISCARRIAGE ANY TRIMESTER $5,564.00

MISCELLANEOUS MEDICAL SUPPLY MISC $5.00

MISOPROSTOL 100 MCG TABLET $5.00

MISOPROSTOL 200 MCG TABLET $5.00

MIST THERAPY PT $451.00

MITOCHONDRIAL ANTIBODIES, SO $45.00

MITOMYCIN 20 MG INTRAVENOUS SOLUTION $2,747.00

MITOMYCIN 40 MG INTRAVENOUS SOLUTION $4,830.00

MITOMYCIN 5 MG INTRAVENOUS SOLUTION $2,115.00

MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS $1,176.00

MIXER BONE CEMENT $267.00

MIXER BONE CEMENT KYPHX A07A $183.00

ML COLLECT BLOOD FROM PICC $295.00

ML DRAW BLOOD IMPLANTED DEV $331.00

MOD HD SELEX/MAGNUM 40MM +9 $2,500.00

MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS $767.00

MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS $773.00

MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS $767.00

MOD SED SAME PHYS/QHP EACH ADDL 15 MINS $767.00

MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS $767.00

MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS $767.00

MOD SEDATION FOR GASTROINTESTINAL ENDO SERVICE $767.00

MODAFINIL 100 MG TABLET $23.00

MODULAR CUP REPLACEMENT LOCK RING 62MM $3,879.00

MODULE EMG M5 FOR NEUROVISION $2,355.00

MODULE NEEDLE EMG M5 8050015 $2,355.00

MODULE XS MAC CORRECTION $10,385.00

MOLD HIP ADAPTER $678.00

MOLD HIP ADAPTOR +6MM $678.00

MOLD HIP ADAPTOR -6MM $685.00

MOLD HIP HEAD 52MM $2,700.00

MOLD HIP HEAD 56MM $2,700.00

MOLD HIP HEAD 60MM $2,700.00

MOLD HIP STEM 11X135MM $3,378.00

MOLD HIP STEM 13X145MM $3,378.00

MOLD HIP STEM 13X200MM $3,378.00

Page 306: DESCRIPTION Price - Fairview

MOLD HIP STEM 15X200MM $3,378.00

MOLD HIP STEM 9X125MM $3,378.00

MOLD HIP STEM 9X200MM $3,378.00

MOLD SPACER SHOULDER 46X18X53MM $7,155.00

MOLD SPACER SHOULDER 50X21X57MM $7,155.00

MOLD SPACER SHOULDER STD 54X21X64MM $7,155.00

MOMETASONE 0.1 % TOPICAL CREAM $87.00

MOMETASONE 0.1 % TOPICAL OINTMENT $76.00

MOMETASONE 110 MCG/ACTUATION(30 DOSES) BREATH ACTIVATED POWDER INHALER $771.00

MOMETASONE 220 MCG/ACTUATION(14 DOSES) BREATH ACTIVATED POWDER INHALER $321.00

MOMETASONE 220 MCG/ACTUATION(60 DOSES) BREATH ACTIVATED POWDER INHALER $977.00

MOMETASONE-FORMOTEROL HFA 100 MCG-5 MCG/ACTUATION AEROSOL INHALER $916.00

MONITOR INTERST FLD PRESSURE $1,267.00

MONITORING EEG NUVASIVE-15 MINUTES #VALUE!

MONITORING SERVICES 15 MINUTES NUVASIVE #VALUE!

MONO SLIDE TEST $77.00

MONTELUKAST 10 MG TABLET $5.00

MONTELUKAST 4 MG CHEWABLE TABLET $5.00

MONTELUKAST 5 MG CHEWABLE TABLET $5.00

MORCELLATOR LAPAROSCOPIC LINA XCISE MOR-1515-6 $9,735.00

MORCELLATOR XCISE SINGLE USE $10,425.00

MORPHINE (BULK) 100 % POWDER $174.00

MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION $50.00

MORPHINE (PF) 1 MG/ML INJECTION SOLUTION $50.00

MORPHINE 1 MG/0.5 ML ORAL SOLUTION $12.00

MORPHINE 10 MG/5 ML ORAL SOLUTION $45.00

MORPHINE 10 MG/ML INJECTION SYRINGE,MORPHINE 10 MG/ML INJECTION CARTRIDGE $5.00

MORPHINE 10 MG/ML INTRAVENOUS CARTRIDGE $50.00

MORPHINE 15 MG IMMEDIATE RELEASE TABLET $12.00

MORPHINE 15 MG/7.5 ML ORAL SOLUTION $12.00

MORPHINE 2 MG/1 ML ORAL SOLUTION $12.00

MORPHINE 2 MG/ML INTRAVENOUS CARTRIDGE,,,MORPHINE 2 MG/ML INJECTION SOLUTION $50.00

MORPHINE 30 MG/30 ML PCA INTRAVENOUS SOLUTION $39.00

MORPHINE 4 MG/ML INJECTION SYRINGE $50.00

MORPHINE 4 MG/ML INTRAVENOUS CARTRIDGE $50.00

MORPHINE 4 MG/ML INTRAVENOUS SOLUTION $50.00

MORPHINE 5 MG/2.5 ML ORAL SOLUTION $12.00

MORPHINE CONCENTRATE 10 MG/0.5 ML (20 MG/ML) ORAL SOLUTION $12.00

MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION $12.00

MORPHINE CONCENTRATE 15 MG/0.75 ML (20 MG/ML) ORAL SOLUTION $12.00

MORPHINE CONCENTRATE 2.5 MG/0.125 ML (20 MG/ML) ORAL SOLUTION $12.00

MORPHINE CONCENTRATE 20 MG/1 ML (20 MG/ML) ORAL SOLUTION $12.00

MORPHINE CONCENTRATE 30 MG/1.5 ML (20 MG/ML) ORAL SOLUTION $12.00

MORPHINE CONCENTRATE 5 MG/0.25 ML (20 MG/ML) ORAL SOLUTION $12.00

MORPHINE ER 100 MG TABLET,EXTENDED RELEASE $12.00

MORPHINE ER 15 MG TABLET,EXTENDED RELEASE $18.00

MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE PELLETS $15.00

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MORPHINE ER 30 MG TABLET,EXTENDED RELEASE $34.00

MORPHINE ER 60 MG TABLET,EXTENDED RELEASE $12.00

MOUSE O ARM 9732721 $2,530.00

MOXIFLOXACIN 0.5 % EYE DROPS $291.00

MOXIFLOXACIN 400 MG TABLET $132.00

MOXIFLOXACIN 400 MG/250 ML-SODIUM ACET,SUL-WATER INTRAVENOUS PIGGYBACK $227.00

MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK $252.00

MPC SILICONE SZ 30 $2,967.00

MPC SILICONE SZ20 $3,955.00

MR ANGIO, HEAD $1,371.00

MR ANGIO, HEAD W/CONTRAST $1,371.00

MR ANGIO, HEAD, COMBO $1,371.00

MR ANGIO, NECK $1,447.00

MR ANGIO, NECK, COMBO $1,447.00

MR HEAD FUNCTIONAL W RAD. $1,670.00

MRA ABDOMEN W $2,298.00

MRA ABDOMEN WO $1,389.00

MRA CHEST W $2,199.00

MRA CHEST WO $1,508.00

MRA LWR EXT W $2,212.00

MRA NECK W $1,447.00

MRA PELVIS W $1,426.00

MRA PELVIS WO W $2,658.00

MRA UPPER EXTREMITY $1,574.00

MRI ABDOMEN W $1,613.00

MRI BRACHIAL PLEXUS WO $1,436.00

MRI BRAIN COMBO $1,670.00

MRI BREAST C-+ W/CAD BI $1,430.00

MRI BREAST W/O CONTRAST, BILAT $1,243.00

MRI BREAST W/O CONTRAST, UNILAT $1,243.00

MRI BREAST WO W BILAT $4,840.00

MRI CERVICAL SPINE W $1,441.00

MRI CHEST W $1,711.00

MRI HEAD (FUNCTIONAL W MD) $2,035.00

MRI HEAD W $1,670.00

MRI HEAD WO $1,670.00

MRI LOWER EXTREM JT, W/O CONTRAST $1,303.00

MRI LTD CHEST MORPHOLOGY W0 W $1,689.00

MRI LWR EXT (NON JOINT) WO $1,391.00

MRI MYOCARDIUM MORPH STRESS WO $1,898.00

MRI MYOCARDIUM MORPH W STRESS $3,120.00

MRI MYOCARDIUM MORPHOLOGY WO $1,689.00

MRI MYOCARDIUM MORPHOLOGY WO W $1,689.00

MRI MYOCARDIUM VELOCITY FLOW M $1,391.00

MRI ORBIT/FACE/NECK W $1,483.00

MRI THORACIC SPINE W $1,441.00

MRI TMJ'S WO $1,303.00

Page 308: DESCRIPTION Price - Fairview

MRI UPPER EXTREMITY COMBO $1,436.00

MRI, ABDOMEN (MRI) $1,613.00

MRI, ABDOMEN, COMBO $1,613.00

MRI, CERV SPINE $1,441.00

MRI, CERV SPINE COMBO $1,441.00

MRI, CHEST $1,711.00

MRI, CHEST, COMBO $1,711.00

MRI, DORSAL SPINE $1,441.00

MRI, DORSAL SPINE COMBO $1,441.00

MRI, FACE, NECK $1,504.00

MRI, FACE, NECK, COMBO $1,504.00

MRI, JOINT OF LEG W/CONTRAST $1,554.00

MRI, JOINT OF LEG. COMBO $1,484.00

MRI, JOINT UPPER EXTREM $1,393.00

MRI, JOINT UPPER EXTREM COMBO $1,393.00

MRI, JOINT UPPER EXTREM W/CONTRAST $1,393.00

MRI, LOWER EXTR, W/O CONTRAST F/U BY CONTRAST $1,484.00

MRI, LOWER EXTREM W/CONTRAST $1,984.00

MRI, LUMBAR SPINE $1,441.00

MRI, LUMBAR SPINE COMBO $1,441.00

MRI, LUMBAR SPINE CONTRAST $1,441.00

MRI, PELVIS W/CONTRAST $1,996.00

MRI, PELVIS, COMBO $1,391.00

MRI, PELVIS, W/O CONTRAST $1,391.00

MRI, UPPER EXTREMITY W/CONTRAST $1,436.00

MRI, UPPER EXTREMITY W/O CONTRAST $1,436.00

MTHFR REDUCT MUT $424.00

MUCUS CLRING DEVICE-FLUTTRVLV $168.00

MULTIFETAL PREG REDUCTION $2,066.00

MULTIPLE SLEEP LATENCY TEST $2,871.00

MULTISTIX 8SG TEST STRIP 2164 $73.00

MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID $16.00

MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET $5.00

MULTIVITAMIN WITH IRON TABLET $5.00

MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET $5.00

MULTIVITAMIN-MINERALS-LUTEIN TABLET $5.00

MULTIVIT-MIN-FA 0.4 MG-LYCOPENE 300 MCG-LUTEIN 250 MCG TABLET $5.00

MULTIVIT-MIN-FOLIC ACID 0.4 MG-LYCOPENE 300 MCG-LUTEIN 250 MCG TABLET $5.00

MUMPS IMMUNE STATUS ANTIBODY $91.00

MUPIROCIN 2 % TOPICAL CREAM $970.00

MUPIROCIN 2 % TOPICAL OINTMENT $99.00

MUSC TEST DONE W/N TEST COMP $385.00

MUSC TST DONE W/NERV TST LIM $391.00

MUSCLE BIOPSY - E. M. COMPLETE $545.00

MUSCLE BIOPSY - GROSS/MICRO $66.00

MUSCLE BIOPSY - HISTOCHEM $777.00

MUSCLE BIOPSY - SPECIAL STAIN $32.00

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MUSCLE TEST 3 LIMBS $543.00

MUSK AUTOANTIBODY $2,986.00

MVI, ADULT NO.1 WITH VIT K 3,300 UNIT-150 MCG/10 ML INTRAVENOUS SOLN,MVI, ADULT NO.4 WITH VIT K 3,300 UNIT-150 MCG/10 ML$848.00

MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN $156.00

MVI, PEDI NO.2 WITH VIT K 80 MG-400 UNIT-200 MCG INTRAVENOUS SOLUTION $62.00

MVI,ADULT NO.1,VITAMIN K,(VIAL 1 OF 2) 3,300 UNIT-150 MCG/5 ML IV SOLN $56.00

MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION $100.00

MYCO BROTH MICRODILUTION PANEL, OTHER (AFBOT) $263.00

MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION $939.00

MYCOPHENOLATE MOFETIL 200 MG/ML ORAL SUSPENSION $20.00

MYCOPHENOLATE MOFETIL 250 MG CAPSULE $5.00

MYCOPHENOLATE MOFETIL 500 MG TABLET $5.00

MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE $18.00

MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE $11.00

MYCOPHENOLIC ACID, SO $124.00

MYCOPLASMA ABY IGM BY IFA, SO $103.00

MYCOPLASMA HOMINIS PCR $307.00

MYCOPLASMA IGG ANTIBODY $103.00

MYCOPLASMA IGM ANTIBODY $103.00

MYCOPLASMA PNEUMONIAE BY PCR $351.00

MYELOGRAPHY CERVICAL $1,880.00

MYELOGRAPHY LUMBOSACRAL $1,880.00

MYELOGRAPHY THORACIC $1,880.00

MYELOGRAPHY TWO OR MORE REGION $1,880.00

MYELOGRAPHY VIA LUMBAR INJ RAD SUP & INTERP; 2 OR MORE REGIONS $1,771.00

MYELOGRAPHY VIA LUMBAR INJ RAD SUP & INTERP; LUMBOSACRAL $1,771.00

MYELOGRAPHY VIA LUMBAR INJ RAD SUP & INTERP; THORACIC $2,029.00

MYELOGRAPHY VIA LUMBAR INJ; RAD SUP & INT; CERVICAL $1,771.00

MYELOPEROXIDASE ABY $109.00

MYOCARDIAL SPECT MULTIPLE STUDIES $3,250.00

MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS $3,120.00

MYOGLOBIN, SERUM(MYGLS) $107.00

MYOGLOBIN, URINE(MYGLU) $97.00

N BLOCK SGL SCIATIC NRV $1,759.00

N. GONORRHOEAE, PCR (NON-GENITAL) $110.00

NABUMETONE 500 MG TABLET $5.00

NABUMETONE 750 MG TABLET $5.00

NACL 0.9% 100 ML MINI-BAG PLUS $70.00

NACL 0.9% 50 ML MINI-BAG PLUS $70.00

NACL 1000ML $42.00

NADOLOL 20 MG TABLET $14.00

NAFCILLIN 1 GRAM SOLUTION FOR INJECTION $58.00

NAFCILLIN 10 GRAM SOLUTION FOR INJECTION $483.00

NAFCILLIN 2 GRAM SOLUTION FOR INJECTION $98.00

NAIL ANKLE ARTHRODESIS 11X150MM $6,380.00

NAIL ANKLE T2 11X150MM L $5,457.00

NAIL CANN FIX 10X170MM 125 DEG STRL $2,827.00

Page 310: DESCRIPTION Price - Fairview

NAIL CANN FIX 11X170MM 135 DEG STRL $2,827.00

NAIL CANN FIX 11X300MM 130 DEG STRL $3,721.00

NAIL CANN FIX 11X320MM 125 DEG STRL LT $3,721.00

NAIL CANN FIX 11X320MM 125 DEG STRL RT $3,721.00

NAIL CANN FIX 11X340MM 125 DEG STRL RT $3,721.00

NAIL CANN FIX 11X360MM 125 DEG STRL LT $3,721.00

NAIL CANN FIX 11X360MM 125 DEG STRL RT $3,721.00

NAIL CANN FIX 11X380MM 125 DEG STRL LT $3,721.00

NAIL CANN FIX 11X380MM 125 DEG STRL RT $3,721.00

NAIL CANN FIX 11X400MM 125 DEG STRL LT $3,721.00

NAIL CANN FIX 11X400MM 125 DEG STRL RT $3,721.00

NAIL CANN FIX 11X420MM 125 DEG STRL LT $3,721.00

NAIL CANN FIX 11X420MM 125 DEG STRL RT $3,721.00

NAIL CANN FIX 11X440MM 125 DEG STRL LT $3,721.00

NAIL CANN FIX 11X440MM 125 DEG STRL RT $3,721.00

NAIL CANN FIX 11X440MM 130 DEG STRL RT $3,721.00

NAIL CANN HINDFOOT ARTHRODESIS 10X150MM $3,247.00

NAIL CANN HINDFOOT ARTHRODESIS 10X150MM $3,247.00

NAIL CANN HINDFOOT ARTHRODESIS 10X180MM $3,247.00

NAIL CANN HINDFOOT ARTHRODESIS 10X180MM $3,247.00

NAIL CANN HINDFOOT ARTHRODESIS 10X240MM $3,247.00

NAIL CANN HINDFOOT ARTHRODESIS 12X150MM $3,247.00

NAIL CANN HINDFOOT ARTHRODESIS 12X180MM $3,247.00

NAIL CANN HINDFOOT ARTHRODESIS 12X240MM $3,247.00

NAIL CANN HINDFOOT ARTHRODESIS 13X150MM $3,247.00

NAIL CANNULATED HUMERAL 11X220MM STRL $3,895.00

NAIL CANNULATED HUMERAL 11X230MM STRL $3,895.00

NAIL CANNULATED HUMERAL 7X225MM STRL $4,980.00

NAIL CANNULATED HUMERAL 7X230MM STRL $3,895.00

NAIL CANNULATED HUMERAL 7X255MM STRL $4,980.00

NAIL CANNULATED HUMERAL 7X260MM STRL $3,895.00

NAIL CANNULATED HUMERAL 9X210MM STRL $3,895.00

NAIL CANNULATED HUMERAL 9X260MM STRL $3,895.00

NAIL CANNULATED HUMERAL 9X270MM STRL $3,895.00

NAIL CANNULATED JUMERAL TI 9MM EX/250MM $3,895.00

NAIL FEMORAL LNG 10X400MM 125DEG L $6,482.00

NAIL FEMORAL R1500 11X340MM $3,954.00

NAIL FEMORAL R1500 11X400MM $3,954.00

NAIL FEMORAL R1500 12X360MM $3,954.00

NAIL FEMORAL T2 10X300MM $3,954.00

NAIL FEMORAL TFN 10X170MM 125 DEG STL $4,625.00

NAIL FEMORAL TFN 10X340MM 125 DEG LNG ST $6,482.00

NAIL FEMORAL TFN 10X360MM 125DEG LEFT $6,482.00

NAIL FEMORAL TFN 10X360MM 135 DEG LNG ST $6,482.00

NAIL FEMORAL TFN 10X380MM 125DEG $6,482.00

NAIL FEMORAL TFN 11X440MM 125 DEG LNG R $6,482.00

NAIL FEMORAL TFN 12X400 130DEG RIGHT $6,482.00

Page 311: DESCRIPTION Price - Fairview

NAIL FEMORAL TFNA 10X130MM $6,482.00

NAIL FEMORAL TFNA 10X320MM 125 DEG $6,482.00

NAIL FEMORAL TFNA 10X320MM 130 DEG STR $6,482.00

NAIL FEMORIAL 14X340MM $3,954.00

NAIL GAMMA 3 S RIGHT 10X360MM X 120 $5,248.00

NAIL GAMMA 3 TROUCH 10X170MM 125DEG $3,877.00

NAIL GAMMA LNG R 13X360MM X 125DEG $5,248.00

NAIL GAMMA LNG R 13X380MM X 125DEG $5,248.00

NAIL GAMMA3 LGN 125DEG 13X320MM $5,351.00

NAIL GAMMA3 LGN 125DEG 15X340MM $5,351.00

NAIL GAMMA3 LGN 125DEG 15X380MM $5,351.00

NAIL GAMMA3 LGN 125DEG 15X400MM $5,351.00

NAIL GAMMA3 LNG L 11X400MM X 125DEG $5,248.00

NAIL GAMMA3 LNG L 11X420MM X 125DEG $5,248.00

NAIL GAMMA3 LNG R 11X360MM 125DEG $5,248.00

NAIL GAMMA3 LNG R 11X380MM 125DEG $5,248.00

NAIL GAMMA3 LNG R 11X380MM X 125DEG $5,248.00

NAIL GAMMA3 LNG R 11X400MM 125DEG $5,248.00

NAIL GAMMA3 LNG R 15X420MM X 125 DEG $5,248.00

NAIL GAMMA3 LNG RT 13X240MM 3425-3240S $5,248.00

NAIL GAMMA3 LNG RT 13X260MM 3425-3260S $5,248.00

NAIL GAMMA3 LNG RT 13X280MM 3425-3280S $5,248.00

NAIL GAMMA3 LNG RT 13X300MM 3425-3300S $5,248.00

NAIL GAMMA3 LNG RT 13X320MM 3425-3320S $5,248.00

NAIL GAMMA3 LNG RT 13X340MM 3425-3340S $5,248.00

NAIL GAMMA3 LNG RT 13X360MM 3425-3360S $5,248.00

NAIL GAMMA3 LNG RT 13X380MM 3425-3380S $5,248.00

NAIL GAMMA3 LNG RT 13X400MM 3425-3400S $5,248.00

NAIL GAMMA3 LNG RT 13X420MM 3425-3420S $5,248.00

NAIL GAMMA3 LNG RT 13X440MM 3425-3440S $5,248.00

NAIL GAMMA3 LNG RT 13X460MM 3425-3460S $5,248.00

NAIL GAMMA3 LNG RT 13X480MM 3425-3480S $5,248.00

NAIL GAMMA3 LNG RT 15X240MM 3425-5240S $5,248.00

NAIL GAMMA3 LNG RT 15X260MM 3425-5260S $5,248.00

NAIL GAMMA3 LNG RT 15X280MM 3425-5280S $5,248.00

NAIL GAMMA3 LNG RT 15X300MM 3425-5300S $5,248.00

NAIL GAMMA3 LNG RT 15X320MM 3425-5320S $5,248.00

NAIL GAMMA3 LNG RT 15X340MM 3425-5340S $5,248.00

NAIL GAMMA3 LNG RT 15X360MM 3425-5360S $5,248.00

NAIL GAMMA3 LNG RT 15X380MM 3425-5380S $5,248.00

NAIL GAMMA3 LNG RT 15X400MM 3425-5400S $5,248.00

NAIL GAMMA3 LNG RT 15X420MM 3425-5420S $5,248.00

NAIL GAMMA3 LNG RT 15X440MM 3425-5440S $5,248.00

NAIL GAMMA3 LNG RT 15X460MM 3425-5460S $5,248.00

NAIL GAMMA3 LNG RT 15X480MM 3425-5480S $5,248.00

NAIL GAMMA3 S L 10X320MM X 125DEG $5,248.00

NAIL GAMMA3 S L 10X320MM X 130DEG $5,248.00

Page 312: DESCRIPTION Price - Fairview

NAIL GAMMA3 S L 10X340MM X 125DEG $5,248.00

NAIL GAMMA3 S L 10X340MM X 130DEG $5,248.00

NAIL GAMMA3 S L 10X360MM X 125DEG $5,248.00

NAIL GAMMA3 S L 10X360MM X 130DEG $5,248.00

NAIL GAMMA3 S L 10X380MM X 125DEG $5,248.00

NAIL GAMMA3 S L 10X380MM X 130DEG $5,248.00

NAIL GAMMA3 S L 10X400MM X 125DEG $5,248.00

NAIL GAMMA3 S L 10X400MM X 130DEG $5,248.00

NAIL GAMMA3 S L 10X420MM X 125DEG $5,248.00

NAIL GAMMA3 S L 10X440MM 125DEG $5,248.00

NAIL GAMMA3 S NAIL L 10X420MM X 130DEG $5,248.00

NAIL GAMMA3 S NAIL L 10X460MM X 130DEG $5,248.00

NAIL GAMMA3 S R 10X300MM X 125DEG $5,248.00

NAIL GAMMA3 S R 10X320MM X 125DEG $5,248.00

NAIL GAMMA3 S R 10X340MM X 125DEG $5,248.00

NAIL GAMMA3 S R 10X340MM X 130DEG $5,248.00

NAIL GAMMA3 S R 10X360MM X 125DEG $5,248.00

NAIL GAMMA3 S R 10X360MM X 130DEG $5,248.00

NAIL GAMMA3 S R 10X380MM X 125DEG $5,248.00

NAIL GAMMA3 S R 10X380MM X 130DEG $5,248.00

NAIL GAMMA3 S R 10X400MM X 125DEG $5,248.00

NAIL GAMMA3 S R 10X400MM X 130DEG $5,248.00

NAIL GAMMA3 S R 10X420MM X 125DEG $5,248.00

NAIL GAMMA3 S R 10X420MM X 130DEG $5,248.00

NAIL INTRAMEDULLARY 2MM 300MML TI ALLOY $584.00

NAIL INTRAMEDULLARY 4MM 450MML TI ALLOY $697.00

NAIL INTRAMEDULLARY CAN 10MM 330MML TI ALLO $3,051.00

NAIL INTRAMEDULLARY CAN 12MM 1.5MM RADIUS 240MML $3,954.00

NAIL INTRAMEDULLARY CAN 12MM 1.5MM RADIUS 260MML $3,954.00

NAIL INTRAMEDULLARY CAN 7MM 250MML TI F/PRO $292.00

NAIL INTRAMEDULLARY CAN 9MM 1.5MM RADIUS 340MML T $3,954.00

NAIL INTRAMEDULLARY CAN LONG 7MM 225MML TI $4,980.00

NAIL INTRAMEDULLARY CAN LONG 7MM 255MML TI $4,980.00

NAIL INTRAMEDULLARY CAN UNIVERSAL 10MM 375MML TIT $3,051.00

NAIL INTRAMEDULLARY DYNAMIC LOCKING CAN 11MM 200MML $4,512.00

NAIL INTRAMEDULLARY DYNAMIC LOCKING CAN 7MM 270MM $3,398.00

NAIL INTRAMEDULLARY DYNAMIC LOCKING CAN 9MM 160MM $3,398.00

NAIL INTRAMEDULLARY DYNAMIC LOCKING CAN LONG 10MM 340MM $4,512.00

NAIL INTRAMEDULLARY DYNAMIC LOCKING CAN LONG 12MM $4,512.00

NAIL INTRAMEDULLARY DYNAMIC LOCKING CAN LONG 12MM $4,512.00

NAIL INTRAMEDULLARY DYNAMIC LOCKING CAN LONG 13MM $4,512.00

NAIL INTRAMEDULLARY DYNAMIC LOCKING CAN LONG 9MM $4,512.00

NAIL INTRAMEDULLARY LOCKING CAN 10MM 300MM $5,457.00

NAIL INTRAMEDULLARY LOCKING CAN 11MM 380MML TITAN $4,427.00

NAIL INTRAMEDULLARY LOCKING CAN 11MM 400MML TITAN $4,427.00

NAIL INTRAMEDULLARY LOCKING CAN 12MM 300MM $5,457.00

NAIL INTRAMEDULLARY LOCKING CAN 12MM 340MML TITAN $4,427.00

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NAIL INTRAMEDULLARY LOCKING CAN 13MM 150MML TITAN $3,247.00

NAIL INTRAMEDULLARY LOCKING CAN 15MM 340MML TITAN $4,786.00

NAIL INTRAMEDULLARY LOCKING CAN 9MM 230MML TITANI $3,895.00

NAIL INTRAMEDULLARY LOCKING CAN 9MM 340MML TITANI $4,427.00

NAIL INTRAMEDULLARY LOCKING CAN LONG 8MM 150MML T $4,637.00

NAIL INTRAMEDULLARY LOCKING CAN LONG 8MM 240MML T $4,214.00

NAIL INTRAMEDULLARY LOCKING CAN STAND 14MM 330MM $3,439.00

NAIL INTRAMEDULLARY LOCKING CAN STAND 8MM 300MM $3,439.00

NAIL INTRAMEDULLARY LOCKING CAN UNIVERSAL 7MM 150 $3,895.00

NAIL INTRAMEDULLARY LOCKING CAN UNIVERSAL 7MM 220 $3,895.00

NAIL INTRAMEDULLARY LOCKING CANNULATED 15MM 420MML TITAN $6,312.00

NAIL INTRAMEDULLARY STATIC INTERLOCKING CAN 10MM $5,939.00

NAIL INTRAMEDULLARY STATIC INTERLOCKING CAN 11MM $6,482.00

NAIL INTRAMEDULLARY STATIC INTERLOCKING CAN 11MM $6,482.00

NAIL INTRAMEDULLARY STATIC INTERLOCKING CANNULATED 9MM S $4,102.00

NAIL RECONSTRUCTION 11X380MM $6,513.00

NAIL SUPRACONDYLAR 11 X 300MM $3,981.00

NAIL SUPRACONDYLAR 14X170MM $4,512.00

NAIL SUPRACONDYLAR 14X200MM $4,512.00

NAIL SUPRACONDYLAR 14X320MM $4,512.00

NAIL SUPRACONDYLAR 14X340MM $4,512.00

NAIL SUPRACONDYLAR 14X360MM $4,512.00

NAIL SUPRACONDYLAR 14X380MM $4,512.00

NAIL T2 ANKLE 10X150MM L $5,457.00

NAIL T2 ANKLE 10X150MM R $5,457.00

NAIL T2 ANKLE 10X200MM R $5,457.00

NAIL T2 ANKLE 11X150MM R $5,457.00

NAIL T2 ANKLE 11X200MM R $5,457.00

NAIL T2 ANKLE 12X150MM L $5,457.00

NAIL T2 ANKLE 12X200MM L $5,457.00

NAIL T2 ANKLE 12X200MM R $5,457.00

NAIL T2 ARTHO 11.5X740MM $14,826.00

NAIL T2 ARTHRO 11.5X780MM $14,826.00

NAIL T2 ARTHRO 13X580MM $14,826.00

NAIL T2 FEMORAL R1500 10X360MM $3,954.00

NAIL T2 FEMORAL R1500 11X360MM $3,954.00

NAIL T2 FEMORAL R1500 12X300MM $3,954.00

NAIL T2 FEMORAL R1500 12X340MM $3,954.00

NAIL T2 FEMORAL R1500 12X380MM $3,954.00

NAIL T2 FEMORAL R1500 13X300MM $3,954.00

NAIL T2 FEMORAL R1500 13X340MM $3,954.00

NAIL T2 FEMORAL R1500 13X360MM $3,954.00

NAIL T2 FEMORAL R1500 14X380MM $3,954.00

NAIL T2 FEMORAL R1500 14X420MM $3,954.00

NAIL T2 FEMORAL R1500 9X320MM $3,954.00

NAIL T2 FEMORAL R1500 9X360MM $3,954.00

NAIL T2 FEMORAL R1500 9X380MM $3,954.00

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NAIL T2 HUMERAL 7X230MM $3,398.00

NAIL T2 HUMERAL 7X240MM $3,398.00

NAIL T2 HUMERAL 8X250MM $3,398.00

NAIL T2 HUMERAL 9X240MM $3,398.00

NAIL T2 HUMERAL 9X250MM $3,398.00

NAIL T2 RECON L 12X440MM $4,717.00

NAIL T2 RECONSTRUCTION 11X380MM $6,513.00

NAIL T2 RECONSTRUCTION 11X400MM $6,513.00

NAIL T2 RECONSTRUCTION 15X340MM $6,513.00

NAIL T2 SUPRACONDYLAR 10X170MM $4,512.00

NAIL T2 SUPRACONDYLAR 10X200MM $4,512.00

NAIL T2 SUPRACONDYLAR 10X320MM $4,512.00

NAIL T2 SUPRACONDYLAR 11X360MM $4,512.00

NAIL T2 SUPRACONDYLAR 12X340MM $4,512.00

NAIL T2 SUPRACONDYLAR 12X360MM $4,512.00

NAIL T2 SUPRACONDYLAR 12X420MM $4,512.00

NAIL T2 SUPRACONDYLAR 13X200MM $4,512.00

NAIL T2 SUPRACONDYLAR 13X240MM $4,512.00

NAIL T2 SUPRACONDYLAR 13X280MM $4,512.00

NAIL T2 SUPRACONDYLAR 13X320MM $4,512.00

NAIL T2 SUPRACONDYLAR 13X360MM $4,512.00

NAIL T2 TROCH ENTRY FEMORAL L 10X360M $4,427.00

NAIL T2 TROCH ENTRY FEMORAL L 9X380MM $4,427.00

NAIL T2 TROCH ENTRY FEMORAL R 11X360MM $4,427.00

NAIL T2 TROCH ENTRY FEMORAL R 11X400MM $4,427.00

NAIL TIBIA CANN W/PROXIMAL BEND 10X390MM $3,051.00

NAIL TIBIA FLEXIBLE PRE CURVED 4.0X450MM $697.00

NAIL TIBIAL T2 STD 10X300MM $3,439.00

NAIL TIBIAL T2 STD 10X330MM $3,439.00

NAIL TIBIAL T2 STD 10X345MM $3,439.00

NAIL TIBIAL T2 STD 10X360MM $3,439.00

NAIL TIBIAL T2 STD 10X375MM $3,439.00

NAIL TIBIAL T2 STD 11X300MM $3,439.00

NAIL TIBIAL T2 STD 11X315MM $3,439.00

NAIL TIBIAL T2 STD 11X345MM $3,439.00

NAIL TIBIAL T2 STD 11X360MM $3,439.00

NAIL TIBIAL T2 STD 11X390MM $3,439.00

NAIL TIBIAL T2 STD 12X300MM $3,439.00

NAIL TIBIAL T2 STD 12X330MM $3,439.00

NAIL TIBIAL T2 STD 12X345MM $3,439.00

NAIL TIBIAL T2 STD 12X360MM $3,439.00

NAIL TIBIAL T2 STD 12X375MM $3,439.00

NAIL TIBIAL T2 STD 12X390MM $3,439.00

NAIL TIBIAL T2 STD 13X315MM $3,439.00

NAIL TIBIAL T2 STD 13X330MM $3,439.00

NAIL TIBIAL T2 STD 13X360MM $3,439.00

NAIL TIBIAL T2 STD 14X315MM $3,439.00

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NAIL TIBIAL T2 STD 8X315MM $3,439.00

NAIL TIBIAL T2 STD 8X345MM $3,439.00

NAIL TIBIAL T2 STD 9X300MM $3,439.00

NAIL TIBIAL T2 STD 9X315MM $3,439.00

NAIL TIBIAL T2 STD 9X330MM $3,439.00

NAIL TIBIAL T2 STD 9X345MM $3,439.00

NAIL TIBIAL T2 STD 9X360MM $3,439.00

NAIL TIBIAL T2 STD 9X375MM $3,439.00

NAIL WIN PEDIATRIC 4.0MM $490.00

NAILBED REPAIR $920.00

NALBUPHINE 10 MG/ML INJECTION SOLUTION $50.00

NALOXEGOL 12.5 MG HALF-TABLET $59.00

NALOXEGOL 12.5 MG TABLET $59.00

NALOXEGOL 25 MG TABLET $29.00

NALOXONE 0.4 MG/ML INJECTION SOLUTION $78.00

NALOXONE 0.4 MG/ML INJECTION SYRINGE $76.00

NALOXONE 1 MG/ML INJECTION SYRINGE $82.00

NALOXONE 4 MG/ACTUATION NASAL SPRAY $113.00

NALTREXONE 50 MG TABLET $5.00

NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE $5,002.00

NANO CORKSCR FT TI W 3-0 FW $1,063.00

NAPHAZOLINE 0.025 %-PHENIRAMINE 0.3 % EYE DROPS $24.00

NAPHAZOLINE-GLYCERIN 0.012 %-0.25 % EYE DROPS $14.00

NAPHAZOLINE-PHENIRAMINE 0.02675 %-0.315 % EYE DROPS $22.00

NAPROXEN 250 MG TABLET $5.00

NAPROXEN 375 MG TABLET $5.00

NAPROXEN 500 MG TABLET $5.00

NAPROXEN SODIUM 220 MG TABLET $5.00

NASAL BONES COMPLETE MIN 3V $305.00

NASOPHARYNGOSCOPY $625.00

NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION $28,775.00

NATEGLINIDE 60 MG TABLET $6.00

NB INJ HYPOGAS PLXS $2,099.00

NB RESUSCITATION $1,408.00

NDL ACCESSORY KIT 14GA 6" 3550-28 $130.00

NDL ARTHREX MULTIFIRE/FASTPASS SCORPION AR-13995N $2,125.00

NDL ARTHROSCOPY SMITH & NEPHEW 18GA 6" DISP 72202825 $196.00

NDL BIOPSY TEMNO 18GAX20CM ACT18/20 $491.00

NDL BIOPSY TEMNO 20GAX15CM ACT20/15 $524.00

NDL BX BONE MARROW 11GA 4" JAMSHIDI DJ4011X $40.00

NDL BX BONE MARROW 8GA 4" JAMSHIDI DJ4008X $44.00

NDL BX BRAIN STEALTH KIT PASSIVE 9733068 $1,815.00

NDL BX TRU CUT 14GA (6") $345.00

NDL CANNULA SOLOPLEX STIM 21GX100MM 001287-77 $384.00

NDL CANNULA SOLOPLEX STIM 22GX50MM 001287-74 $346.00

NDL CANNULA VASCULAR SOLO 21GX70MM 1187-4F070 $875.00

NDL CYSTOSCOPIC ADJ TIP INJETAK 70CM DIS201 $343.00

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NDL DELIVERY NORIAN 12GAX10CM DLS-7123-01S $108.00

NDL DELIVERY NORIAN 8GAX10CM DLS-7083-01S $108.00

NDL ENDOSCOPIC RIGID UROPLASTY 3.8FRX14.5" MRN-420 $83.00

NDL GUIDE KIT SITE RITE 21GA 900013B01 $450.00

NDL INSUFFLATION 13GA 120MM C2201 $650.00

NDL INSUFFLATION 13GA 150MM C2202 $650.00

NDL INSUFFLATION 14GA STEP S100000 $923.00

NDL INSUFFLATION 150MM VERRES 172016 $1,320.00

NDL INTERSTIM FORAMEN 20GA 5.0" 041829 $600.00

NDL LDR JAMISHIDI 11GA 15CM 74066-15M $420.00

NDL SCLEROTHERAPY 25GA CARR-LOCK 00711811 $400.00

NDL SPINAL METRX MINIMAL ACCESS 5" Z BEVLD TIP 8670010 $323.00

NDL SU ARTHREX 2-0 SUTURETAPE MENISCUS REPAIR AR-7523 $2,875.00

NEBIVOLOL 10 MG TABLET $6.00

NEBIVOLOL 5 MG TABLET $12.00

NECITUMUMAB 800 MG/50 ML (16 MG/ML) INTRAVENOUS SOLUTION $18,820.00

NECK SEGMENT MP XXL 35MM 135CCD 172-985/35 $9,463.00

NECK SOFT TISSUE $370.00

NEEDLE 3.5IN 27GA PROC CERVIX 6066 $187.00

NEEDLE BARD $86.00

NEEDLE BIOPSY,MUSCLE $2,882.00

NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI $268.00

NEEDLE EVIVA $878.00

NEEDLE HAWKINS $101.00

NEEDLE INJ BOTOX INJETAK RIGID 35CM $285.00

NEEDLE INSERTION 6" 6T $375.00

NEEDLE KIT CURVED INSERTION 14G $188.00

NEEDLE MICRODISSECTION COLORADO E1650 $550.00

NEEDLE MONOPTY $90.00

NEEDLE STEERABLE SN 10FA WITH ACCESS KIT $3,305.00

NEEDLE TEMNOS $232.00

NEEDLE TRANSEPTAL $1,059.00

NEEDLE WANG $1,828.00

NEEDLE YUEH CENTESIS 5FR 7CM $40.00

NEEDLE YUEH-CENTESIS CATH $59.00

NEFAZODONE 100 MG TABLET $5.00

NEFAZODONE 150 MG TABLET $5.00

NEFAZODONE 200 MG TABLET $5.00

NEFAZODONE 50 MG TABLET $6.00

NEG PRESS WND TX </=50 SQ CM $557.00

NEG PRESS WOUND TX < 50 CM $684.00

NEG PRESS WOUND TX > 50 CM $850.00

NEO SPHINCTER DEACTIVATION PACK 72400095 $438.00

NEO SPHINCTER TOOL ASSEMBLY 72400271 $1,385.00

NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS $252.00

NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT $62.00

NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP $673.00

Page 317: DESCRIPTION Price - Fairview

NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION $133.00

NEOMYCIN 500 MG TABLET $5.00

NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT $247.00

NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT $79.00

NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT $29.00

NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT $5.00

NEOMYCIN-COLIST-HC-THONZONM 3.3 MG-3 MG-10 MG-0.5 MG/ML EAR DROPS,SUSP $187.00

NEOMYCIN-POLYMYXIN B-BACITRACIN-HYDROCORTISONE 1 % TOP OINTMENT $786.00

NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS $491.00

NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION $415.00

NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP $415.00

NEOMYCIN-POLYMYXIN-PRAMOXINE 3.5 MG-10,000 UNIT-10 MG/GRAM TOP CREAM $1.00

NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION $86.00

NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTION SOLUTION $91.00

NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION $91.00

NEPAFENAC 0.1 % EYE DROPS,SUSPENSION $1,181.00

NEPH CATH REMOVAL W/FLUORO $1,535.00

NEPHROSTOGRAM $1,134.00

NEPHROSTOGRAM/LOOPOGRAM $1,134.00

NERVE CONDUCTION STUDY 1-2 $344.00

NERVE CONDUCTION STUDY 3-4 $624.00

NEURAWRAP NERVE PROTECTOR 5MM X 4CM NW540 $3,833.00

NEUROBEHAVIORAL STATUS EXAM BY PSYCH/PHYS $765.00

NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN $149.00

NEUROMUSC REEDUCAT,EA 15 MIN $149.00

NEUROSTIMULATOR MEDT RECHARG RESTORSENSOR SURESCAN MRI 97714 $38,988.00

NEUTROPHIL SPECIFIC ABY, SO $122.00

NEVIRAPINE 200 MG TABLET $75.00

NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION $81.00

NEVRO TRIAL LEAD, 50CM $1,854.00

NEVRO TRIAL LEAD, 70CM $1,854.00

NEVRO TRIAL LEAD, 90CM $1,854.00

NEWBORN GENETIC SCREEN $465.00

NG TUBE INSERTION/LONG GI TUBE $950.00

NIACIN 100 MG TABLET $5.00

NIACIN 250 MG TABLET $5.00

NIACIN 500 MG TABLET $5.00

NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE $5.00

NIACIN ER 250 MG TABLET,EXTENDED RELEASE $5.00

NIACIN ER 500 MG CAPSULE,EXTENDED RELEASE $5.00

NIACIN(VITAMIN B3), SO $260.00

NIACINAMIDE 500 MG TABLET $5.00

NICARDIPINE 1 MG/10 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE $50.00

NICARDIPINE 20 MG CAPSULE $9.00

NICARDIPINE 20 MG/200 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK $502.00

NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION $115.00

NICARDIPINE 40 MG/200 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK $1,006.00

Page 318: DESCRIPTION Price - Fairview

NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE $5.00

NICOTINE (POLACRILEX) 2 MG BUCCAL MINI LOZENGE $5.00

NICOTINE (POLACRILEX) 2 MG GUM $5.00

NICOTINE (POLACRILEX) 4 MG BUCCAL LOZENGE $5.00

NICOTINE (POLACRILEX) 4 MG BUCCAL MINI LOZENGE $5.00

NICOTINE (POLACRILEX) 4 MG GUM $5.00

NICOTINE 10 MG INHALATION CARTRIDGE $12.00

NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH $10.00

NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH $10.00

NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH $10.00

NICOTINE, SO $323.00

NIFEDIPINE 10 MG CAPSULE $5.00

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE $5.00

NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR $5.00

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE $5.00

NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR $5.00

NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE $5.00

NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR $5.00

NIM ELEC SUBDERMAL NDL PAIRED 2 CHANNEL 8227410 $310.00

NIM PROBE BALLTIP SPINE 9450015 $388.00

NIM PROBE PRASS STIMULATOR PROTECTED TIP 8225101 $1,518.00

NIMODIPINE 30 MG CAPSULE $25.00

NIMODIPINE 60 MG/20 ML ORAL SOLUTION $202.00

NISOLDIPINE ER 17 MG TABLET,EXTENDED RELEASE 24 HR $14.00

NITAZOXANIDE 500 MG TABLET $537.00

NITINOL COMPRESSION STAPLE 20W X 20L $4,738.00

NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION $2,407.00

NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE $5.00

NITROFURANTOIN MACROCRYSTAL 25 MG CAPSULE $116.00

NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE $5.00

NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE $13.00

NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH $5.00

NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH $5.00

NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET $5.00

NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH $27.00

NITROGLYCERIN 0.4 % (W/W) RECTAL OINTMENT $2,785.00

NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET $5.00

NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH $5.00

NITROGLYCERIN 0.6 MG SUBLINGUAL TABLET $5.00

NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH $5.00

NITROGLYCERIN 100 MCG/ML FOR CV LAB $50.00

NITROGLYCERIN 2 % TRANSDERMAL OINTMENT $5.00

NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS $50.00

NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL $1,746.00

NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION $64.00

NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS $50.00

NITROGLYCERIN ER 2.5 MG CAPSULE,EXTENDED RELEASE $5.00

Page 319: DESCRIPTION Price - Fairview

NITROGLYCERIN ER 6.5 MG CAPSULE,EXTENDED RELEASE $5.00

NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION $11,742.00

NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION $28,180.00

NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION $4,697.00

NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN $1,673.00

NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN $1,654.00

NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $1,673.00

NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $1,673.00

NK CELLS;CD56 $198.00

NM BRAIN SCAN $2,547.00

NM GASTROESOPHAGEAL REFLUX STUDY $1,456.00

NM SHUNT PATENCY STUDY $1,281.00

NM THYROID IMAGING ONLY $912.00

NMO IGG (NMOS) $437.00

NMO/AQP4 FACS TITER $556.00

NMR LIPOPROFILE W IR MARKERS $129.00

NMR LIPOPROFILE W/ IR MARKERS $57.00

NMR WITHOUT LIPID SO $129.00

NON SEL UNILAT/BILAT LE W/HRT $114.00

NON STRESS TEST $855.00

NON STRESS TEST, EA ADDL BABY $855.00

NON-CARDIAC ABLATION CATHETER $3,100.00

NON-EMERGENT TRANSPORT $234.00

NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL $404.00

NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVELS $590.00

NONINVASV OXYGEN SATUR,MULTIPLE $129.00

NONINVASV OXYGEN SATUR;SINGLE $38.00

NONSEL THORACIC ARCH AOGRAM $9,183.00

NONSELECT CATH RT HEART/MAIN PULMON ART $1,038.00

NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION $100.00

NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET $5.00

NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 20 MCG (21)-IRON 75 MG (7) TABLET $5.00

NORETHINDRONE ACETATE 5 MG TABLET $5.00

NORETHINDRONE-ETHINYL ESTRADIOL 1 MG-35 MCG TABLET $5.00

NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY $5.00

NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 35 MCG TABLET $5.00

NORGESTREL-ETHINYL ESTRADIOL 0.3 MG-30 MCG TABLET $5.00

NORTRIPTYLINE 10 MG CAPSULE $5.00

NORTRIPTYLINE 25 MG CAPSULE $5.00

NORTRIPTYLINE 50 MG CAPSULE $5.00

NORTRIPTYLINE, SO $96.00

NORWALK VIRUS AGN $307.00

NRV BLOCK ILIOING/ILIOHYPOGAST $2,656.00

NRV CNDJ TEST 7-8 STUDIES $624.00

NRV CNDJ TEST 9-10 STUDIES $624.00

NRV CNDJ TST 5-6 STUDIES $624.00

NT PRO-BNP $260.00

Page 320: DESCRIPTION Price - Fairview

N-TYPE CALCIUM CHANNEL AB $191.00

NUCLEAR ANTIGEN ANTIBODY $30.00

NUCLEAR THERAPY, ORAL $826.00

NUT 10MM (PACK OF 20) $22.00

NUT CONNECTING M6 $60.00

NUT CONNECTING SHORT M8 X 6MM $58.00

NUT FLANGE 10MM $265.00

NUT LOCK TI $351.00

NUT SALVATION 10MM $73.00

NUT SELF-LOCKING M6 $44.00

NUT T2 FOR CONDYLE SCREW $468.00

NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM $104.00

NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT $69.00

NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION $7.00

NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM $332.00

NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT $104.00

OATS SYSTEM ARTHREX 10MM AR-1981-10S $1,300.00

OATS SYSTEM ARTHREX 6MM AR-1981-06S $1,300.00

OATS SYSTEM ARTHREX SM JOINT 08MM AR-8981-08S $1,238.00

OB OUTPT CLINIC VISIT $307.00

OB UA SCREEN $33.00

OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION $2,847.00

OBSERVATION CARE-HR (WMS3) $151.00

OBSERVATION CARVE OUT $151.00

OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE $2,117.00

OBTURATOR ENDO AU TWST IN CANN AR-6531 $938.00

OBTURATOR ENDO BLNT BIO-SUTAK AR-1949-02 $513.00

OBTURATOR ENDO PUR CANN ERGO AR-6549 $938.00

OBTURATOR TIBIAL AS 12MM $460.00

OCCLUDER CARDIOFORM SEPTAL 25MM $19,778.00

OCCLUDER CARDIOFORM SEPTAL 30MM $19,778.00

OCCLUDER CLAMP LG VENOUS SGL 40G/MM2 TKLV-1 $938.00

OCCLUDER CLAMP MED VENOUS SGL 30G/MM2 TKMV-1 $875.00

OCCLUDER SEPTAL ASD AMPLATZER 30MM 9-ASD-030 $18,603.00

OCCLUDER SEPTAL ASD AMPLATZER 32MM 9-ASD-032 $18,603.00

OCCLUDER SEPTAL ASD AMPLATZER 34MM 9-ASD-034 $18,603.00

OCCLUDER SEPTAL ASD AMPLATZER 36MM 9-ASD-036 $18,603.00

OCCLUDER SHUNT FLOCOIL 1.25MM OF-1250 $1,269.00

OCCLUDER SHUNT FLOCOIL 3.00MM OF-3000 $254.00

OCCLUDER VAGINAL PNEUMOSTOP $1,125.00

OCCLUDER VASCULAR FLORESTER 1.5MM $896.00

OCCLUDER VASCULAR FLORESTER 1MM 60100 $896.00

OCCLUDER VASCULAR FLORESTER 2MM $896.00

OCCLUDER VESSEL 1.0MM 50100 $660.00

OCCLUDER VESSEL 1.5MM 50150 $660.00

OCCLUDER VESSEL 2.0MM 50200 $660.00

OCCLUDER VESSEL 2.5MM 50250 $660.00

Page 321: DESCRIPTION Price - Fairview

OCCLUDER VESSEL 3MM 50300 $660.00

OCCLUSION DEVICE 3MM-4MM VESSEL X 30CM $4,225.00

OCCLUSION DEVICE 6MM-8MM VESSEL X 60CM $4,225.00

OCCLUSTION DEVICE 5MM-6MM VESSEL X 50CM $4,225.00

OCCULT BLD,STOOL SINGLE $63.00

OCCULT BLOOD GASTRIC $68.00

OCCULT BLOOD, QL, IMMUNOCHEMICAL, FECAL $98.00

OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION $62,096.00

OCTREOSCAN (PER DOSE) $9,250.00

OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION $50.00

OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION $50.00

OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION $50.00

OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION $108.00

OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE $10,817.00

OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE $6,373.00

OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE $20,231.00

OFLOXACIN 0.3 % EAR DROPS $321.00

OFLOXACIN 0.3 % EYE DROPS $101.00

OH-PROGEST-17D NEONATE $158.00

OLANZAPINE 1.25 MG HALF-TABLET $5.00

OLANZAPINE 10 MG DISINTEGRATING TABLET $6.00

OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION $50.00

OLANZAPINE 10 MG TABLET $5.00

OLANZAPINE 15 MG DISINTEGRATING TABLET $6.00

OLANZAPINE 15 MG TABLET $5.00

OLANZAPINE 2.5 MG TABLET $5.00

OLANZAPINE 3.75 MG HALF-TABLET $5.00

OLANZAPINE 5 MG DISINTEGRATING TABLET $9.00

OLANZAPINE 5 MG TABLET $5.00

OLANZAPINE 7.5 MG TABLET $5.00

OLARATUMAB 10 MG/ML INTRAVENOUS SOLUTION $10,675.00

OLECRANON PLATE FOR LEFT ULNA 3 HOLE / L65MM $2,364.00

OLECRANON PLATE FOR RIGHT ULNA 3 HOLE / L65MM $2,364.00

OLIGOCLONAL BANDS, SO $215.00

OLMESARTAN 20 MG TABLET $6.00

OLOPATADINE 0.1 % EYE DROPS $195.00

OLOPATADINE 0.2 % EYE DROPS $811.00

OLOPATADINE 0.6 % NASAL SPRAY $1,071.00

OLSALAZINE 250 MG CAPSULE $134.00

OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION $4,228.00

OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE $997.00

OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE $2,114.00

OMEGA 3-DHA-EPA-FISH OIL 60 MG-90 MG-500 MG CAPSULE $5.00

OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE $8.00

OMEPRAZOLE (BULK) 100 % POWDER $873.00

OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE $5.00

OMEPRAZOLE 2 MG/ML ORAL SUSPENSION $9.00

Page 322: DESCRIPTION Price - Fairview

OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE $5.00

OMNIPAQUE $6.00

OMNIPAQUE 180 (PER ML) $8.00

OMNIPAQUE 300 (PER ML) $5.00

OMNIPAQUE 350 (PER ML) $5.00

ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION $522.00

ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION $2,167.00

ONDANSETRON 4 MG DISINTEGRATING TABLET $5.00

ONDANSETRON 8 MG DISINTEGRATING TABLET $5.00

ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION $50.00

ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION $50.00

ONDANSETRON HCL 4 MG TABLET $5.00

ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION $8.00

ONDANSETRON HCL 8 MG TABLET $5.00

OP CARDIAC REHAB W/O CONT. ECG MONIT. $307.00

OP CARDIAC REHAB WITH CONT. ECG MONIT. $307.00

OPEN TRMT DIST PHALANG FX $6,181.00

OPIATES , REFLEX $98.00

OPIATES CONFIRMATION, 1 OR MORE, SO $117.00

OPIATES I, REFLEX $446.00

OPIATES PAIN CONFIRMATION, 1 OR MORE, SO $117.00

OPIATES URINE, QUANT $101.00

OPIUM TINCTURE 1 MG/0.1 ML (MORPHINE) ORAL $12.00

OPIUM TINCTURE 10 MG/1 ML (MORPHINE) ORAL $18.00

OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL $16.00

OPIUM TINCTURE 2 MG/0.2 ML (MORPHINE) ORAL $12.00

OPIUM TINCTURE 2.5 MG/0.25 ML (MORPHINE) ORAL $14.00

OPIUM TINCTURE 3 MG/0.3 ML (MORPHINE) ORAL $12.00

OPIUM TINCTURE 6 MG/0.6 ML (MORPHINE) ORAL $11.00

OR/CV STANDBY PER MINUTE $11.00

ORAL FUNCTION THERAPY $401.00

ORBIT FOREIGN BODY - PRE MRI $348.00

ORBITS COMPLETE MIN 4 VIEWS $358.00

ORGANIC ACIDS SCREEN $555.00

ORGANISM ID AEROBIC, SO $82.00

ORITAVANCIN 400 MG INTRAVENOUS SOLUTION $11,082.00

ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION $59.00

ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE $5.00

ORTHO ARM SHOUL UNIV. IMMOB. $215.00

ORTHO BOOT $101.00

ORTHO CERVICAL COLLAR (FOAM) $74.00

ORTHO CLAVICAL BRACE $237.00

ORTHO LUMBAR SUPPORT $111.00

ORTHOPANTOGRAM $260.00

OSELTAMIVIR 30 MG CAPSULE $69.00

OSELTAMIVIR 6 MG/ML ORAL SUSPENSION $63.00

OSELTAMIVIR 75 MG CAPSULE $30.00

Page 323: DESCRIPTION Price - Fairview

OSMOLALITY BLOOD $83.00

OSMOLALITY URINE $92.00

OSMOLALITY,FECAL, SO $20.00

OSMOTIC FRAGILITY $380.00

OSSEOFLES CD-H CEMENT DELIVERY SYSTEM $1,273.00

OST.H 9825 LEG BAG COMBO $75.00

OSTM 7.25INX4MM OBWGSR NSL 01-7855 $895.00

OSTOMY SUPPLIES POWDER $30.00

OT COMPRESSION PUMP $95.00

OT GROUP THERAPEUTIC PROCEDURES $214.00

OT HIGH COMPLEXITY EVALUATION $326.00

OT HIGH COMPLEXITY EVALUATION IP $326.00

OT HOT OR COLD PACKS THERAPY $149.00

OT LOW COMPLEXITY EVALUATION $226.00

OT LOW COMPLEXITY EVALUATION IP $226.00

OT MODERATE COMPLEXITY EVALUATION $271.00

OT MODERATE COMPLEXITY EVALUATION IP $271.00

OT ORTHOTIC MGMT AND TRAINING, EACH 15 MIN $195.00

OT ORTHOTICS/PROSTH MGMT /TRAING SBSQ ENCTR, EA 15 MIN $150.00

OT RE-EVALUATION $150.00

OT RE-EVALUATION IP $150.00

OT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES $150.00

OT THERAPEUTIC EXERCISES $149.00

OT ULTRASOUND THERAPY $149.00

OT-TENS SET-UP $163.00

OUTPATIENT CIRCUMCISION $4,611.00

OUTPT CLINIC VISIT $307.00

OVA AND PARASITES $29.00

OVA AND PARASITES SPECIAL STNS $55.00

OVERDRILL AO 2.7X122MM $372.00

OXACILLIN 10 GRAM SOLUTION FOR INJECTION $482.00

OXALATE,URINE $85.00

OXALIPLATIN 100 MG INTRAVENOUS SOLUTION $2,304.00

OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION $429.00

OXALIPLATIN 50 MG INTRAVENOUS SOLUTION $1,152.00

OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION $215.00

OXANDROLONE 2.5 MG TABLET $14.00

OXCARBAZEPINE 150 MG TABLET $5.00

OXCARBAZEPINE 300 MG TABLET $5.00

OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION $8.00

OXCARBAZEPINE, SO $158.00

OXFORD UNI TIB TRAY SZ F LM $3,000.00

OXFORD UNI TIB TRAY SZ F RM $3,000.00

OXIMETER FINGER PROBE DISPOSAB $126.00

OXIMETRY CONT OVERNIGHT MONITO $348.00

OXISENSOR TRANSDUCER $163.00

OXYBUTYNIN 3.9 MG/24 HOUR TRANSDERMAL 4 DAY PATCH $14.00

Page 324: DESCRIPTION Price - Fairview

OXYBUTYNIN 3.9 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH $369.00

OXYBUTYNIN CHLORIDE 5 MG TABLET $5.00

OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP $5.00

OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR $12.00

OXYCODINE WITH METABOLITE CONFIRM $155.00

OXYCODONE 10 MG TABLET $12.00

OXYCODONE 15 MG TABLET $12.00

OXYCODONE 20 MG/ML ORAL CONCENTRATE $835.00

OXYCODONE 30 MG TABLET $12.00

OXYCODONE 5 MG TABLET $12.00

OXYCODONE 5 MG/5 ML ORAL SOLUTION $34.00

OXYCODONE CONFIRMATION, SO $160.00

OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR $20.00

OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR $29.00

OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR $19.00

OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR $16.00

OXYCODONE URINE, QUANT $101.00

OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET $12.00

OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET $12.00

OXYCODONES, REFLEX $98.00

OXYGEN START $73.00

OXYGEN/DAY $294.00

OXYMETAZOLINE 0.05 % NASAL MIST $7.00

OXYMETAZOLINE 0.05 % NASAL SPRAY $4.00

OXYMETAZOLINE 0.05 % NASAL SPRAY,OXYMETAZOLINE 0.05 % NASAL MIST $5.00

OXYMORPHONE ER 10 MG TABLET,EXTENDED RELEASE,12 HR $19.00

OXYTOCIN 10 UNIT/ML INJECTION SOLUTION $50.00

OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS $50.00

PACEMAKER ACCOLADE DR MRI $11,760.00

PACEMAKER ACCOLADE SR MRI $10,670.00

PACEMAKER ACCOLATE DR EL MRI $12,125.00

PACEMAKER ASSURITY MRI DR RF $9,250.00

PACEMAKER ASSURITY MRI SR RF $8,250.00

PACEMAKER ASSURITY MRI SR RF MERLIN $11,875.00

PACEMAKER ASSURITY PM1240 $8,250.00

PACEMAKER ASSURITY PM2240 $9,250.00

PACEMAKER INGENIO SR K172 $9,250.00

PACEMAKER MEDT MVP ADAPTA RR 2 CHAMBER ADDR01 $6,800.00

PACEMAKER MICRA LEADLESS $24,375.00

PACEMAKER PROMRI DUAL CHAMBER $10,810.00

PACER LEAD REMOVAL; MULTI LEAD SYSTEM $7,057.00

PACER LEAD REMOVAL; SINGLE LEAD SYSTEM $7,057.00

PACER OR ICD LEAD REPOSITION $5,825.00

PACER-GEN REMOVAL $12,477.00

PACER-GEN W EXIST DUAL LEAD $24,352.00

PACER-GEN W EXIST SINGLE LEAD $17,224.00

PACER-GEN/LEAD SINGLE TO DUAL $27,012.00

Page 325: DESCRIPTION Price - Fairview

PACER-INSERT ATRIAL GEN/LEAD $27,012.00

PACER-INSERT ATRIAL/VENT GEN/L $27,012.00

PACER-INSERT VENTRICULAR GE/LE $27,012.00

PACER-POCKET REVISE/RELOCATE $4,129.00

PACK ENDO INSTR 19.1MML ACHILLES W/4.75X15MM BIO $4,350.00

PACK FEMUR DISTAL MRH/GMRS POLY $3,631.00

PACK FOAM VITOSS BA2X 5CC $3,656.00

PACK FOAM VITOSS BB ORTHO TRAUMA 1.2CC $1,168.00

PACK FOAM VITOSS BB ORTHO TRAUMA 10CC $6,998.00

PACK FOAM VITOSS BB ORTHO TRAUMA 2.5CC $2,000.00

PACK FOAM VITOSS BB ORTHO TRAUMA 5CC $3,750.00

PACK MCP DISP LINVATEC HALL $732.00

PACK OR CV LAB CRNRY HECV08 $1,907.00

PACK OR PACER/ICD HECV03 $776.00

PACKAGE INSERTION 800 TUBING PASSERS $418.00

PACKING NASAL 4CM RIEMAN 400 $1,248.00

PACKING NASAL 8CM W/O AIRWAY 440402 $465.00

PACKING NASAL RAPID RHINO 7.5CM 750 $958.00

PACKING VAG 2 X 15 XRAY DETECT 32-1359 $283.00

PACKING VAGINAL HEMORRHAGE $661.00

PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS $319.00

PACLITAXEL-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION $5,266.00

PACU ADDITIONAL 15 UNITS $227.00

PACU ADDITIONAL 15 MIN $191.00

PACU LEVEL 2 $1,255.00

PACU LEVEL I CARE $496.00

PACU LEVEL II CARE $1,536.00

PACU LEVEL III CARE $1,546.00

PACU LEVEL IV CARE $2,180.00

PACU LEVEL V CARE $4,263.00

PAD DEFIBRILLATOR ECG ADULT STERILE 2502 $1,050.00

PAD POS XL 1X20X40IN PINK PIGAZZI $1,105.00

PAD WOUND VAC SENSA TRAC W/TUBING M8275057/10.S $426.00

PAIN CLINIC IMMUNOASSAY, URINE $428.00

PAIN MANAGEMENT DRUG PANEL, URINE $120.00

PAIN MGMT PANEL SCREEN $441.00

PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR $171.00

PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR $171.00

PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR $85.00

PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE $803.00

PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE $803.00

PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE $803.00

PALIPERIDONE PALMITATE 39 MG/0.25 ML INTRAMUSCULAR SYRINGE $1,703.00

PALIPERIDONE PALMITATE 78 MG/0.5 ML INTRAMUSCULAR SYRINGE $1,703.00

PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION $5,100.00

PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION $2,701.00

PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION $869.00

Page 326: DESCRIPTION Price - Fairview

PAM/HOOK UP $628.00

PAMIDRONATE 30 MG INTRAVENOUS SOLUTION $93.00

PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION $68.00

PAMIDRONATE 60 MG/10 ML (6 MG/ML) INTRAVENOUS SOLUTION $139.00

PAMIDRONATE 90 MG INTRAVENOUS SOLUTION $245.00

PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION $177.00

PANCREATIC ELASTASE FECAL $382.00

PANCURONIUM 1 MG/ML INTRAVENOUS SOLUTION $50.00

PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION $5,316.00

PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION $21,265.00

PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE $5.00

PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION $50.00

PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE $37.00

PAP SUREPATH SCREEN $113.00

PAP,PATH INTRP DIAGNOSTIC $198.00

PAP,PATH INTRP SUREPA SCR $235.00

PAPAVERINE 30 MG/ML INJECTION SOLUTION $170.00

PAPILL TRI-TOME 7-5FR TRI-20 $425.00

PAPP-A,SERUM $102.00

PARABEN-CETYL ALCOHOL-STEARYL ALCOHOL-PROPY GLYCOL-SLS TOPICAL CLEANER $28.00

PARAFFIN BATH THERAPY $140.00

PARANEOPLASTIC W BLOT, SO $785.00

PARASITE ID ONLY $160.00

PARATHYRD PLANAR W/ SPECT $2,009.00

PARATHYROID $1,117.00

PARATHYROID HORMONE $263.00

PARAVERTEBRAL BLOCK, THORACIC; SECOND AND ANY ADD'L INJECTION SITE $286.00

PARAVERTEBRAL BLOCK, THORACIC; SINGLE INJECTION SITE $2,001.00

PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION $247.00

PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION $235.00

PARENTERAL AMINO ACID 15 % COMBINATION NO.1 INTRAVENOUS SOLUTION $300.00

PARENTERAL AMINO ACID 20 % COMBINATION NO.1 INTRAVENOUS SOLUTION $574.00

PARICALCITOL 1 MCG CAPSULE $64.00

PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION $50.00

PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION $50.00

PARIETAL CELL ABY, SO $114.00

PARIETAL CELL ABY, SO $114.00

PAROXETINE 10 MG TABLET $5.00

PAROXETINE 10 MG/5 ML ORAL SUSPENSION $33.00

PAROXETINE 20 MG TABLET $5.00

PAROXETINE 30 MG TABLET $5.00

PAROXETINE 40 MG TABLET $5.00

PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR $20.00

PAROXETINE ER 37.5 MG TABLET,EXTENDED RELEASE 24 HR $5.00

PARVOVIRUS AB B19 IGG $80.00

PARVOVIRUS B19 IGG ABY $114.00

PARVOVIRUS B19 IGM $60.00

Page 327: DESCRIPTION Price - Fairview

PARVOVIRUS B19 IGM ABY $114.00

PATCH CARTO 3 EXTERNAL REFERENCE 3D MAPPING CREFP6 $833.00

PATCH HEMAGARD KNITTED 8MM X 75MM $286.00

PATCH HEMISHIELD 51X152MM $833.00

PATCH PERI STRP VERIT PSD 6006-ECH-V $3,210.00

PATCH VASCUGUARD 1 X 6 $445.00

PATCH VASCULAR PERIPHERAL .8CM X 8CM $495.00

PATCH VASCULAR PHOTOFIX PERICARDIUM BOVINE ROUNDED 1X10CM $525.00

PATCH VASCULAR PHOTOFIX PERICARDIUM BOVINE ROUNDED 1X14CM $675.00

PATCH VASCULAR PHOTOFIX PERICARDIUM BOVINE ROUNDED 1X6CM $488.00

PATCH VASCULAR PHOTOFIX PERICARDIUM BOVINE ROUNDED 2X9CM $588.00

PATCH VELOUR 0.8CM X 7.5CM 0195290 $256.00

PATELLA ALL POLY 29MM $625.00

PATELLA ALL POLY 29MM VE 42-5402-000-29 $1,875.00

PATELLA ALL POLY 38MM $625.00

PATELLA ALL POLY 38MM $1,875.00

PATELLA ALL POLY 41MM $625.00

PATELLA GII RESURF 7.5X32MM $725.00

PATELLA GII RESURF 7.5X35MM $725.00

PATELLA IMP DOME 27 X 8MM VIT-E $1,185.00

PATELLA IMP DOME 30 X 8MM VIT-E $1,185.00

PATELLA IMP DOME 34 X 9MM VIT-E $1,153.00

PATELLA IMP DOME 37 X 10MM VIT-E $1,185.00

PATELLA IMP DOME 40 X 10MM VIT-E $1,185.00

PATELLA INSET 25MM $750.00

PATELLA INSET 28MM $750.00

PATELLA ROUND DOME 1 PEG SZ 28MM $750.00

PATELLA ROUND DOME 1 PEG SZ 35MM $750.00

PATELLA SCORPIO M DOME X3 SZ 7 $950.00

PATELLA SCORPIO U DOME X3 SZ 078 $950.00

PATELLA SCORPIO U DOME X3 SZ 11 $950.00

PATELLA SCORPIO U DOME X3 SZ 9 $950.00

PATELLA TRIATHLON A38X10MM $750.00

PATH TRANSANAL PLATFORM CNB11 GELPOINT ISB 5.5CM $2,188.00

PATIENT RARE TYPE/EACH/REF LAB $286.00

PATIENT RARE TYPE-REF LAB $286.00

PATIENT SPECIFIC GUIDE MIDFACE $2,620.00

PATIENT SPECIFIC INSTR/PLAN KT ORTHOGNATHIC KIT ONE SPLINT $7,358.00

PATIENT SPECIFIC SPLINT ORTHOGNATHIC FINAL $2,620.00

PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET $159.00

PCI ACUTE/SUBACUTE OCCL AMI $28,471.00

PCI CTO 1 VESSEL $28,653.00

PCI CTO EA ADDL BRANCH $22,182.00

PCI OF OR VIA BYPASS GFT 1 VSL $29,737.00

PCI OF OR VIA BYPASS GFT EA AD $25,779.00

PEAK FLOW METER $159.00

PEANUT COMPONENTS ALLERGY PANEL $30.00

Page 328: DESCRIPTION Price - Fairview

PEDIATRIC MULTIVIT NO.80-IRON 10 MG-750 UNIT-400 UNIT/ML ORAL DROPS $5.00

PEDIATRIC MULTIVITAMIN NO.81 750 UNIT-35 MG-400 UNIT/ML ORAL DROPS $5.00

PEDIATRIC MULTIVITAMIN-IRON CHEWABLE TABLET $5.00

PEEK MENISCAL ROOT REPAIR KIT $3,488.00

PEG 3350 240 GRAM-ELECTROLYTES 22.72 GRAM-6.72 G-5.84 G POWDR FOR SOLN $59.00

PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION $59.00

PEG 400-PROPYLENE GLYCOL (PF) 0.4 %-0.3 % EYE DROPS IN A DROPPERETTE $5.00

PEG 400-PROPYLENE GLYCOL 0.4 %-0.3 % EYE DROPS $34.00

PEG 400-PROPYLENE GLYCOL 0.4 %-0.3 % EYE GEL DROPS $47.00

PEG DRIVER DEPUY 2.0MM FAST FPD 2.0 $128.00

PEG LOCKING SMOOTH 2.2MMX16MM 131827016 $290.00

PEG LOCKING SMOOTH 2.2X15MM $268.00

PEG LOCKING SMOOTH 2.2X16MM $268.00

PEG LOCKING SMOOTH 2.2X18MM $268.00

PEG LOCKING SMOOTH 2.2X18MM STERILE $290.00

PEG LOCKING SMOOTH 2.2X20MM $268.00

PEG LOCKING SMOOTH 2.2X20MM STERILE $290.00

PEG LOCKING SMOOTH 2.2X22MM $268.00

PEG STANDARD 4.0X32.5MM $176.00

PEG STANDARD 4.0X37.5MM $176.00

PEG STANDARD 4.0X42.5MM $176.00

PEG STANDARD 4.0X47.5MM $176.00

PEG STANDARD 4.0X52.5MM $176.00

PEG STANDARD 4.0X57.5MM $176.00

PEG STANDARD 4.0X62.5MM $176.00

PEG THRD 4.0X32.5MM $213.00

PEG THRD 4.0X47.5MM $213.00

PEG THRD 4.0X52.5MM $213.00

PEG THRD 4.0X57.5MM $213.00

PEG THRD 4.0X62.5MM $213.00

PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION $65,004.00

PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR $23,811.00

PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE $23,811.00

PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE $15,954.00

PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION $3,903.00

PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION $71,012.00

PELVIC ANGIO SELECTIVE-EACH $10,108.00

PELVIS 3 OR MORE VIEWS $853.00

PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION $18,305.00

PEMETREXED 100 MG INTRAVENOUS SOLUTION $3,076.00

PEMETREXED 500 MG INTRAVENOUS SOLUTION $13,520.00

PENCICLOVIR 1 % TOPICAL CREAM $3,529.00

PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE $684.00

PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE $395.00

PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE $545.00

PENICILLIN G BENZATHINE,PROCAIN 900,000 UNIT-300K UNIT/2 ML IM SYRINGE $545.00

PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION $220.00

Page 329: DESCRIPTION Price - Fairview

PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION $152.00

PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION $50.00

PENICILLIN V POTASSIUM 250 MG TABLET $5.00

PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION $5.00

PENTAMIDINE 300 MG SOLUTION $628.00

PENTAMIDINE 300 MG SOLUTION FOR INHALATION $725.00

PENTAMIDINE 300 MG SOLUTION FOR INJECTION $628.00

PENTAMIDINE NEB $688.00

PENTOBARBITAL CONFIRMATION, SO $126.00

PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION $5,260.00

PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE $46.00

PENTOSTATIN 10 MG INTRAVENOUS SOLUTION $8,431.00

PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE $5.00

PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION $4,697.00

PERAMPANEL 10 MG TABLET $28.00

PERAMPANEL 2 MG TABLET $80.00

PERC PORTAL VEIN CATHERIZATION BY ANY METHOD $3,352.00

PERC RF ABLATE 1+ RENAL TUMOR $10,988.00

PERC TRANSCATHETER CLOSURE PFO $43,477.00

PERC TRANSHEPATIC PORTOGRAPHY WO HEMODYNAMIC EVAL; RS&I $2,407.00

PERC/GALLBLADDER DRAIN/SURG $7,127.00

PERCUT ABLATE 1+ LIVER RF $10,988.00

PERCUT BIOPSY, ABDOMINAL MASS $3,229.00

PERCUT BX, LUNG/MEDIASTINUM $3,242.00

PERCUT DRAIN/INJECT RENAL CYST $3,072.00

PERCUT IMPLNT NEUROELECT,EPIDURAL $13,623.00

PERCUTANEOUS ARTERIAL TRANSLUMINAL MECH THROMBECTOMY &/OR INFUSION THROMBOLYSIS INTRACRANIAL $10,194.00

PERCUTANEOUS TRACHEOSTOMY $16,649.00

PERCUTANEOUS VERTEBROPLASTY 1 BODY UNI OR BI INJ CERVICOTHORACIC $7,433.00

PERCUTANEOUS VERTEBROPLASTY 1 BODY UNI OR BI INJ;EACH ADDL CERVICOTHORACIC OR LUMBOSACRAL $6,690.00

PERCUTANEOUS VERTEBROPLASTY, 1 BODY UNI OR BI INJ; LUMBOSACRAL $7,433.00

PERCUTANEOUS VERTERAL AUGMENT CAVITY CREATION UNI OR BI CANNULATION EACH ADDL THORACIC OR LUMBAR $16,954.00

PERCUTANEOUS VERTERAL AUGMENT CAVITY CREATION UNI OR BI CANNULATION; LUMBAR $18,838.00

PERCUTANEOUS VERTERAL AUGMENT CAVITY CREATION UNI OR BI CANNULATION; THORACIC $18,838.00

PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION $253.00

PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP $102.00

PERFORATOR 11/7MM MINI 200-243DGR-1 $558.00

PERFORATOR 11MM CODMAN 26-1222 $360.00

PERFORATOR 14MM CODMAN $798.00

PERFORATOR STYLETTE CATHETER $1,086.00

PERICARDIOCENTESIS W/IMAGING $2,888.00

PERIPHERAL ART DISEASE REHAB, EA $238.00

PERI-PX DEVICE EVAL & PRGR $188.00

PERI-PX PACEMAKER DEVICE EVL $151.00

PERITONEAL CATHETER INJECTION $1,560.00

PERITONEAL CAVITY INJECTION $852.00

PERITONEAL DIALYSIS SOLN 6-1.5 % DEXTR LOW CAL 2.5 MEQ/L-MAG 0.5 MEQ/L $70.00

Page 330: DESCRIPTION Price - Fairview

PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L $190.00

PERITONEAL DIALYSIS SOLN 8-4.25 % DEXTROSE CAL 2.5 MEQ/L-MAG 0.5 MEQ/L $194.00

PERITONEAL LAVAGE $1,763.00

PERITONEAL NECROSECTOMY THRU EXISTING ABSCESS CATH $1,699.00

PERITONEOGRAM $1,828.00

PERM/PORT CATH CHECK $916.00

PERMETHRIN 0.5 % SPRAY $8.00

PERMETHRIN 1 % TOPICAL LIQUID $41.00

PERMETHRIN 5 % TOPICAL CREAM $489.00

PERPHENAZINE 2 MG TABLET $7.00

PERPHENAZINE 4 MG TABLET $5.00

PERPHENAZINE-AMITRIPTYLINE 4 MG-25 MG TABLET $8.00

PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT $35,016.00

PERQ PERICARDIAL DRAIN 6YRS OR > $1,728.00

PERQ REPLACE G TUBE W/O IMAGE OR ENDO GUIDE NOT REQ REV GSTRST TRACT $711.00

PERQ RF ABLATE TX PUL TUMOR(S) $13,629.00

PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT $36,978.00

PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP $24,395.00

PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH $15,153.00

PERTUSSIS BY PCR $421.00

PERTUSSIS BY PCR $421.00

PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION $22,332.00

PET CT SKULL TO MID-THIGH $4,355.00

PET IMAGING FOR CT ATTENUATION WHOLE BODY $4,355.00

PET METABOLIC BRAIN $4,745.00

PFT SPIROMETRY (PRE ONLY) $328.00

PFT-SPIRO+BD $547.00

PFT-VITAL CAPACITY $290.00

PH FECAL/BODY FLUID $81.00

PHARYNGIOGRAM $544.00

PHASE II RECOVERY 1 HOUR $496.00

PHASE II RECOVERY SURGERY CTR 1 HOUR $496.00

PHENAZOPYRIDINE 100 MG TABLET $9.00

PHENAZOPYRIDINE 200 MG TABLET $5.00

PHENCYCLIDINE $114.00

PHENCYCLIDINE URINE, QUANT $117.00

PHENELZINE 15 MG TABLET $5.00

PHENOBARBITAL $89.00

PHENOBARBITAL 100 MG TABLET $12.00

PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR $5.00

PHENOBARBITAL 32.4 MG TABLET $5.00

PHENOBARBITAL 64.8 MG TABLET $12.00

PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION $246.00

PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION $95.00

PHENOBARBITAL, SO $89.00

PHENOL (BULK) 89 % LIQUID $423.00

PHENOL 1.4 % MUCOSAL AEROSOL SPRAY $11.00

Page 331: DESCRIPTION Price - Fairview

PHENOL 89 % TOPICAL SWAB $22.00

PHENTERMINE 37.5 MG TABLET $5.00

PHENTOLAMINE 5 MG INJECTION SOLUTION $1,938.00

PHENYLEPHRINE (PF) 1 MG/10 ML (100 MCG/ML) IN 0.9 % NACL IV SYRINGE,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN NACL 0.9% SYRINGE$50.00

PHENYLEPHRINE 0.125 % NASAL DROPS $15.00

PHENYLEPHRINE 0.25 % RECTAL SUPPOSITORY $5.00

PHENYLEPHRINE 0.25 %-COCOA BUTTER 88.44 % RECTAL SUPPOSITORY $5.00

PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT $28.00

PHENYLEPHRINE 0.5 % NASAL SPRAY $15.00

PHENYLEPHRINE 10 % EYE DROPS $198.00

PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION $50.00

PHENYLEPHRINE 2.5 % EYE DROPS $445.00

PHENYTOIN FREE $117.00

PHENYTOIN 125 MG/5 ML ORAL SUSPENSION $5.00

PHENYTOIN 50 MG CHEWABLE TABLET $5.00

PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION $50.00

PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE $5.00

PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE $6.00

PHENYTOIN, TOTAL $90.00

PHLEBOTOMY $471.00

PHOSPHATASE ALKALINE, SO $38.00

PHOSPHOLIPID NEUTRALIZATION; HEXAGONAL PHOSPHOLIPID $108.00

PHOSPHOLIPID NEUTRALIZATION; PLATELET $126.00

PHOSPHORUS $34.00

PHOSPHORUS BLOOD $34.00

PHOSPHORUS URINE $39.00

PHOSPHORUS,FECAL, SO $34.00

PHOTON SABER INVUITY Y TIP TAPER ES3Y $688.00

PHYSICAL THERAPY EVAL TRANSFERRED TO HH/HSPC $233.00

PHYSOSTIGMINE 1 MG/ML INJECTION SOLUTION $85.00

PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE $98.00

PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION $50.00

PHYTONADIONE (VITAMIN K1) 2.5 MG/2.5 ML ORAL SYRINGE $151.00

PHYTONADIONE (VITAMIN K1) 5 MG TABLET $53.00

PHYTONADIONE (VITAMIN K1) 5 MG/5 ML ORAL SYRINGE $49.00

PICC LINE DRAW $295.00

PICC/POWER $774.00

PILOCARPINE 1 % EYE DROPS $378.00

PILOCARPINE 2 % EYE DROPS $471.00

PILOCARPINE 4 % EYE DROPS $418.00

PILOCARPINE 5 MG TABLET $5.00

PIMAVANSERIN 17 MG TABLET $201.00

PIMAVANSERIN 34 MG CAPSULE $462.00

PIMECROLIMUS 1 % TOPICAL CREAM $1,478.00

PIMOZIDE 1 MG TABLET $7.00

PIN APEX HALF 4X120 35 C/THR $212.00

PIN APEX HALF 5X150 40 C/THR $362.00

Page 332: DESCRIPTION Price - Fairview

PIN APEX HALF 5X180 50 C/THR $362.00

PIN APEX HALF 5X200 60 C/THR $362.00

PIN APEX HALF 5X250 70 C/THR $362.00

PIN APEX S/D HALF 5X150MM THR $362.00

PIN APEX S/D HALF 5X180 50 THR $362.00

PIN APEX S/D HALF 5X200 60 THR $314.00

PIN APEX S/D HALF 5X250 70 THR $362.00

PIN APEX TRANSFIX 4X250 5X35THR $337.00

PIN APEX TRANSFIX 4X250 5X40THR $337.00

PIN APEX TRANSFIX 4X250 5X50THR $337.00

PIN ARTHREX DRILL RETROBUTTON AR-1595 $288.00

PIN ARTHREX FLIPCUTTER II 3.5X10MM AR-1204AF-100 $813.00

PIN ARTHREX FLIPCUTTER II 3.5X7.0MM AR-1204AF-70 $813.00

PIN ARTHREX FLIPCUTTER II 3.5X7.5MM AR-1204AF-75 $813.00

PIN ARTHREX FLIPCUTTER II 3.5X8.5MM AR-1204AF-85 $813.00

PIN ARTHREX FLIPCUTTER II 3.5X8MM AR-1204AF-80 $813.00

PIN ARTHREX FLIPCUTTER II 3.5X9.5MM AR-1204AF-95 $813.00

PIN ARTHREX FLIPCUTTER II 3.5X9MM AR-1204AF-90 $813.00

PIN BALL JURGAN GREEN .54-.062" FOR K-WIRE W062-GN $90.00

PIN BIORESORBABLE 2.2X26MM $1,700.00

PIN BONE FIXATION CERCLAGE 3.5MM SS THREADE $336.00

PIN BONE SALVATION 7.0X130MM $3,748.00

PIN BONE SALVATION 7.0X80MM $3,748.00

PIN BONE SALVATION 7.0X90MM $3,748.00

PIN CALCANEUS TOTAL ANKLE $607.00

PIN CENTERING 1.6MM REDUCTION CALC SET $208.00

PIN CRIMP POSITIONING 5.0MM STRL $560.00

PIN DISTRACTION 12MM TI BLUE DP-12-TB $550.00

PIN DISTRACTION 14MM TI YELLOW DP-14-TY $550.00

PIN DISTRACTION 16MM TI GREEN DP-16-TG $550.00

PIN DRILL HINGE CHUCK CONN ARTHREX HTO IBALANCE AR-13424-02 $877.00

PIN FIX SCHANZ 5MM SLF-DRILL F/CALCANEAL FRACTURE $750.00

PIN FIXATION ANCHORAGE $363.00

PIN FIXATION ARTHREX HTO IBALANCE AR-13422 $804.00

PIN FIXATION AXIS F/HMRS SYSTEM $2,292.00

PIN FIXATION MEDT ANT CERVICAL ATLANTIS 2MM 7080902 $241.00

PIN GUIDE 0.035X6" ACUTRAK WS-0906ST $43.00

PIN GUIDE 0.045X6" 316-0004 $40.00

PIN GUIDE 0.045X6" ACUTRAK WS-1106ST $43.00

PIN GUIDE 1.1MM NON THRD 150MM 292.623 $58.00

PIN GUIDE 1.1MM THRD 292.622 $62.00

PIN GUIDE 2.0X230MM 292.65 $84.00

PIN GUIDE 2.4MM ARTHREX AR-13303-2.4 $555.00

PIN GUIDE 2.5X230MM 900.723 $101.00

PIN GUIDE ARTHREX 2.4MM DRILL AR-1250L $80.00

PIN GUIDE ARTHREX CANNULATED 3MM AR-1250RP $363.00

PIN GUIDE ARTHREX MINI TIGHTROPE 1.1MM SU PASSING AR-8914K $225.00

Page 333: DESCRIPTION Price - Fairview

PIN GUIDE DEPUY ACE KYLE 3.2MMX9" THRD 14012-9 $350.00

PIN GUIDE DEPUY METAGLENE DXTEND 2.5MM 230787004 $148.00

PIN GUIDE DEPUY SCREW DXTEND 1.2X5MM 230790004 $125.00

PIN GUIDE DEPUY SHLDR 2.0MM SNPG20 $93.00

PIN HALF SELF TAP 3MM 110X25 5038-2-110 $212.00

PIN HEADLESS 3 W/SQUARE BOTTOM $681.00

PIN KIT STRAIGHT 1.3MM 1 PIN $738.00

PIN KIT STRAIGHT 2.0 $605.00

PIN LDR MOBI-C 12MM CASPAR QUICK START 0022-LDR $1,250.00

PIN LDR MOBI-C 14MM CASPAR QUICK START 0024-LDR $1,250.00

PIN MAYFIELD SKULL DISP A1083 $1,345.00

PIN MOD HALF 4X120 34 CONT THR $293.00

PIN ORTHOSORB 40MM X 1.3MM 84-1052 $1,241.00

PIN PERCUTANEOUS NAVIGATION FOR SPINE O-ARM 100MM 9733235 $738.00

PIN SET ECLIPSE UNIVERS II AR-9207S $688.00

PIN SET UNIVERSAL REVERSE $1,000.00

PIN SROM NRH REPL HINGE XS/SM 621640 $774.00

PIN STEIN 3/32X9 TRC/3 $115.00

PIN STEINMAN 1/8 KM168-19-18 $8.00

PIN STEINMAN 5/32 KM168-19-53 $64.00

PIN STEINMAN 5/64 KM168-19-56 $41.00

PIN STEINMAN 7/64 KM168-19-76 $41.00

PIN STEINMAN 9/64 KM168-19-96 $51.00

PIN STEINMAN 9IN 3/16 TROCAR PT 128137 $558.00

PIN STEINMAN 9INCH X3.2MM $230.00

PIN STEINMAN ACCESS 3.2MM 9IN $220.00

PIN STEINMAN BIOMET 3/32"X9" SS 35-361278 $88.00

PIN STEINMAN DIA PT 2 END 3/32X9IN $45.00

PIN STEINMAN DIA PT 2 END 5/64X9IN $45.00

PIN STEINMAN DIA PT 2 END 7/64X9IN $45.00

PIN STEINMAN EXT FIXATION 5.0X150MM 293.50 $159.00

PIN STEINMAN EXT FIXATION 5.0X225MM 293.58 $159.00

PIN STEINMAN FIXATION 5.0X180MM 293.69 $270.00

PIN STEINMAN FIXATION 5.0X225MM 293.790 $270.00

PIN STEINMAN FIXATION 5.0X250MM 293.840 $270.00

PIN STEINMAN FIXATION 5.0X275MM 293.890 $270.00

PIN STEINMAN FIXATION 5.0X300MM 293.940 $270.00

PIN STEINMAN STRK SMOOTH 2.5X100MM 45-80300 $98.00

PIN STEINMAN THD 3/16X9 DBL TROCAR $243.00

PIN STEINMAN TRANSFIXATION 6.0X225MM 294.950 $272.00

PIN STEINMAN TROCAR PT 1 END PL $45.00

PIN STEINMAN WRIGHT INBONE 2.4MM 200072 $65.00

PIN STEINMANN 5/64" UNTHRD 624- 18-000 $263.00

PIN STEINMANN1/8X9 BAYONET $182.00

PIN STRK HALF 5X150MM SELF DRILL SS 5018-5-150 $362.00

PIN TENSION BAND 70MM NON-STERILE $128.00

PIN TOTAL ANKLE 5X200MM $355.00

Page 334: DESCRIPTION Price - Fairview

PIN TRANSFIX 5X300MM 6X50MM THD $380.00

PIN ZIMMER SLOTTED HOLDING UNI KNEE SYSTEM 00-5791-054-00 $271.00

PINDOLOL 5 MG TABLET $5.00

PIN-EX ORTHOLOCK 4X150 5023-5-150 $293.00

PINNACLE REVISION W/ GRIPTION 70MM $6,431.00

PINNACLE REVISON W/GRAFTON 10MM 58/60MM $4,263.00

PINWORM PREP $56.00

PIOGLITAZONE 15 MG TABLET $5.00

PIP DISPOSABLE PACK FOR LINVATEC $1,128.00

PIP DISPOSABLE PACK FOR STRYKER COMMAND $1,128.00

PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION $50.00

PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION $51.00

PIPERACILLIN-TAZOBACTAM 3.375 GRAM/50 ML DEXTROSE(ISO-OS) IV PIGGYBACK $99.00

PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION $68.00

PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION $548.00

PIROXICAM 10 MG CAPSULE $6.00

PIROXICAM 20 MG CAPSULE $5.00

PISTON ECLIPSE .5 X 4.0 467-400 $777.00

PISTON ECLIPSE .6 X 4.0 468-400 $777.00

PISTON ECLIPSE .6 X 4.25 468-425 $777.00

PISTON ECLIPSE .6 X 4.5 468-450 $777.00

PISTON ECLIPSE .6 X 4.75 468-475 $777.00

PISTON ECLIPSE .6 X 5.0 468-500 $777.00

PK ANALY NEUROSTIM BRAIN 1HR $816.00

PK ANALY NEUROSTIM BRAIN ADDON $624.00

PK ANALYSIS NEUROSTIM W/O PROG $1,113.00

PLA1 NEG TYPING $326.00

PLACE CATH ADDN SUBSELEC ART,NECK $647.00

PLACE CATH EXTREM ARTERY $820.00

PLACE CATH EXTREM ARTERY $820.00

PLACE CATH OR NDL, EXTREM ARTERY $820.00

PLACE CATH SELECTIVE ART,NECK $1,684.00

PLACE CATH SUBSELECT ART,NECK $1,893.00

PLACE CATH SUBSUBSELECT ART,NECK $1,794.00

PLACEMENT ACCESS THROUGH BILIARY TREE AND INTO SMALL BOWEL, NEW ACCESS $7,789.00

PLACEMENT BILE DUCT STENT, PERCUTANEOUS, EACH STENT; EXISTING ACCESS $13,241.00

PLACEMENT BILE DUCT STENT, PERCUTANEOUS, EACH STENT; NEW ACCESS WITH SEPARATE CATH $13,241.00

PLACEMENT NG/OG TUBE BY PHYSICIAN $850.00

PLACEMENT OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS,WITH IMAGING GUIDANCE; EXTERNAL $7,789.00

PLACEMENT OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS,WITH IMAGING GUIDANCE; INTERNAL-EXTERNAL $7,789.00

PLACEMENT OF NEPHROSTOMY CATHETER, PERCUTANEOUS; NEW ACCESS $5,166.00

PLACEMENT OF NEPHROURETERAL CATHETER, PERCUTANEOUS; NEW ACCESS $5,166.00

PLACEMENT OF SOFT TISSUE LOCALIZATION DEVICE(S), PERCUTANEOUS, INCLUDING IMAGING GUIDANCE; EACH ADDITIONAL LESION$630.00

PLACEMENT OF SOFT TISSUE LOCALIZATION DEVICE(S), PERCUTANEOUS, INCLUDING IMAGING GUIDANCE; FIRST LESION $1,623.00

PLACEMENT OF URETERAL STENT, PERCUTANEOUS; NEW ACCESS, WITH SEPARATE NEPHROSTOMY CATHETER $7,905.00

PLACEMENT OF URETERAL STENT, PERCUTANEOUS; NEW ACCESS, WITHOUT SEPARATE NEPHROSTOMY CATH $7,905.00

PLACEMENT OF URETERAL STENT, PERCUTANEOUS; PRE-EXISTING NEPHROSTOMY TRACT $7,905.00

Page 335: DESCRIPTION Price - Fairview

PLANTAR 1ST MET OST PLATE3MMPETITELT $3,738.00

PLASMA PROTEIN FRACTION 5 % INTRAVENOUS SOLUTION $262.00

PLASMINOGEN $172.00

PLASTER SPLINT/CAST-LONG ARM $221.00

PLASTER SPLINT/CAST-LONG LEG $298.00

PLASTER SPLINT/CAST-SHORT ARM $170.00

PLASTER SPLINT/CAST-SHORT LEG $233.00

PLASTIC REP UTERINE CERVIX VA $5,564.00

PLATE 1 LEVEL 19MM $2,125.00

PLATE 1/3 TUBLAR 7 HOLE $767.00

PLATE 1/3 TUBULAR 6 H $120.00

PLATE 1ST MTP FUSION LG 5 DEG LT 2.4/2.7 $2,594.00

PLATE 1ST MTP FUSION LG 5 DEG RT 2.4/2.7 $2,594.00

PLATE 1ST MTP FUSION MD 0 DEG LT 2.4/2.8 $2,283.00

PLATE 1ST MTP FUSION MD 0 DEG RT 2.4/2.7 $2,283.00

PLATE 1ST MTP FUSION MD 10DEG LT 2.4/2.7 $2,283.00

PLATE 1ST MTP FUSION MD 10DEG RT 2.4/2.7 $2,283.00

PLATE 1ST MTP FUSION MD 5 DEG RT 2.4/2.7 $2,283.00

PLATE 1ST MTP FUSION MED 5DEG LT 2.4/2.7 $2,283.00

PLATE 1ST MTP FUSION RV 0 DEG LT 2.4/2.7 $2,801.00

PLATE 1ST MTP FUSION RV 0 DEG RT 2.4/2.7 $2,801.00

PLATE 1ST MTP FUSION SM 0 DEG LT 2.4/2.7 $2,283.00

PLATE 1ST MTP FUSION SM 0 DEG RT 2.4/2.7 $2,283.00

PLATE 1ST MTP FUSION SM 10DEG LT 2.4/2.7 $2,283.00

PLATE 1ST MTP FUSION SM 10DEG RT 2.4/2.7 $2,283.00

PLATE 1ST MTP FUSION SM 5 DEG LT 2.4/2.7 $2,283.00

PLATE 1ST MTP FUSION SM 5 DEG RT 2.4/2.7 $2,283.00

PLATE 1ST TMT FUSION LG 2.4/2.7MM $2,283.00

PLATE 1ST TMT FUSION LG 2.4/2.7MM STRL $2,345.00

PLATE 1ST TMT FUSION STD 2.4/2.7MM $2,283.00

PLATE 2.0MM T-SHAPE 4 HOLE SM T=0.8MM $575.00

PLATE 2H DOUBLE COMP 20MM $2,238.00

PLATE 5 HOLE TITANIUM $5,698.00

PLATE 6 HOLE FOOTBALL $1,610.00

PLATE ADAPTATION 12H 2X81MM $996.00

PLATE ADAPTATION LP 90MM LENGTH 20H $444.00

PLATE ALIF 20MM $4,500.00

PLATE ALIF DIVERGENCE 12MM $4,500.00

PLATE ANG LEFT 26 HOLE 2.0MM $3,790.00

PLATE ANTERIOLAT DIST TIBIA 7H 3.5X106MM $3,579.00

PLATE ANTERIOLAT DISTAL 11H LT 3.5X158MM $3,652.00

PLATE ANTERIOLAT DISTAL 11H RT 3.5X158MM $3,652.00

PLATE ANTERIOLAT DISTAL 13H LT 3.5X184MM $3,691.00

PLATE ANTERIOLAT DISTAL 13H RT 3.5X184MM $3,691.00

PLATE ANTERIOLAT DISTAL 15H LT 3.5X210MM $3,741.00

PLATE ANTERIOLAT DISTAL 15H RT 3.5X210MM $3,631.00

PLATE ANTERIOLAT DISTAL 5H LT 3.5X80MM $3,540.00

Page 336: DESCRIPTION Price - Fairview

PLATE ANTERIOLAT DISTAL 5H RT 3.5X80MM $3,435.00

PLATE ANTERIOLAT DISTAL 7H RT 3.5X106MM $3,579.00

PLATE ANTERIOLAT DISTAL 9H LT 3.5X132MM $3,617.00

PLATE ANTERIOLAT DISTAL 9H RT 3.5X132MM $3,617.00

PLATE ASSEMBLY OASYS MIDLINE OCCIPUT SM $4,064.00

PLATE ASSY LOCKING SZ10 DIS RADIO-ULNAR $12,343.00

PLATE AVIATOR 2 LEVEL 24MM $2,258.00

PLATE BARREL 8 H 142MM 135 DEG STRL $1,513.00

PLATE BASE PHALANGEAL 2.0MM 2HOLE $1,650.00

PLATE BASE PHALANGEAL 2.0MM 3HOLE $1,504.00

PLATE BONE 10DEG STD LOW PRO F/METATARSAL PHALANGEAL JNT FIX $2,738.00

PLATE BONE 120MML HOLEX8 TI ALLOY PRE-CONTOURED INCREA $3,166.00

PLATE BONE 186MML VOLAR COLUMN DISTAL RADIUS HEADX6 SHAFTX13 $6,893.00

PLATE BONE 2.4/2.7MMW ORTHOPEDIC FIXATION TI $6,213.00

PLATE BONE 238MML HOLEX10 LEFT DISTAL LATERAL FEMORAL $5,715.00

PLATE BONE 2MM HOLEX4 PRE-BENT LOCKING RIGHT MANDIBLE $1,003.00

PLATE BONE 5TH METATARSAL HOOK LONG LEFT $3,188.00

PLATE BONE 93MML HOLEX4 SS PRE-CONTOURED F/3.5M $3,507.00

PLATE BONE 97MML HOLEX8 TI ALLOY PRE-CONTOURED INCREAS $2,880.00

PLATE BONE 98MML HOLEX5 TI ALLOY PRE-CONTOURED VARIABL $2,880.00

PLATE BONE 99MML HOLEX6 TI ALLOY PRE-CONTOURED VARIABL $3,166.00

PLATE BONE COMPRESSION DYNAMIC LOCKING 104MML HOLEX8 STAINLE $990.00

PLATE BONE COMPRESSION DYNAMIC LOCKING 104MML HOLEX8 STAINLE $1,091.00

PLATE BONE COMPRESSION DYNAMIC LOCKING SM MINI 69MML HOLE $146.00

PLATE BONE COMPRESSION LOCKING 122MML HOLEX4 SS $2,847.00

PLATE BONE COMPRESSION LOCKING 151MML HOLEX8 SS $405.00

PLATE BONE COMPRESSION LOCKING 160MML HOLEX8 STAINLESS STEEL $3,270.00

PLATE BONE COMPRESSION LOCKING 68MML HOLEX7/4 HEAD/SHAFT STA $2,513.00

PLATE BONE COMPRESSION LOCKING 93MML HOLEX4 SS $3,403.00

PLATE BONE COMPRESSION LOCKING 94MML HOLEX6 SS $2,177.00

PLATE BONE DYNAMIC COMPRESSION 138MML SS F/4.5M $1,259.00

PLATE BONE DYNAMIC COMPRESSION 148MML SS F/4.5M $1,259.00

PLATE BONE DYNAMIC COMPRESSION 16MMW X 124MML HOLEX7 70MM BL $1,128.00

PLATE BONE DYNAMIC COMPRESSION 46MML HOLEX2 SS $1,161.00

PLATE BONE DYNAMIC COMPRESSION 46MML HOLEX2 SS $1,161.00

PLATE BONE EXTRA SHORT HOLEX10 STANDARD F/DIST RADIUS SYST $2,445.00

PLATE BONE EXTRA SHORT HOLEX10 TI INTERMETE POLYAXI $2,445.00

PLATE BONE EXTRA SHORT LEFT INTERMETE VOLAR $2,445.00

PLATE BONE HOLEX6 TI ALLOY VARIAX RIGHT PROXIMAL LATER $5,339.00

PLATE BONE HOLEX6 TI STRAIGHT CONTOURED F/2.4MM $1,738.00

PLATE BONE LOCKING 120MML HOLEX6 TI PRE-CONTOURED VARI $2,607.00

PLATE BONE LOCKING 122MML HOLEX8 TI ALLOY PRE-CONTOURE $3,166.00

PLATE BONE LOCKING 130MML HOLEX4/5 SS WAISTED R $3,369.00

PLATE BONE LOCKING 150MML HOLEX8 TI PRE-CONTOURED VARI $3,325.00

PLATE BONE LOCKING 163MML HOLEX10 TI PRE-CONTOURED VAR $3,325.00

PLATE BONE LOCKING 175MML HOLEX10/3/METAPHYSEAL SS $2,938.00

PLATE BONE LOCKING 88MML HOLEX7 TI ALLOY PRE-CONTOURED $2,592.00

Page 337: DESCRIPTION Price - Fairview

PLATE BONE LOCKING 92MML HOLEX4 TI PRE-CONTOURED VA $2,607.00

PLATE BONE LOCKING 99MML HOLEX8 TI ALLOY PRE-CONTOURED $2,880.00

PLATE BONE LOCKING 99MML HOLEX8 TI ALLOY PRE-CONTOURED $2,880.00

PLATE BONE LOCKING COMPRESSION 105MML HOLEX5 SS $2,411.00

PLATE BONE LOCKING COMPRESSION 112MML HOLEX6 SS $1,639.00

PLATE BONE LOCKING COMPRESSION 120MML HOLEX8 SS $2,291.00

PLATE BONE LOCKING COMPRESSION 122MML HOLEX4 SS $2,951.00

PLATE BONE LOCKING COMPRESSION 125MML HOLEX4/7 HEAD/SHAFT ST $3,847.00

PLATE BONE LOCKING COMPRESSION 131MML HOLEX6 SS $2,345.00

PLATE BONE LOCKING COMPRESSION 142MML HOLEX6 SS $3,982.00

PLATE BONE LOCKING COMPRESSION 142MML HOLEX6 SS $4,333.00

PLATE BONE LOCKING COMPRESSION 172MML HOLEX10 SS $4,189.00

PLATE BONE LOCKING COMPRESSION 172MML HOLEX8 SS $4,021.00

PLATE BONE LOCKING COMPRESSION 173MML HOLEX9 STAINLESS STEEL $4,150.00

PLATE BONE LOCKING COMPRESSION 195MML HOLEX8 SS $4,224.00

PLATE BONE LOCKING COMPRESSION 199MML HOLEX8 SS $4,231.00

PLATE BONE LOCKING COMPRESSION 202MML HOLEX12 SS $4,754.00

PLATE BONE LOCKING COMPRESSION 202MML HOLEX12 SS $4,878.00

PLATE BONE LOCKING COMPRESSION 223MML HOLEX14 SS $3,608.00

PLATE BONE LOCKING COMPRESSION 230MML HOLEX10 SS $4,418.00

PLATE BONE LOCKING COMPRESSION 230MML HOLEX10 STAINLESS STEE $3,762.00

PLATE BONE LOCKING COMPRESSION 275MML HOLEX18 SS $3,868.00

PLATE BONE LOCKING COMPRESSION 301MML HOLEX14 SS $4,805.00

PLATE BONE LOCKING COMPRESSION 37MML HOLEX2/3 HEAD/SHAFT STA $1,270.00

PLATE BONE LOCKING COMPRESSION 37MML HOLEX2/3 HEAD/SHAFT STA $1,270.00

PLATE BONE LOCKING COMPRESSION 45MML HOLEX6/2 HEAD/SHAFT STA $2,336.00

PLATE BONE LOCKING COMPRESSION 72MML HOLEX4 SS $2,268.00

PLATE BONE LOCKING COMPRESSION 75MML HOLEX4 SS $1,349.00

PLATE BONE LOCKING COMPRESSION 76MML HOLEX8 SS $2,801.00

PLATE BONE LOCKING COMPRESSION 79MML HOLEX2 SS $2,299.00

PLATE BONE LOCKING DYNAMIC COMPRESSION 91MML HOLEX7 STAINLES $952.00

PLATE BONE LOCKING OPEN WEDGE F/10MM SCR CALCANEOUS $2,738.00

PLATE BONE LOCKING STEP F/7.5MM SCR CALCANEOUS $2,738.00

PLATE BONE LONG HOLEX7 TI RIGHT CALCANEOUS $2,738.00

PLATE BONE NON-LOCKING 51MML HOLEX4 SS 1/3 TUBU $120.00

PLATE BONE OPEN WEDGE LOCKING 67MML LEFT FLAT CONTOURLOCK $2,500.00

PLATE BONE OPEN WEDGE LOCKING 67MML RIGHT FLAT CONTOURLOCK $2,500.00

PLATE BONE OPEN WEDGE LOCKING 71MML LEFT FLAT CONTOURLOCK $2,500.00

PLATE BONE OPEN WEDGE LOCKING 71MML RIGHT FLAT CONTOURLOCK $2,500.00

PLATE BONE PERIMETER LARGE LEFT CALCANEOUS $2,738.00

PLATE BONE PERIMETER LARGE LEFT CALCANEOUS $2,738.00

PLATE BONE PERIMETER MEDIUM RIGHT CALCANEOUS $2,738.00

PLATE BONE QUADRILATERAL QLS STERILE LEFT SUPRAPECTINEAL PEL $5,746.00

PLATE BONE SHORT HOLEX11 TI INTERMETE RIGHT DORSAL $2,445.00

PLATE BONE SHORT LOCKING F/TALONAVICULAR FUSION VARIAX $2,841.00

PLATE BONE SHORT TI ALLOY POLYAXIAL VARIAX LEFT VOLAR $3,700.00

PLATE BONE SHRT HOLEX5 SS PRE-CONTOURED 3RD LEFT DISTAL CLAV $1,375.00

Page 338: DESCRIPTION Price - Fairview

PLATE BONE TI L-SHAPED STAND LEFT $2,738.00

PLATE BONE TI R-SHAPED STAND RIGHT $2,738.00

PLATE BROAD DCP 16H 4.5 X 263MM 226.16 $696.00

PLATE BROAD DCP 18H 4.5 X 295MM 226.18 $872.00

PLATE BROAD DCP 9H 4.5 X 151MM 226.09 $618.00

PLATE CALCANEAL LOCKING LNG 76MM $1,551.00

PLATE CALCANEAL MINI L 64MM $1,298.00

PLATE CALCANEAL RECON 8H 2.7X64MM $763.00

PLATE CALCANEAL RECON 9H 2.7X72MM $790.00

PLATE CALCANEUS STEP 7.5MM $2,738.00

PLATE CAPTURED SCREW ASM 135 DEG 100MM $1,022.00

PLATE CAPTURED SCREW ASM 145 DEG 130MM $1,022.00

PLATE CAPTURED SCREW ASM 145 DEG 160MM $1,022.00

PLATE CAPTURED SCREW ASM 150 DEG 160MM $1,022.00

PLATE CARPAL SIZE 1 $9,403.00

PLATE CARPAL SIZE 3 $9,403.00

PLATE CERVICAL 44MM 2 LEVEL $2,000.00

PLATE CHIN 4MM 2.0MM SYSTEM $463.00

PLATE CHIN 6MM 2.0MM SYSTEM $463.00

PLATE CHIN DOUBLE Y 2MM 0.8MM $647.00

PLATE CHIN DOUBLE Y 4MM 0.8MM $647.00

PLATE CHIN DOUBLE Y 6MM 0.8MM $647.00

PLATE CLAVICAL CENTRAL 1/3 L SS $1,375.00

PLATE CLAVIVLE HOOK 7H 3.5X86MM STRL $2,046.00

PLATE CLAW II 2H 15MM 40240215 $4,505.00

PLATE CLAW II 2H 20MM 40240220 $4,505.00

PLATE CLOVERLEAF 6H THIN 136MM 241.86 $1,030.00

PLATE CLOVERLEAF FUSION LNG 2.4/2.7MM $2,075.00

PLATE CLOVERLEAF FUSION LNG 2.4/2.7MM $2,137.00

PLATE COMP SACRAL THOR 2 LEVEL 65MM $6,773.00

PLATE COMP SACRAL THOR 2 LEVEL 77MM $6,773.00

PLATE COMP VARIAX FOOT RECTANGULAR SZ 1 $1,524.00

PLATE COMP VARIAX FOOT RECTANGULAR SZ 3 $1,675.00

PLATE COMPRESSION LOCK 5.0 371MM $825.00

PLATE COMPRESSION LOCK 6H 84MM $323.00

PLATE COMPRESSION LOCK 7H 97MM $323.00

PLATE COMPRESSION NAR STR 4H $821.00

PLATE COMPRESSION NAR STR 9H $1,599.00

PLATE CONDYLAR 14H 95DEG 70MM $1,929.00

PLATE CONDYLAR 16H 95DEG 70MM $2,040.00

PLATE CONDYLAR 2.0MM 2HOLE $1,608.00

PLATE CONDYLAR 2.4MM TI LCP 7H $1,415.00

PLATE CONDYLAR 2.7MM TI LCP 7H $1,542.00

PLATE CONDYLAR 6H 1.5MM W GUIDES $1,243.00

PLATE CONDYLAR 7H 95DEG 50MM $1,245.00

PLATE CONDYLAR 9H 95DEG 50MM $1,305.00

PLATE CROSSLINK EPAK MED LT $3,975.00

Page 339: DESCRIPTION Price - Fairview

PLATE CROSSLINK EPAK WIDE LT $3,975.00

PLATE CROSSLINK LP 5.5MM L 811-306 $1,250.00

PLATE CURVED CONDYLAR 4.5MM 18H 370MM $5,208.00

PLATE CURVED CONDYLAR 4.5MM 18H 370MM $5,208.00

PLATE DCP NARROW 10H 4.5 X 167MM 224.10 $489.00

PLATE DCP NARROW 5H 4.5 X 87MM 224.05 $327.00

PLATE DCP NARROW 9H 4.5 X 151MM 224.09 $370.00

PLATE DHS 38MM 10 HOLE 145 DEG STRL $1,513.00

PLATE DHS 38MM 10 HOLE 150 DEG STRL $1,665.00

PLATE DHS 38MM 5 HOLE 145 DEG 281.35 $1,069.00

PLATE DHS 38MM 6 HOLE 130 DEG STRL $1,161.00

PLATE DHS 38X110MM 6H 150DEG 281.460 $1,189.00

PLATE DHS 38X78MM SHT 4H 150 DEG 281.840 $1,189.00

PLATE DHS 38X94MM 5H 150DEG 281.450 $1,189.00

PLATE DIST FIBULA LATERAL 2.7MM 3H LT $2,083.00

PLATE DIST FIBULA LATERAL 2.7MM 3H RT $2,208.00

PLATE DIST FIBULA LATERAL 2.7X105MM 5H L $2,287.00

PLATE DIST FIBULA LATERAL 2.7X105MM 5H R $2,287.00

PLATE DIST FIBULA LATERAL 2.7X118 6H F $2,403.00

PLATE DIST FIBULA LATERAL 2.7X131MM 7H L $2,519.00

PLATE DIST FIBULA LATERAL 2.7X79MM 3H R $2,083.00

PLATE DIST FUBULA LATERAL 2.7X131 7H R $2,519.00

PLATE DIST HUM DORSO 3H LT 2.7/3.5X75MM $2,949.00

PLATE DIST HUM DORSO 3H LT 2.7-3.5X75MM $3,040.00

PLATE DIST HUM DORSO 3H RT 2.7/3.5X75MM $2,949.00

PLATE DIST HUM DORSO 3H RT 2.7/3.5X75MM $3,040.00

PLATE DIST HUM DORSO 4H LT 2.7/3.5X88MM $2,949.00

PLATE DIST HUM DORSO 4H LT 2.7/3.5X88MM $3,040.00

PLATE DIST HUM DORSO 4H RT 2.7/3.5X88MM $2,949.00

PLATE DIST HUM DORSO 4H RT 2.7/3.5X88MM $3,040.00

PLATE DIST HUM DORSO 7H LT 2.7/3.5X127MM $3,040.00

PLATE DIST HUM DORSO 7H LT 2.7-3.5X127MM $2,949.00

PLATE DIST HUM DORSO 7H RT 2.7/3.5X127MM $2,949.00

PLATE DIST HUM DORSO 7H RT 2.7/3.5X127MM $3,040.00

PLATE DIST HUM DORSO 9H LT 2.7/3.5X153MM $2,949.00

PLATE DIST HUM DORSO 9H LT 2.7/3.5X153MM $3,040.00

PLATE DIST HUM DORSO 9H RT 2.7/3.5X153MM $2,949.00

PLATE DIST HUM DORSO 9H RT 2.7/3.5X153MM $3,040.00

PLATE DIST HUM LATERAL 1H RT 2.7-3.5X69 $2,949.00

PLATE DIST HUM LATERAL 1H RT 2.7-3.5X72 $2,949.00

PLATE DIST HUM LATERAL 2H RT 2.7-3.5X82 $2,949.00

PLATE DIST HUM LATERAL 2H RT 2.7-3.5X82 $2,949.00

PLATE DIST HUM LATERAL 5H LT 2.7-3.5X121 $2,949.00

PLATE DIST HUM LATERAL 5H RT 2.7-3.5X121 $2,949.00

PLATE DIST HUM LATERAL 7H RT 2.7-3.5X147 $2,949.00

PLATE DIST HUM LATERAL 7H RT 2.7-3.5X147 $2,949.00

PLATE DIST HUM MED 2H LT 2.7-3.5X82MM ST $3,270.00

Page 340: DESCRIPTION Price - Fairview

PLATE DIST HUM MEDIAL 1H L 2.7/3.5X7 $3,040.00

PLATE DIST HUM MEDIAL 1H LT 2.7-3.5X69MM $2,949.00

PLATE DIST HUM MEDIAL 1H RT 2.7-3.5X69MM $2,949.00

PLATE DIST HUM MEDIAL 1H RT 2.7-3.5X72MM $3,040.00

PLATE DIST HUM MEDIAL 2H LT 2.7-3.5X82MM $2,949.00

PLATE DIST HUM MEDIAL 2H LT 2.7-3.5X85 $3,040.00

PLATE DIST HUM MEDIAL 2H RT 2.7-3.5X82MM $2,949.00

PLATE DIST HUM MEDIAL 2H RT 2.7-3.5X85 $3,040.00

PLATE DIST HUM MEDIAL 4H LT 2.7-3.5X108 $2,949.00

PLATE DIST HUM MEDIAL 4H LT 2.7-3.5X111 $3,040.00

PLATE DIST HUM MEDIAL 4H RT 2.7-3.5X108 $2,949.00

PLATE DIST HUM MEDIAL 4H RT 2.7-3.5X111 $3,040.00

PLATE DIST HUM MEDIAL 6H LT 2.7-3.5X134 $2,949.00

PLATE DIST HUM MEDIAL 6H LT 2.7-3.5X137 $3,040.00

PLATE DIST HUM MEDIAL 6H RT 2.7-3.5X134 $2,949.00

PLATE DIST HUM MEDIAL 6H RT 2.7-3.5X137 $3,040.00

PLATE DIST TIB ANTERO 4H LT 2.7-3.5 STRL $4,185.00

PLATE DIST TIBIA ANTERO 6H RT 2.7-3.5MM $4,106.00

PLATE DIST TIBIA ANTERO 8H RT 2.7-3.5MM $4,150.00

PLATE DISTAL CLAVICLE 8HOLE LEFT SS $1,375.00

PLATE DISTAL HUMERUS 3.5X230M $3,658.00

PLATE DISTAL JOINT RADIOULNAR SZ 20 $10,243.00

PLATE DISTAL JOINT RADIOULNAR SZ 30 $10,243.00

PLATE DISTAL LATERAL FEMUR 16H R 5MM $3,384.00

PLATE DISTAL LATERAL FEMUR 8H R 5MM $3,384.00

PLATE DISTAL LATERAL FIBULAR LOCKING 9H $1,813.00

PLATE DISTAL MEDIAL TIBIA 175MM 10H RT $4,557.00

PLATE DISTAL MEDIAL TIBIA R227MM 14HOLE $4,803.00

PLATE DISTAL RAD VOLAR TI NAR RT 3H $994.00

PLATE DISTAL RAD VOLAR TI NAR RT 5H $994.00

PLATE DISTAL RAD VOLAR TI STD LT 3H $994.00

PLATE DISTAL RAD VOLAR TI WIDE RT 3H $994.00

PLATE DISTAL TIBIA ANTERO 4H RT 2.7-3.5 $4,061.00

PLATE DISTAL TIBIA T-PLATE 5H 3.5X90MM $1,782.00

PLATE DISTAL TIBIAL 2.7/3.5MM 10H L $3,938.00

PLATE DISTAL TIBIAL 2.7/3.5MM 10H R $3,938.00

PLATE DISTAL TIBIAL 2.7/3.5MM 4H L $3,816.00

PLATE DISTAL TIBIAL 2.7/3.5MM 4H L STER $3,940.00

PLATE DISTAL TIBIAL 2.7/3.5MM 6H LT $3,857.00

PLATE DISTAL TIBIAL 2.7/3.5MM 6H R $3,857.00

PLATE DISTAL TIBIAL 2.7/3.5MM 8H L $3,897.00

PLATE DISTAL TIBIAL 2.7/3.5MM 8H R $3,897.00

PLATE DISTAL TIBIAL MEDIAL 6 HOLE $4,310.00

PLATE DISTAL TIBIAL MEDIAL 8 HOLE $4,434.00

PLATE DIVERGENCE 14MM $4,500.00

PLATE DIVERGENCE 16MM $4,500.00

PLATE DIVERGENCE 18MM $4,500.00

Page 341: DESCRIPTION Price - Fairview

PLATE DORSAL LISFRANC MED L $2,693.00

PLATE DORSAL LISFRANC MED R $2,693.00

PLATE DORSAL LISFRANC SM L $2,693.00

PLATE DORSAL LISFRANC SM R $2,693.00

PLATE DORSAL TI VAL 2.0MM $2,065.00

PLATE DVR ANATOMIC NAR R $1,619.00

PLATE EDGELOCK $2,735.00

PLATE EXPANDABLE 48570300 $2,557.00

PLATE FEM PROX PP NCB R L. 324MM $4,800.00

PLATE FEMORAL OSTEO CONTOURLK LEFT S/M $2,813.00

PLATE FEMUR DISTAL LATERAL L 16H $6,089.00

PLATE FEMUR DISTAL LATERAL L FEMUR 4H $5,343.00

PLATE FEMUR DISTAL LATERAL L FEMUR 6H $5,468.00

PLATE FEMUR DISTAL LATERAL R FEMUR 10H $5,715.00

PLATE FEMUR DISTAL LATERAL R FEMUR 6H $5,468.00

PLATE FEMUR DISTAL LATERAL R FEMUR 8H $5,590.00

PLATE FIBULA LATERAL 101MM 5H $1,609.00

PLATE FIBULA LATERAL 113MM 6H $1,671.00

PLATE FIBULA LATERAL 125MM 7H $1,813.00

PLATE FIBULA LATERAL 137MM 8H $1,813.00

PLATE FIBULA LATERAL 77MM 3H $1,609.00

PLATE FIBULA LATERAL 89MM 4H $1,609.00

PLATE FIBULA STR 108MM 8H $1,099.00

PLATE FIBULA STR 132MM 10H $1,142.00

PLATE FIBULA STR 28.5MM 2H $1,099.00

PLATE FIBULA STR 72MM 5H $1,099.00

PLATE FIBULA STR 84MM 6H $1,099.00

PLATE FIXATION SPINOUS PROCESS 35MM $14,823.00

PLATE FIXATION SPINOUS PROCESS 40MM $14,823.00

PLATE FIXATION TEMPORARY $741.00

PLATE FOR SHUNT 17MM $247.00

PLATE FUSINO COLUMN 3.5MM X 78MM $3,735.00

PLATE FUSION 3MM MEDIUM DORSAL MIDFOOT $3,738.00

PLATE FUSION CLOVERLEAF SHT 2.4/2.7 $1,971.00

PLATE FUSION CLOVERLEAF STD 2.4/2.7 $2,023.00

PLATE FUSION COLUMN 78MM LEFT $3,735.00

PLATE FUSION COLUMN 78MM RIGHT $3,943.00

PLATE FUSION COLUMN 95MM RIGHT $3,943.00

PLATE FUSION COLUMN MED 3.5X95MM $3,943.00

PLATE FUSION MIDFOOT LG $1,722.00

PLATE FUSION NC SM 58160001 $5,610.00

PLATE FUSION STD 2.4-2.7X39MM $2,283.00

PLATE FUSION WRIST 9H STR 242.530 $2,277.00

PLATE GRAFT 14MM $1,125.00

PLATE GRAFT 8MM $1,125.00

PLATE GRIP 210MM $4,621.00

PLATE GRIP DALL MILES VITALLIUM $2,866.00

Page 342: DESCRIPTION Price - Fairview

PLATE GRIP DALL MILES VITALLIUM $3,733.00

PLATE GRIP DALL MILES VITALLIUM $4,621.00

PLATE GRIP DALL MILES VITALLIUM MEDIUM $2,866.00

PLATE GRIP LG 110MML VITALLIUM W/2MM CABLEX2 DALL-MILES T $3,372.00

PLATE H EXTENDED L 1.5X22MM $495.00

PLATE HOOK UNIV 5TH METATARSAL $2,313.00

PLATE HUMERAL 5H TITANIUM $3,988.00

PLATE HUMERAL SUTURE 3H $3,738.00

PLATE HUMEROUS 86MM 3H L $6,095.00

PLATE JL 8H $1,405.00

PLATE L 2.4MM 4H 100 DEG $1,485.00

PLATE L 7.5 OPEN WEDGE AR-13200T-07.5 $1,825.00

PLATE L 7HOLE 1MM THICK $614.00

PLATE L RIGHT $1,095.00

PLATE LADDER 12H $2,305.00

PLATE LADDER 18 HOLE $2,568.00

PLATE LADDER WIDE 12H $2,305.00

PLATE LAPIDUS 0MM $4,848.00

PLATE LAPIDUS CP R $2,843.00

PLATE LAPIDUS MEDIUM LEFT $2,693.00

PLATE LAPIDUS SM L $2,693.00

PLATE LAPIDUS SM R $2,693.00

PLATE LAT DIST FEMUR 4H LT 440.874 $3,030.00

PLATE LAT DIST FEMUR 4H RT 440.864 $3,030.00

PLATE LAT HIGH TIBIA 3H LT 440.853 $3,030.00

PLATE LAT HIGH TIBIA 3H RT 440.843 $3,030.00

PLATE LAT HIGH TIBIA 4H RT 440.834 $3,030.00

PLATE LC-DCP 4H 2.7X41MM 242.204 $283.00

PLATE LC-DCP 5H 3.5 X 64MM $323.00

PLATE LC-DCP 6H 2.7X59MM 242.206 $307.00

PLATE LCP 2.0MM 5/HOLE 38MM LENGTH $943.00

PLATE LCP 2.7MM T-PLATE 3/HOLE SHAFT $1,731.00

PLATE LCP 2.7MM T-PLATE 4/HOLE SHAFT $1,731.00

PLATE LCP 2H 3.5 X 25MM $623.00

PLATE LCP 3.5MM 11 HOLE 223.411 $2,249.00

PLATE LCP 3.5MM 12 HOLE 223.412 $2,905.00

PLATE LCP 3.5MM 14 HOLE 223.414 $3,000.00

PLATE LCP 3.5MM 16 HOLE 223.416 $3,065.00

PLATE LCP 3.5MM 18 HOLE 223.418 $3,123.00

PLATE LCP 3.5MM 8 HOLE 223.408 $2,143.00

PLATE LCP 3.5MM 9 HOLE 223.409 $2,179.00

PLATE LCP 4H W GUIDE 1.5MM $610.00

PLATE LCP 6H W GUIDE 1.5MM $610.00

PLATE LCP 7H 3.5 X 98MM 223.571 $797.00

PLATE LCP ADAPTATION 12H W GUIDE 1.5MM $1,040.00

PLATE LCP ADAPTATION 6H W GUIDE 1.5MM $1,040.00

PLATE LCP ANT ANKLE ARTHO 6H $2,112.00

Page 343: DESCRIPTION Price - Fairview

PLATE LCP ANT ANKLE ATHRO 7H 116MM STRL $2,170.00

PLATE LCP DISTAL HUMERUS 3.5MM $3,658.00

PLATE LCP DISTAL HUMERUS 3.5X158M $3,256.00

PLATE LCP DISTAL HUMERUS 3.5X158M $3,256.00

PLATE LCP DISTAL HUMERUS 3.5X158M STRL $3,359.00

PLATE LCP DISTAL HUMERUS 3.5X158M STRL $3,359.00

PLATE LCP DISTAL HUMERUS 3.5X194M $3,457.00

PLATE LCP DISTAL HUMERUS 3.5X194M $3,457.00

PLATE LCP DISTAL ULNA 7H 2MM STRL $1,934.00

PLATE LCP EXT H-PLATE LT W GUIDE $1,197.00

PLATE LCP EXT H-PLATE RT W GUIDE $1,197.00

PLATE LCP HOOK 3H 3.5MM $1,266.00

PLATE LCP HOOK 3H 3.5MM $1,370.00

PLATE LCP HOOK 4.5X133MM 2H STRL $3,984.00

PLATE LCP HOOK 4.5X169MM 4H STRL $4,038.00

PLATE LCP HOOK 4.5X205MM 6H STRL $4,098.00

PLATE LCP HOOK 4.5X241MM 8H STRL $4,248.00

PLATE LCP HOOK 4.5X277MM 10H STRL $4,459.00

PLATE LCP RECON 13H 3.5X182MM 245.131 $1,587.00

PLATE LCP RECON 14H 3.5X182MM 245.141 $1,650.00

PLATE LCP RECON 16H 3.5X224MM 245.161 $1,789.00

PLATE LCP RECON 9H 3.5X126MM 245.091 $1,372.00

PLATE LCP T-PLATE 3H W GUIDE 1.5MM $1,085.00

PLATE LCP T-PLATE 4H W GUIDE 1.5MM $1,085.00

PLATE LCP ULNA OSTEOTOMY 2.7X62MM 6H $2,801.00

PLATE LCP WRIST FUSION SHT BEND $3,897.00

PLATE LCP WRIST FUSION STD BEND $3,897.00

PLATE LCP Y-PLATE 3H HEAD 8H W GUIDE $1,301.00

PLATE L-FUSION LNG RT 2.4/2.7MM $2,075.00

PLATE L-FUSION SHT LT 2.4/2.7MM $1,971.00

PLATE L-FUSION SHT RT 2.4/2.7MM $1,971.00

PLATE L-FUSION STD LT 2.4/2.7MM $2,023.00

PLATE L-FUSION STD RT 2.4/2.7MM $2,023.00

PLATE L-FUSION XL LT 2.4/2.7MM $2,075.00

PLATE LISFRAC SMALL $3,738.00

PLATE LOCK CALCANEAL LG 2.7X70MM L $2,947.00

PLATE LOCK CALCANEAL LG 2.7X70MM R $2,947.00

PLATE LOCK CALCANEAL MD 2.7X64MM L $2,926.00

PLATE LOCK STR FUSION 2.4/2.7MM $1,764.00

PLATE LOCK STR FUSION 2.4/2.7MM 4H $1,868.00

PLATE LOCKING 20H STR $2,698.00

PLATE LOCKING ASSY JOINT SIZE 20 $12,343.00

PLATE LOCKING DVR ANATOMIC STD L $2,288.00

PLATE LOCKING DVR ANATOMIC STD R $2,288.00

PLATE LOCKING FX CURVED LNG NONCOM 1.5MM $1,720.00

PLATE LOCKING POLY VARI AX2 $3,096.00

PLATE LOCKING POLYAXIAL SHORT 67MM 9HOLE $3,700.00

Page 344: DESCRIPTION Price - Fairview

PLATE LOCKING SMART 2.0MM THICK 26HOLE R $5,391.00

PLATE LOCKING STR 2X6 GRID 12H $1,323.00

PLATE LOCKING STRAIGHT 6 HOLE 2.0MM $880.00

PLATE LOCKING VA CUBOID 2.4/2.7MM LT $2,594.00

PLATE LOCKING VA CUBOID 2.4/2.7MM RT $2,594.00

PLATE LOCKING VA MESH 2.4/2.7MM 12H $3,839.00

PLATE LOCKING VA NAVICULAR 2.4MM/2.7MM $2,594.00

PLATE LOCKING VA WEDGE 3MM SPACER $2,127.00

PLATE LOCKING VA WEDGE 4MM SPACER $2,127.00

PLATE LOCKING VA WEDGE 5MM SPACER $2,127.00

PLATE LOCKING VA WEDGE 6MM SPACER $2,127.00

PLATE LOCKING VA WEDGE 7MM SPACER $2,127.00

PLATE LOCKING VA WEDGE NO SPACER $2,127.00

PLATE LOCKING X LG 2.4/2.7MM $2,179.00

PLATE LOCKING X MED 2.4/2.7MM $2,179.00

PLATE LOCKING X SM 2.4/2.7MM $2,179.00

PLATE LOCKING X XS 2.4/2.7MM $2,179.00

PLATE LP L-SHAPE L REG 0.6MM $398.00

PLATE LP L-SHAPE LT 0.5MM CP TITANIUM $398.00

PLATE LP L-SHAPE LT MED 0.5MM CP TIT $398.00

PLATE LP L-SHAPE RT 0.5MM CP TITANIUM $398.00

PLATE LP L-SHAPE RT MED 0.5MM $398.00

PLATE LP SQUARE .6MM 2.0MM $398.00

PLATE L-PLATE 3H 2.7X32MM LT 242.31 $118.00

PLATE L-PLATE 3H 2.7X32MM RT 242.32 $118.00

PLATE L-SHAPE RT REG 0.6MM CP TITANIUM $398.00

PLATE MATRIXNEURO 24MM $247.00

PLATE MED DIS TIBIA 10H 3.5X147MM RT $1,637.00

PLATE MED DIST FEMUR 4H LT 440.885 $2,940.00

PLATE MED DIST FEMUR 4H RT 440.885 $2,940.00

PLATE MED DIST FEMUR 4H RT STRL 440.885S $3,024.00

PLATE MED DIST FEMUR 4H RT STRL 440.895S $3,024.00

PLATE MED PROX TIBIA 12H 3.5X197MM L $3,567.00

PLATE MED PROX TIBIA 6H 3.5X119 L STRL $3,552.00

PLATE MED PROX TIBIA 6H 3.5X119MM R STRL $3,552.00

PLATE MEDIAL DISTAL TIBIA 4H LT 3.5X109 $3,335.00

PLATE MEDIAL DISTAL TIBIA 4H RT 3.5X109 $3,335.00

PLATE MEDIAL EXTENDED 96MM 4H $2,607.00

PLATE MEDIAL HIGH TIBIA 4H SM $3,030.00

PLATE MESH 123 X 123 X 0.8MM $6,672.00

PLATE MESH 200MM X 200MM .6MM 1.5MM $14,411.00

PLATE MESH BOWLES ORB SM .3MM 1.5MM $758.00

PLATE MESH LT PTERIONAL APP 0.6MM $4,657.00

PLATE MESH VARIAX FOOT CALCANEUS LG $2,039.00

PLATE MESH VARIAX FOOT CALCANEUS MED $2,039.00

PLATE MESH VARIAX FOOT CALCANEUS SM $2,039.00

PLATE METACARPAL DORSAL 2.0MM $2,065.00

Page 345: DESCRIPTION Price - Fairview

PLATE METAPHYSEAL LCP 10H 3.5MM $2,147.00

PLATE METAPHYSEAL LCP 6H 3.5MM $2,071.00

PLATE METAPHYSEAL LCP 7H 3.5MM $2,110.00

PLATE METATARSOPHALANGEALX2 LEFT ANCHORAGE $5,096.00

PLATE MIDFACE 24 HOLE 1MM $800.00

PLATE MIDFACE 4H 0.8MM THICK $324.00

PLATE MIDFACE 6H STR 0.8MM THICK SHORT $378.00

PLATE MIDFACE ST MED 0.8MM 24H $800.00

PLATE MIDFOOT 2.7MM 5 HOLE 31MM 242.535 $506.00

PLATE MIDFOOT 2.7MM 8 HOLE 45MM 242.536 $522.00

PLATE MINI LOCK CALCANEAL MED 2.7X64MM R $3,113.00

PLATE MINI LOCK CALCANEAL SHT 2.7X40MM $2,698.00

PLATE MINI LOCK CALCANEAL SHT 2.7X40MM R $2,698.00

PLATE MINI LOCK CALCANEAL VA 2.7MM 56MM $2,801.00

PLATE MTP 10DEG VALQUS 8DEG DORSI STD $2,738.00

PLATE MTP CP L $2,843.00

PLATE MTP CP R $2,843.00

PLATE MTP V1 L 6H $2,693.00

PLATE MTP V1 LNG L 8H $2,693.00

PLATE MTP V1 LNG R 8H $2,693.00

PLATE MTP V1 R 6H $2,693.00

PLATE MTP V2 L 5H $2,693.00

PLATE MTP V2 R 5H $2,693.00

PLATE NEURO LP 3X2HOLE CRV SQ .6MM 1.5MM $579.00

PLATE NEURO LP 3X2HOLE SQ .6MM 1.5MM $520.00

PLATE NEURO LP 4X2HOLE SQ .6MM 1.5MM $606.00

PLATE NEURO LP 5X2HOLE CRV SQ .6MM 1.5MM $702.00

PLATE NEURO LP DOUBLE Y-SHAPE LONG $496.00

PLATE NEURO LP SQ .6MM 1.5MM $449.00

PLATE NEURO LP STR 2H LONG $143.00

PLATE NEURO LP STR 2H SHORT $143.00

PLATE NEURO LP STRAIGHT 16H $483.00

PLATE NEURO LP STRAIGHT 4H REGULAR $216.00

PLATE NEURO LP STRAIGHT 4H X-LONG $216.00

PLATE NEURO LP Y-SHAPE LONG $471.00

PLATE NEURO TI LP MESH PANEL SM GR $1,969.00

PLATE NEURO ULTRA LP BOX STYLE 2X2H $569.00

PLATE NEURO ULTRA LP BOX STYLE CURVED 3H $738.00

PLATE NEURO ULTRA LP DBL Y SHAPE 6L $602.00

PLATE NEURO ULTRA LP MESH 85X50MM $2,238.00

PLATE NEURO ULTRA LP STR 2H $235.00

PLATE NEURO ULTRA LP STR 4H $328.00

PLATE NEURO ULTRA LP STR 8H $516.00

PLATE NEURO ULTRA LP STR PLATE 2H $192.00

PLATE NEURO ULTRA LP X-STYLE $602.00

PLATE NEURO ULTRA LP Y SHAPE W/ TAB $602.00

PLATE NON COMP THORACIC 1 LEVEL 25MM $6,773.00

Page 346: DESCRIPTION Price - Fairview

PLATE NON COMP THORACIC 1 LEVEL 28MM $6,773.00

PLATE NON COMP THORACIC 1 LEVEL 31MM $6,773.00

PLATE NON COMP THORACIC 1 LEVEL 37MM $6,773.00

PLATE NON COMP THORACIC 1 LEVEL 40MM $6,773.00

PLATE NON COMP THROACIC 34MM $6,773.00

PLATE OBLIQUE L 1.3MM $634.00

PLATE OBLIQUE L 1.3MM $634.00

PLATE OCCIPITAL 130DEG 48551040 $4,064.00

PLATE OCCIPITAL ADJ $6,615.00

PLATE OCCIPITAL ADJUSTABLE SMALL $6,615.00

PLATE OCCIPITAL MIDLINE KEEL MD $6,615.00

PLATE OD 10MM $1,125.00

PLATE OD 8MM $1,125.00

PLATE OD LATERAL HOLE 10MM $1,125.00

PLATE OD WIDE MOUTH 10MM $1,125.00

PLATE OLECRANON 10H R 173MM $3,325.00

PLATE OLECRANON 6H 113MM $2,607.00

PLATE OLECRANON 6H L 89MM $2,607.00

PLATE OLECRANON L 2H 2.7/3.5X73MM $2,386.00

PLATE OLECRANON L 2H 2.7/3.5X90MM STRL $2,797.00

PLATE OLECRANON L 4H 2.7/3.5X116M $2,683.00

PLATE OLECRANON L 6H 2.7/3.5X142M $2,683.00

PLATE OLECRANON R 2H 2.7/3.5X73MM $2,386.00

PLATE OLECRANON R 2H 2.7/3.5X90MM $2,683.00

PLATE OLECRANON R 4H 2.7/3.5X116M $2,683.00

PLATE OLECRANON R 6H 2.7/3.5X142M $2,683.00

PLATE OLECRANON SHORT L 105MM 4H $2,607.00

PLATE OLECRANON SHT 89MM 4H R $2,607.00

PLATE OLECRANON STD 3H R $2,573.00

PLATE PERIART HUMERUS 10H LT 3.5X235MM $4,281.00

PLATE PERIART HUMERUS 10H RT 2.3X235MM $4,281.00

PLATE PERIART HUMERUS 12 RT 3.5X271MM $4,420.00

PLATE PERIART HUMERUS 12H LT 3.5X271MM $4,420.00

PLATE PERIART HUMERUS 2H LT 3.5X91 STRL $3,764.00

PLATE PERIART HUMERUS 2H LT 3.5X91MM $3,660.00

PLATE PERIART HUMERUS 2H RT 3.5X91MM STL $3,764.00

PLATE PERIART HUMERUS 3H LT 3.5X109MM $3,714.00

PLATE PERIART HUMERUS 3H RT 3.5X109MM $3,714.00

PLATE PERIART HUMERUS 4H LT 3.5X127MM $3,772.00

PLATE PERIART HUMERUS 4H RT 3.5X127MM $3,772.00

PLATE PERIART HUMERUS 5H LT 3.5X145MM $3,864.00

PLATE PERIART HUMERUS 5H RT 3.5X145MM $3,864.00

PLATE PERIART HUMERUS 6H LT 3.5X163MM $3,974.00

PLATE PERIART HUMERUS 6H RT 3.5X163MM $3,974.00

PLATE PERIART HUMERUS 8H LT 3.5X199MM $4,127.00

PLATE PERIART HUMERUS 8H RT 3.5X199MM $4,127.00

PLATE PERIMETER CALC FRAC MD LT $2,738.00

Page 347: DESCRIPTION Price - Fairview

PLATE PLANTAR LAPIDUS $3,738.00

PLATE PLANTAR LAPIDUS RIGHT $3,738.00

PLATE PLAPLE STAPLE 12MM $963.00

PLATE POSTERIOR LATERAL 105MM 4H R $2,607.00

PLATE POSTLAT 2.7-3.5X129MM LT $1,558.00

PLATE POSTLAT 2.7-3.5X155MM RT $1,581.00

PLATE POSTLAT 2.7-3.5X181MM LT $1,604.00

PLATE POSTLAT 2.7-3.5X181MM RT $1,604.00

PLATE POSTLAT 2.7-3.5X77MM LT $1,469.00

PLATE POSTLAT 2.7-3.5X77MM RT $1,469.00

PLATE POSTLAT FIBULA 4H LT 2.7-3.5X90MM $1,492.00

PLATE POSTLAT FIBULA 4H RT 2.7-3.5X90MM $1,492.00

PLATE POSTLAT FIBULA 5H LT 2.7-3.5X90MM $1,513.00

PLATE POSTLAT FIBULA 5H RT 2.7-3.5X103MM $1,513.00

PLATE POSTLAT FIBULA 6H LT 2.7-3.5X116MM $1,536.00

PLATE POSTLAT FIBULA 6H RT 2.7-3.5X116MM $1,536.00

PLATE POSTLAT FIBULA 7H RT 2.7-3.5X129MM $1,558.00

PLATE POSTLAT FIBULA 9H LT 2.7-3.5X155MM $1,581.00

PLATE PRE-CONTOURED OCCIPUT 100DEG L $4,064.00

PLATE PRE-CONTOURED OCCIPUT 100DEG R $4,064.00

PLATE PRE-CONTOURED OCCIPUT 130DEG L $4,064.00

PLATE PRE-CONTOURED OCCIPUT 130DEG R $4,064.00

PLATE PROX FEMUR 285MM RT $4,540.00

PLATE PROX FEMUR 363MM LEFT $4,411.00

PLATE PROXIMAL HUMERUS RIGHT 4 HOLE 83MM $5,750.00

PLATE PROXIMAL LATERAL HUMERUS 3H L $3,204.00

PLATE PROXIMAL LATERAL HUMERUS 3H R $3,204.00

PLATE PROXIMAL LATERAL HUMERUS 5H R $3,204.00

PLATE PROXIMAL MEDIAL TIBIA 6H $4,107.00

PLATE PROXIMAL TIBIA 10H 3.5X137MM $2,716.00

PLATE PROXIMAL TIBIA 10H RT 3.5X154MM $3,530.00

PLATE PROXIMAL TIBIA 4H RT 3.5X87MM $3,960.00

PLATE PROXIMAL TIBIA 6H 3.5X85MM $2,617.00

PLATE PROXIMAL TIBIA 6H LT 3.5X102MM STL $3,557.00

PLATE PROXIMAL TIBIA 6H LT 3.5X117MM $4,006.00

PLATE PROXIMAL TIBIA 6H RT 3.5X117MM $4,006.00

PLATE PROXIMAL TIBIA 8H 3.5X111MM $2,617.00

PLATE PROXIMAL TIBIA 8H 3.5X147MM $4,556.00

PLATE PROXIMAL TIBIA FOR L TIBIA 2H $4,373.00

PLATE PROXIMAL TIBIA FOR R TIBIA 10H $4,739.00

PLATE PROXIMAL TIBIA FOR R TIBIA 2H $4,373.00

PLATE PROXIMAL TIBIA FOR R TIBIA 4H $4,466.00

PLATE PROXIMAL TIBIA FOR R TIBIA 6H $4,557.00

PLATE PYRAMID 37MM $5,850.00

PLATE PYRAMID 3H 35MM $5,850.00

PLATE PYRAMID 3H 37MM $5,850.00

PLATE PYRAMID 3H 39MM $5,850.00

Page 348: DESCRIPTION Price - Fairview

PLATE PYRAMID 3H 41MM $5,850.00

PLATE PYRAMID 43MM $5,850.00

PLATE RADIAL HEAD NECK 2H 2.4X28MM $1,424.00

PLATE RADIAL HEAD NECK 3H 2.4X40MM $1,506.00

PLATE RADIAL HEAD RIM 2 H 2.4X34MM RT $1,424.00

PLATE RADIAL HEAD RIM 2H 2.4X34MM LT $1,467.00

PLATE RADIAL HEAD RIM 3H 2.4X46MM $1,506.00

PLATE RADIAL PIN 5H $1,488.00

PLATE RADIUS MIDSHIFT 8H $1,990.00

PLATE RECON MID FUSION SM LT $6,455.00

PLATE RECON TALON CURVED $5,763.00

PLATE RECON TALON STRAIGHT $5,763.00

PLATE ROCKER SALVATION $4,775.00

PLATE ROXIMAL TIBIA 3.5MMX147MM RIGHT $4,556.00

PLATE SALVATION RECON MID FUSION MED RT $6,455.00

PLATE SIDE 128MM 6H $683.00

PLATE SIDE 158MM 8H $701.00

PLATE SIDE 67MM 2H $683.00

PLATE SLM CUSTOM $3,238.00

PLATE SMARTLOCK HYBRID MMF $799.00

PLATE SPINAL TI ATL TI 7.5CM $6,750.00

PLATE SPNL 14MM 1 LEV TEMPUS $2,125.00

PLATE SPOON 6 HOLE 120MM SYNTHES 240.05 $638.00

PLATE SQUARE 4H $1,878.00

PLATE ST 6 H 2.0X35MM $451.00

PLATE STEPPED PETITE GRIDLOCK MPJ VLC R $4,375.00

PLATE STERNAL 8H H SHAPED $2,193.00

PLATE STERNAL STRAIGHT 10HOLE $2,115.00

PLATE STERNAL STRAIGHT 20HOLE $3,063.00

PLATE STERNAL TALON SNGL MED 14MM $3,400.00

PLATE STERNAL TALON SNGL SMALL 14MM $3,400.00

PLATE STERNALOCK 10 HOLE JL $3,313.00

PLATE STERNALOCK 12HOLE Y $2,065.00

PLATE STERNALOCK 16H STR $2,538.00

PLATE STERNALOCK 24H STR $2,770.00

PLATE STERNALOCK 6H HEX $1,445.00

PLATE STERNALOCK 6H STRAIGHT $1,895.00

PLATE STERNALOCK 8H L PLT 70 DEG $1,635.00

PLATE STERNALOCK BLU JL STRAIGHT $1,878.00

PLATE STR 16MM 2H $2,243.00

PLATE STR 22MM 3H $2,243.00

PLATE STR 28MM 4H $2,243.00

PLATE STR 34MM 5H $2,243.00

PLATE STR 45MM $4,125.00

PLATE STR 46MM 7H $2,243.00

PLATE STR NAR 12H 174MM $1,920.00

PLATE STRAIGHT 4H $1,485.00

Page 349: DESCRIPTION Price - Fairview

PLATE STRAIGHT 4H 1.5MM $1,253.00

PLATE STRAIGHT 6 HOLE $1,788.00

PLATE STRAIGHT 8 HOLE STRAIGHT $2,305.00

PLATE STRAIGHT VARIAX 3 HOLE $1,099.00

PLATE STRUT 12 HOLE $1,432.00

PLATE STRUT VAL 1.5MM 12 HOLE $1,432.00

PLATE SUPER CLAVICLE LAT EXTN 4H 3.5X81 $2,220.00

PLATE SUPRACONDYLAR HIP 4 HOLE VARIABLE ANGLE VHS 200104 $1,048.00

PLATE SYNPOR SMOOTH TI FAN 0.8MM STRL $3,476.00

PLATE T 3H 3.5MM RIGHT ANGLE 241.13 $263.00

PLATE T 3H HEAD 7H SHAFT 2MM $1,040.00

PLATE T BUTTRESS 4H 80MM 240.34 $778.00

PLATE T CLAW II 3H 30MM $5,498.00

PLATE T MIDFACE 1MM THICK $588.00

PLATE T-FUSION 2H LNG 2.4/2.7MM $2,075.00

PLATE T-FUSION 2H SHORT 2.4/2.7MM $1,971.00

PLATE T-FUSION 2H STD 2.4/2.7MM $2,023.00

PLATE T-FUSION 3H XL 2.4/2.7MM $2,594.00

PLATE THOR THORACULUM 76MM $6,773.00

PLATE THORACOLUMBAR 48MM 48032048 $6,773.00

PLATE THORACOLUMBAR 52MM 48032052 $6,773.00

PLATE THORACOLUMBAR LITE 31MM $6,773.00

PLATE THORASIC TI 4CM $6,750.00

PLATE THORASIC TI 6.5CM $6,750.00

PLATE TI VAL STR 1.5MM 12 HOLE $1,305.00

PLATE TI VAL STR 1.5MM 6 HOLE $1,201.00

PLATE TIB MEDIAL DIST 10H 3.5X213MM LT $3,478.00

PLATE TIB MEDIAL DIST 10H 3.5X213MM RT $3,478.00

PLATE TIB MEDIAL DIST 10H 3.5X239MM LT $3,523.00

PLATE TIB MEDIAL DIST 10H 3.5X239MM RT $3,523.00

PLATE TIBIA ANTEROLATERAL 4H RT 2.7-3.5 $3,816.00

PLATE TIBIA DISTAL ANTEROLATERAL 6H R $2,938.00

PLATE TIBIA DISTAL MEDIAL 10H R $2,832.00

PLATE TIBIA DISTAL MEDIAL 6H L. $2,832.00

PLATE TIBIA DISTAL MEDIAL 6H R $2,832.00

PLATE TIBIA DISTAL MEDIAL 8H R $2,832.00

PLATE TIBIA PROXIMAL LATERAL 2H L $2,799.00

PLATE TIBIA PROXIMAL LATERAL 2H R $2,799.00

PLATE TIBIA PROXIMAL LATERAL 4H R $2,799.00

PLATE TMT FUSION 2.4/2.7MM $2,075.00

PLATE T-PLATE 3H 2.4MM 242.919 $578.00

PLATE TRILOCK SCAPHOID 3X2H 1.2/1.5MM $1,801.00

PLATE TROCHANTERIC GRIP 160MM $3,733.00

PLATE TROUGH $1,125.00

PLATE TUBULAR LCP 1/3 2 HOLE $347.00

PLATE UN3 2 HOLE WTAB $308.00

PLATE VA 2 COLUMN 6H $2,322.00

Page 350: DESCRIPTION Price - Fairview

PLATE VA-LCP 2.4 DISTAL RADIUS RT 3H $2,322.00

PLATE VA-LCP DORSAL DISTAL RAD 5H 2.4MM $1,245.00

PLATE VA-LCP ULNA 10H 2.7MM/3.5MM LT $3,086.00

PLATE VA-LCP ULNA 10H 2.7MM/3.5MM RT $3,086.00

PLATE VA-LCP ULNA 12H 2.7MM/3.5MM LT $3,086.00

PLATE VA-LCP ULNA 12H 2.7MM/3.5MM RT $3,086.00

PLATE VA-LCP ULNA 6H 2.7MM/3.5MM LT $3,086.00

PLATE VA-LCP ULNA 6H 2.7MM/3.5MM RT $3,086.00

PLATE VA-LCP ULNA 8H 2.7MM/3.5MM LT $3,086.00

PLATE VA-LCP ULNA 8H 2.7MM/3.5MM RT $3,086.00

PLATE VARIAX 1/3 59MM TUBULAR 5 HOLE $767.00

PLATE VARIAX 1/3 TUBLAR 6 HOLE $767.00

PLATE VARIAX FOOT 3-D L $1,949.00

PLATE VARIAX FOOT 3-D R $1,949.00

PLATE VARIAX FOOT BROAD STR LNG $1,766.00

PLATE VARIAX FOOT BROAD STR MED $1,605.00

PLATE VARIAX FOOT BROAD STR SHT $1,537.00

PLATE VARIAX FOOT CURVED 4H $1,524.00

PLATE VARIAX FOOT CURVED 5H R $1,654.00

PLATE VARIAX FOOT CURVED 6H $1,859.00

PLATE VARIAX FOOT CURVED PLATE 5H L $1,654.00

PLATE VARIAX FOOT L-PLATE LFT 37MM 5HOLE $1,095.00

PLATE VARIAX FOOT OBLIQUE T-PLATE L $1,550.00

PLATE VARIAX FOOT OBLIQUE T-PLATE R $1,550.00

PLATE VARIAX FOOT T-PLATE $1,095.00

PLATE VARIAX H FOOT LG $1,545.00

PLATE VARIAX H FOOT SM $1,292.00

PLATE VOLAR DISTAL RADIUS 2X3H 2.4MM $1,370.00

PLATE VOLAR DISTAL RADIUS 5H SHAFT STRL $3,758.00

PLATE VOLAR DISTAL RADIUS 7H SHAFT STRL $3,847.00

PLATE VOLAR DISTAL RADIUS TI NAR LT 3H $994.00

PLATE VOLAR INTERMEDIATE 10H XSHT L STRL $2,455.00

PLATE VOLAR INTERMEDIATE 10H XSHT R STRL $2,455.00

PLATE VOLAR NAR XSHT 8H LT $2,445.00

PLATE VOLAR NAR XSHT 8H RT $2,445.00

PLATE WEDGE COTTON 0MM $4,370.00

PLATE WEDGE OPEN SZ 0 $2,693.00

PLATE WEDGE OPEN SZ 4MM $2,693.00

PLATE WEDGE OPEN SZ 5 $2,693.00

PLATE WRIST FUSION 8 HOLE SHT BEND $2,440.00

PLATE WRIST FUSION 8 HOLE STD BEND $2,440.00

PLATE WRIST FUSION SHT BEND $3,897.00

PLATE WRIST FUSION STD BEND $3,897.00

PLATE WRIST FUSION STR $3,897.00

PLATE X 2.4MM 8H $1,500.00

PLATE X VA LOCKING SM 2.4-2.7X27MM $2,241.00

PLATE X VA LOCKING XS 2.4-2.7X24MM $2,241.00

Page 351: DESCRIPTION Price - Fairview

PLATE XXL VOLAR DIST RAD NAR L 8H 2.7MM $3,909.00

PLATE Y 3/HOLE HEAD SHAFT 2X55MM $540.00

PLATELET ABY,CELL-BOUND, SO $637.00

PLATELET ANTIBODIES $615.00

PLATELET COMPATIBILITY PANEL - REF LAB $634.00

PLATELET COUNT-AUTO;SCREEN $32.00

PLATELET COUNT-AUTOMATED $32.00

PLATELET CROSSMATCH - REF LAB $634.00

PLATELET NEUTRALIZATION $126.00

PLATELET SCREEN $454.00

PLATELETS APH/PHER L/R HLA $3,013.00

PLCMNT OF FIDUCIALS PROSTATE $3,158.00

PLECANATIDE 3 MG TABLET $68.00

PLEDGET 1/4X1/8/1/16 SOFT TEFLON PCP50 $184.00

PLEDGET PTFE SOFT PREMIPATCH 9X5MM C0027992 $1,233.00

PLEURAL CATH EXCHANGE $3,533.00

PLEURAL CATH/TUNNELED/REMOVAL $1,048.00

PLIERS K-WIRE BENDING 64-20118 $1,185.00

PLIERS PLATE BENDING 64-20117 $1,580.00

PLMNT NEEDLE/INTRAOSSEOUS INF $596.00

PLMNT NEEDLE/INTRAOSSEOUS INF $596.00

PLT AGGREGATION,EACH $191.00

PLTE VA 2 COLUMN 6H $2,322.00

PLUG ANAL FISTUAL W/BRUSH G53614 $2,825.00

PLUG AND BOOT $358.00

PLUG APICAL HOLE 1/CUP 3/8-24 $330.00

PLUG CEMENT BUCK W/INSERT 18.5 71279422 $491.00

PLUG CEMENT BUCK W/INSERT 25MM 7127-9423 $491.00

PLUG CEMENT SM DIA 12MM 414995 $240.00

PLUG CEMENT SM DIA 6MM 414992 $240.00

PLUG CMNT APCL TPR RECON AR-1258 $133.00

PLUG SLOT $125.00

PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $188.00

PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION $105.00

PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE $184.00

PNEUMOGRAM 4 CHANNEL RECORDING $2,314.00

POCT ACOHOL BREATH TEST $85.00

POCT BLOOD GASES W/CALC O2 SAT $142.00

POCT COAG TIME; ACTIVATED $84.00

POCT CREATININE $70.00

POCT GLUCOSE BLOOD $54.00

POCT HEMATOCRIT $37.00

POCT HEMOGLOBIN $45.00

POCT IONIZED CALCIUM $90.00

POCT LAB-URINALYSIS W/O MICROSCOPY $33.00

POCT OB UA SCREEN $92.00

POCT OCCULT BLOOD GASTRIC $68.00

Page 352: DESCRIPTION Price - Fairview

POCT OCCULT BLOOD DIAGNOSTIC STOOL $44.00

POCT POTASSIUM BLOOD $41.00

POCT PREGNANCY TEST, URINE $47.00

POCT PROTHROMBIN TIME;SCREEN $91.00

POCT RAPID STREP $100.00

POCT SODIUM BLOOD $41.00

POCT SPECIFIC GRAVITY UR $33.00

PODOPHYLLUM RESIN 25 % TOPICAL LIQUID $177.00

POLIOVIRUS ABY,EACH, SO $121.00

POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION $59.00

POLYAXIAL LOCKING PLATE MTP CROSS-PLATE RIGHT (T8) $5,096.00

POLYAXIAL LOCKING PLATE NAVICULAR-CUNEIFORM RIGHT LONG (T1 $3,263.00

POLYAXIAL LOCKING PLATE TALO-NAVICULAR LONG (T10) $3,012.00

POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET $10.00

POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER $58.00

POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS $376.00

POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION $50.00

POLYSOMNOGRAPHY W CPA $3,617.00

POLYVINYL ALCOHOL 1.4 % EYE DROPS $11.00

POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE $5.00

POLY-VI-SOL W/IRON 0.5 ML ORAL DROPS $5.00

POLY-VI-SOL W/IRON 1 ML ORAL DROPS $5.00

POOLING PLT OR OTHER BLD PROD $319.00

PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION $1,858.00

PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION $3,663.00

PORPHOBILINOGEN URINE $108.00

PORPHYRINS QUANT $111.00

PORT PORTACATH VENOUS DUAL 21-8468-24 $1,356.00

PORT PORTACATH VENOUS SINGLE 21-4423-24 $766.00

PORT POWER PAC LOW PROFILE 21-4471-24 $608.00

PORT POWER PAC PERIPHERAL 21-4873-24 $606.00

PORT POWER PAC STD 21-4455-24 $543.00

PORT-A-CATH SKIN EROSION REPAIR $395.00

POS AIRWAY PRESSURE, CPAP $630.00

POSACONAZOLE 100 MG TABLET,DELAYED RELEASE $298.00

POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION $169.00

POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION $2,306.00

POSITIONER ASSIST ESSTECH 3S T401210S $2,888.00

POSITIONER SCHLEIN KIT BC-1000X $227.00

POSITIONER SLV PRLL 2.4 MM PIN AR-1245L $723.00

POST 30DEG 11X140MM $340.00

POST ANGLED 90DEG 11MM $486.00

POST EXTERNAL FIXATION TALL WIRE F/DISTRACTION OSTEOGENESIS $491.00

POST FEMALE 2 HOLE $325.00

POST GLUCARPIDASE METHOTREXATE, SO $70.00

POST HII MRI 30 ANG 4921-2-140 $295.00

POST HII MRI 90 DEG 4921-2-160 $451.00

Page 353: DESCRIPTION Price - Fairview

POST HII MRI STRT 4921-2-120 $385.00

POST INST MMI EASYCLIP SI 2MM AGB200 $488.00

POST MALE 1H $325.00

POST MALE 2H $325.00

POST PT HYBRID GLENOID REGENEREX $750.00

POST SHORT WIRE $730.00

POST STR $414.00

POST TALL WIRE $748.00

POSTERO DIST FIB PLATE SS 4H $2,000.00

POSTERO DIST FIB PLATE SS 6H $2,100.00

POSTPARTUM CARE ONLY - SEPARATE PROCEDURE $1,840.00

POSTURAL DRAINAGE INITIAL $325.00

POSTURAL DRAINAGE SUBSEQUENT $186.00

POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN $5.00

POTASSIUM BLOOD $40.00

POTASSIUM UR $39.00

POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION $52.00

POTASSIUM ALUM (BULK) 100 % GRANULES $84.00

POTASSIUM AND SODIUM MONOBASIC PHOSPHATE 305 MG-700 MG TABLET $5.00

POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET $5.00

POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK $50.00

POTASSIUM CHLORIDE 10 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK $50.00

POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV $70.00

POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION $50.00

POTASSIUM CHLORIDE 20 MEQ ORAL PACKET $36.00

POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID $5.00

POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK $50.00

POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN $70.00

POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS $70.00

POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION $70.00

POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS $70.00

POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV $70.00

POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.3 % SODIUM CHLORIDE IV $70.00

POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV $70.00

POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV $70.00

POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS $70.00

POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV $70.00

POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV $70.00

POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) $5.00

POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) $5.00

POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE $5.00

POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION $5.00

POTASSIUM GLUCONATE 500 MG (83 MG) TABLET $5.00

POTASSIUM GLUCONATE 550 MG (90 MG) TABLET $13.00

POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION $5.00

POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET $5.00

POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION $72.00

Page 354: DESCRIPTION Price - Fairview

POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET $5.00

POTASSIUM,FECAL, SO $20.00

POUCH ENDOSCOPIC 20X25CM W/O HANDLE DISP LAP SAC G16497 $149.00

POUCH ENVELOPE CANGAROO ECM LARGE $2,375.00

POUCH TISSUE RETRIEVAL 15MM 6.00" INTRO TRS190SB2 $1,262.00

POUCH TISSUE RETRIEVAL LAP 10MM 2.21" INTRO TRS100SB2 $854.00

POUCH TISSUE RETRIEVAL LAP 10MM 2.21" INTRO TRS100SB2 $981.00

POUCH TISSUE RETRIEVAL ROBOTIC 8MM 5.1" INTRO TRS-ROBO-8 $1,171.00

POVIDONE-IODINE 10 % TOPICAL OINTMENT $5.00

POVIDONE-IODINE 10 % TOPICAL SOLUTION $8.00

POVIDONE-IODINE 5 % EYE SOLUTION $69.00

PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION $21,834.00

PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION $377.00

PRAMIPEXOLE 0.125 MG TABLET $5.00

PRAMIPEXOLE 0.25 MG TABLET $5.00

PRAMIPEXOLE 0.5 MG TABLET $5.00

PRAMIPEXOLE 1 MG TABLET $5.00

PRAMLINTIDE 1,500 MCG/1.5 ML SUBCUTANEOUS PEN INJECTOR $2,000.00

PRAMLINTIDE 2,700 MCG/2.7 ML SUBCUTANEOUS PEN INJECTOR $2,375.00

PRAMOXINE 1 % LOTION $33.00

PRAMOXINE 1 % TOPICAL FOAM $203.00

PRAMOXINE-CAMPHOR-ZINC ACETATE LOTION $19.00

PRAMOXINE-ZINC OXIDE 1 %-5 % TOPICAL CREAM $21.00

PRASUGREL 10 MG TABLET $38.00

PRASUGREL 5 MG TABLET $68.00

PRAVASTATIN 10 MG TABLET $5.00

PRAVASTATIN 20 MG TABLET $5.00

PRAZIQUANTEL 600 MG TABLET $361.00

PRAZOSIN 1 MG CAPSULE $5.00

PRAZOSIN 2 MG CAPSULE $5.00

PRAZOSIN 5 MG CAPSULE $5.00

PRE ALBUMIN $95.00

PRE LEUK FILTERED CELLS $807.00

PREDNICARBATE 0.1 % TOPICAL OINTMENT $124.00

PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION $632.00

PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION $709.00

PREDNISOLONE SODIUM PHOSPHATE 1 % EYE DROPS $95.00

PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION $204.00

PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN $388.00

PREDNISONE 1 MG TABLET $5.00

PREDNISONE 10 MG TABLET $5.00

PREDNISONE 2.5 MG TABLET $5.00

PREDNISONE 20 MG TABLET $5.00

PREDNISONE 5 MG TABLET $5.00

PREDNISONE 5 MG/5 ML ORAL SOLUTION $396.00

PREDNISONE 5 MG/ML ORAL CONCENTRATE $21.00

PREDNISONE 50 MG TABLET $5.00

Page 355: DESCRIPTION Price - Fairview

PREGABALIN 100 MG CAPSULE $39.00

PREGABALIN 150 MG CAPSULE $26.00

PREGABALIN 20 MG/ML ORAL SOLUTION $4,862.00

PREGABALIN 25 MG CAPSULE $39.00

PREGABALIN 50 MG CAPSULE $19.00

PREGABALIN 75 MG CAPSULE $13.00

PREGNANCY TEST, URINE $66.00

PRENATAL SCREEN WITH CBC $900.00

PRENATAL VITAMINS-IRON FUMARATE 27 MG IRON-FOLIC ACID 0.8 MG TABLET $5.00

PREPUTIAL STRETCHING $759.00

PRESSURE TREATMENT ESOPHAGUS $622.00

PRIMAQUINE 26.3 MG TABLET $5.00

PRIMIDONE $108.00

PRIMIDONE 250 MG TABLET $5.00

PRIMIDONE 50 MG TABLET $5.00

PRO CHG:HEMOGLOBIN ELP $100.00

PRO CHG:IMMUNOFIX,SERUM $260.00

PRO CHG:IMMUNOFIX,URINE $229.00

PROBE 90 DEG CRUISE 279-401-200 $363.00

PROBE ARGON 2.3MM X 230CM $5,375.00

PROBE DISP NEURO MONITORING AMENDIA 4014-00 $1,040.00

PROBE DOPPLER DISP 07-150-10 $2,548.00

PROBE GILMORE 6.5IN 09-0575 $78.00

PROBE M5 SINGLE USE $685.00

PROBE PARSONNET VASCULAR 1.0 007603 $1,913.00

PROBENECID 500 MG TABLET $7.00

PROBENECID 500 MG-COLCHICINE 0.5 MG TABLET $5.00

PROCAINAMIDE 100 MG/ML INJECTION SOLUTION $50.00

PROCAINAMIDE 500 MG/ML INJECTION SOLUTION $312.00

PROCAINAMIDE AND NAPA $126.00

PROCAINAMIDE CHALLENGE TEST $5,109.00

PROCAINAMIDE/NAPA $126.00

PROCALCITONIN (PCT) $235.00

PROCARBAZINE 50 MG CAPSULE $426.00

PROCESSOR BAHA 4 WIRELESS CHESTNUT BR $8,393.00

PROCESSOR BAHA 5 WIRELESS BLONDE $8,394.00

PROCESSOR COCHLEAR DUAL N7 KIT $34,375.00

PROCESSOR COCHLEAR NUCLEUS 5 SOUND $23,250.00

PROCESSOR COCHLEAR NUCLEUS 6 CARBON $19,988.00

PROCESSOR COCHLEAR NUCLEUS 6 MAIZE $19,988.00

PROCESSOR COCHLEAR NUCLEUS 6 MAIZE CP920 $19,988.00

PROCESSOR COCHLEAR NUCLEUS 6 MOCHA $19,988.00

PROCESSOR COCHLEAR NUCLEUS 6 SMOKE $19,988.00

PROCESSOR COCHLEAR NUCLEUS 6 SMOKE CP920 $19,988.00

PROCESSOR COCHLEAR NUCLEUS 6 WHITE $19,988.00

PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY $43.00

PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION $50.00

Page 356: DESCRIPTION Price - Fairview

PROCHLORPERAZINE MALEATE 10 MG TABLET $5.00

PROCHLORPERAZINE MALEATE 5 MG TABLET $5.00

PROCTOSCOPY DIAGNOSTIC $1,804.00

PROCTOSCOPY W/FOREIGN BODY REM $4,650.00

PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX $1,804.00

PRODISC C IMP EXTRA LG 6MM $10,750.00

PRODISC C IMP EXTRA LG-DEEP 6MM $10,750.00

PRODISC C IMP LG 5MM $10,750.00

PRODISC C IMP LG-DEEP 5MM $10,750.00

PRODISC C IMP LG-DEEP 6MM $10,750.00

PRODISC C IMP LG-DEEP 7MM $10,750.00

PRODISC C IMP MED 5MM $10,750.00

PRODISC C IMP MED-DEEP 5MM $10,750.00

PRODISC L INLAY LG 10MM $2,000.00

PRODISC L SUPERIOR ENDPLATE LG 11DEGREES $11,494.00

PROGESTERONE $135.00

PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL $50.00

PROGESTERONE MICRONIZED 100 MG CAPSULE $8.00

PROGRAMMER EON PATIENT $2,500.00

PROGRAMMER MEDT SMART HANDSET W/COMMUNICATOR TH90G01 $4,778.00

PROGRAMMER PATIENT 3852 $2,500.00

PROGRAMMER PATIENT MEDT MYSTIM 97740 $2,238.00

PROLACTIN $146.00

PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY $48.00

PROMETHAZINE 12.5 MG TABLET $5.00

PROMETHAZINE 25 MG RECTAL SUPPOSITORY $24.00

PROMETHAZINE 25 MG TABLET $5.00

PROMETHAZINE 25 MG/ML INJECTION SOLUTION $50.00

PROMETHAZINE 50 MG/ML INJECTION SOLUTION $50.00

PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP $17.00

PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP $5.00

PROPAFENONE 150 MG TABLET $5.00

PROPAFENONE 225 MG TABLET $5.00

PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR $29.00

PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR $25.00

PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR $19.00

PROPAFENONE, SO $113.00

PROPANTHELINE 15 MG TABLET $6.00

PROPARACAINE 0.5 % EYE DROPS $174.00

PROPOFOL 10 MG/ML INTRAVENOUS EMULSION $72.00

PROPOFOL 10 MG/ML IV $148.00

PROPOXYPHENE AND METABOLITE, UR $117.00

PROPOXYPHENE, REFLEX $98.00

PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION $50.00

PROPRANOLOL 10 MG TABLET $5.00

PROPRANOLOL 20 MG TABLET $5.00

PROPRANOLOL 40 MG TABLET $5.00

Page 357: DESCRIPTION Price - Fairview

PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE $8.00

PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE $7.00

PROPYLTHIOURACIL 50 MG TABLET $5.00

PROSTAGLANDIN INSERTION $1,296.00

PROSTATE BIOPSY $2,303.00

PROSTHESIS TESTICULAR SALINE-FILLED ESM $4,990.00

PROSTHETIC TRAINING, EACH 15 MIN $151.00

PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION $50.00

PROTECTOR SHEET TENDON TENOGLIDE 4X5 $12,440.00

PROTEIN BLOOD $26.00

PROTEIN CSF $39.00

PROTEIN BODY FLUID $46.00

PROTEIN C ANTIGEN $59.00

PROTEIN C ACTIVITY $292.00

PROTEIN ELP $156.00

PROTEIN ELP,OTHER FLUIDS $178.00

PROTEIN QUANT UR $40.00

PROTEIN S FREE, SO $158.00

PROTEIN S TOTAL $514.00

PROTEIN S ANTIGEN, FREE $158.00

PROTEINASE 3 IGG ABY, SO $77.00

PROTHROMBIN G2021A MUT $304.00

PROTHROMBIN G2021A MUT $304.00

PROTHROMBIN TIME $54.00

PROTHROMBIN TIME;SCREEN $54.00

PROTOZOA ANTIBODY $110.00

PROXIMAL LATERAL HUMERUS PLATE FOR LEFT HUMERUS 10 HOLE / L1 $5,339.00

PROXIMAL LATERAL HUMERUS PLATE FOR LEFT HUMERUS 3 HOLE / L86 $4,627.00

PROXIMAL LATERAL HUMERUS PLATE FOR RIGHT HUMERUS 3 HOLE / L8 $4,627.00

PROXIMAL LATERAL HUMERUS PLATE FOR RIGHT HUMERUS 5 HOLE / L1 $4,627.00

PROXIMAL LATERAL HUMERUS PLATE FOR RIGHT HUMERUS 8 HOLE / L1 $5,339.00

PROXIMAL MEL TIBIA PLATE FOR LEFT TIBIA 5 HOLE / L84MM $3,982.00

PRQ CARD ANGIO/ARTHRECT 1 ART $31,149.00

PS TIBIAL BEARING SZ 3 10MM VIT E $2,032.00

PS TIBIAL BEARING SZ 3 12MM VIT E $2,032.00

PS TIBIAL BEARING SZ 3 9MM VIT E $2,032.00

PS TIBIAL BEARING SZ 4 10MM VIT E $2,032.00

PS TIBIAL BEARING SZ 4 11MM VIT E $2,032.00

PS TIBIAL BEARING SZ 4 12MM VIT E $2,032.00

PS TIBIAL BEARING SZ 4 14MM VIT E $2,032.00

PS TIBIAL BEARING SZ 4 8MM VIT E $2,032.00

PS TIBIAL BEARING SZ 4 9MM VIT E $2,032.00

PS TIBIAL BEARING SZ 5 10MM VIT E $2,032.00

PS TIBIAL BEARING SZ 5 11MM VIT E $2,032.00

PS TIBIAL BEARING SZ 5 12MM VIT E $2,032.00

PS TIBIAL BEARING SZ 5 14MM VIT E $2,032.00

PS TIBIAL BEARING SZ 5 8MM VIT E $2,032.00

Page 358: DESCRIPTION Price - Fairview

PS TIBIAL BEARING SZ 5 9MM VIT E $2,032.00

PS TIBIAL BEARING SZ 6 10MM VIT E $1,817.00

PS TIBIAL BEARING SZ 6 11MM VIT E $2,032.00

PS TIBIAL BEARING SZ 6 12MM VIT E $2,032.00

PS TIBIAL BEARING SZ 6 8MM VIT E $2,032.00

PS TIBIAL BEARING SZ 6 9MM VIT E $2,032.00

PS TIBIAL BEARING SZ 7 10MM VIT E $2,032.00

PS TIBIAL BEARING SZ 7 11MM VIT E $2,032.00

PS TIBIAL BEARING SZ 7 12MM VIT E $2,032.00

PS TIBIAL BEARING SZ 7 8MM VIT E $2,032.00

PS TIBIAL BEARING SZ 8 8MM VIT E $2,032.00

PSA DIAGNOSTIC $136.00

PSA FREE $136.00

PSA SCREENING $122.00

PSA,TOTAL, SO $155.00

PSEUDOCHOLINESTERASE $62.00

PSEUDOEPHEDRINE 30 MG TABLET $5.00

PSEUDOEPHEDRINE 30 MG/5 ML ORAL LIQUID $5.00

PSEUDOEPHEDRINE 60 MG TABLET $5.00

PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE $5.00

PSEUDOEPHEDRINE-IBUPROFEN 30 MG-200 MG TABLET $1.00

PSI SD800.418 PEEK IMP $24,450.00

PSI SD800.440 PEEK IMP $37,050.00

PSI SD800.534 PEEK IMP $34,470.00

PSN ASF UC 10MM PLY L 3-7CD $1,413.00

PSN ASF UC 10MM PLY L 7-12 GH $1,413.00

PSN ASF UC 10MM PLY L 9-12 J $1,413.00

PSN ASF UC 11MM PLY L 3-7CD $1,413.00

PSN ASF UC 11MM PLY L 7-12 GH $1,413.00

PSN ASF UC 11MM PLY L 9-12 J $1,413.00

PSN ASF UC 12MM PLY L 3-7CD $1,413.00

PSN ASF UC 12MM PLY L 7-12 GH $1,413.00

PSN ASF UC 12MM PLY L 9-12 J $1,413.00

PSN ASF UC 13MM PLY L 3-7CD $1,413.00

PSN ASF UC 13MM PLY L 4-11 EF $1,413.00

PSN ASF UC 13MM PLY L 7-12 GH $1,413.00

PSN ASF UC 13MM PLY L 9-12 J $1,413.00

PSN ASF UC 14MM PLY L 4-11 EF $1,413.00

PSN ASF UC 14MM PLY L 7-12 GH $1,413.00

PSN ASF UC 14MM PLY L 9-12 J $1,413.00

PSN ASF UC 16MM PLY L 3-7CD $1,413.00

PSN ASF UC 16MM PLY L 4-11 EF $1,413.00

PSN ASF UC 16MM PLY L 9-12 J $1,413.00

PSN ASF UC 18MM PLY L 3-7CD $1,413.00

PSN ASF UC 18MM PLY L 4-11 EF $1,413.00

PSN ASF UC 18MM PLY L 7-12 GH $1,413.00

PSN ASF UC 18MM PLY L 9-12 J $1,413.00

Page 359: DESCRIPTION Price - Fairview

PSN ASF UC 20MM PLY L 3-7CD $1,413.00

PSN ASF UC 20MM PLY L 4-11 EF $1,413.00

PSN ASF UC 20MM PLY L 7-12 GH $1,413.00

PSN ASF UC 20MM PLY L 9-12 J $1,413.00

PSN FEM CR POR CCR STD SZ11 L $8,125.00

PSN FEM CR POR CCR STD SZ11 R $8,125.00

PSN TIB POR 2 PEG SZ C L $4,250.00

PSN TIB POR 2 PEG SZ C R $4,250.00

PSN TIB POR 2 PEG SZ D L $4,250.00

PSN TIB POR 2 PEG SZ D R $4,250.00

PSN TIB POR 2 PEG SZ E L $4,250.00

PSN TIB POR 2 PEG SZ E R $4,250.00

PSN TIB POR 2 PEG SZ F L $4,250.00

PSN TIB POR 2 PEG SZ F R $4,250.00

PSN TIB POR 2 PEG SZ G L $4,250.00

PSN TIB POR 2 PEG SZ G R $4,250.00

PSN TIB POR 2 PEG SZ H L $4,250.00

PSN TIB POR 2 PEG SZ H R $4,250.00

PSN TIB POR 2 PEG SZ J L $4,250.00

PSN TIB POR 2 PEG SZ J R $4,250.00

PSYC/NEUROPSYCH, 2 OR MORE TESTS, FIRST 30 MIN $390.00

PSYCH DIAG EVAL $582.00

PSYCH DIAG EVAL W/O MED SERV $544.00

PSYCH OR NEUROPSYCH, 2 OR MORE TESTS, EA ADDT'L 30 MINUTES $262.00

PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES $366.00

PSYCHOTHERAPY 16-37 MIN $331.00

PSYCHOTHERAPY 38-52 MIN $534.00

PSYCHOTHERAPY 45 MIN $534.00

PSYCHOTHERAPY 53+ MIN $712.00

PSYCHOTHERAPY 60 MIN $712.00

PSYCOTHERAPY 30 MIN $331.00

PSYLLIUM HUSK (ASPARTAME) 3.4 GRAM ORAL POWDER PACKET $5.00

PSYLLIUM HUSK 0.52 GRAM CAPSULE $5.00

PT CANALITH REPOSITIONING PROCEDURE, PER DAY $223.00

PT GROUP THERAPEUTIC PROCEDURES $214.00

PT HIGH COMPLEXITY EVALUATION IP $285.00

PT HIGH COMPLEXITY EVALUATION OP $285.00

PT INHIBITOR SCREEN $119.00

PT LOW COMPLEXITY EVALUATION $233.00

PT LOW COMPLEXITY EVALUATION OP $233.00

PT MODERATE COMPLEXITY EVALUATION IP $273.00

PT MODERATE COMPLEXITY EVALUATION OP $273.00

PT ORTHOTICS/PROSTH MGMT /TRAING SBSQ ENCTR, EA 15 MIN $150.00

PT RE-EVALUATION IP $157.00

PT RE-EVALUATION OP $157.00

PT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES $150.00

PT TEST MEASUREMENT EA 15 MIN $151.00

Page 360: DESCRIPTION Price - Fairview

PT THERAPEUTIC EXERCISES $149.00

PT ULTRASOUND THERAPY $149.00

PT VASOPNEUM DEVICE THERAPY $95.00

PT WOUND CARE CONSULT 31-60 MINS $357.00

PT WOUND CARE CONSULT 61-90 MINS $406.00

PT WOUND CARE CONSULT UP TO 30 MINS $288.00

PTA EA ADDL BRANCH $18,024.00

PTA ILIAC EA ADDL $12,568.00

PTA MAJ COR VESSEL/BRANCH $14,736.00

PTA TIB (PER EA ADDL) $11,906.00

PTA TIB INITIAL $25,729.00

PTA/INTRACRANIAL (SURG) $4,561.00

PTA/VASO/ADDL VESS/SAME FAM $1,420.00

PTH RELATED PEPTIDE $400.00

PTT $57.00

PTT SUBSTITUTION $64.00

PTT AND DRVVT SCREEN $101.00

PTT;SCREEN $57.00

PTT-LA MIX $64.00

PUCT/ASPIR BREAST CYST,EACH ADDN $380.00

PULM FUNCT TST PLETHYSMOGRAP $433.00

PULMONARY STRESS TESTING $291.00

PULMONARY/BILAT-SELECTIVE $7,650.00

PULMONARY/UNILAT-SELECTIVE $7,650.00

PUMP CNTRFGL BIOPMP + 3/8INX 95201 $1,391.00

PUMP PAIN INFUSION ON-Q 270ML 5ML/HR P270X5 $1,409.00

PUMP PAIN ON-Q PM012 ORTHO SOAK 2.5 CATH $1,299.00

PUMP PAIN ON-Q PM015 270ML 2ML/HR PM015 $1,794.00

PUMP PAIN ON-Q PM024 BARIAT SOAKER PM024 $1,992.00

PUMP TITAN SCROTAL 16CM $24,333.00

PUMP TITAN SCROTAL 18CM ES2918 $24,433.00

PUMP TITAN SCROTAL 20CM ES2920 $24,433.00

PUMP TITAN SCROTAL 22CM ES2922 $24,433.00

PUNC/ASPIR BREAST CYST $1,406.00

PUNCH ASCP BSKT LPRO UP BITE 012014 $3,247.00

PUNCH BIOPSY OF SKIN, EA SEPARATE/ADDL LESION $306.00

PUNCH BIOPSY OF SKIN, FIRST LESION $543.00

PUNCH SRG 5MM BCRKSCR AR-1920PB $425.00

PUNCTURE ASP HEMATOMA $759.00

PUNCTURE DRAINAGE OF LESION $759.00

PUSHER KNOT FINGER ARTHREX W/SU PASSER AR-1930S $1,000.00

PUSHER KNOT SU CUTTER ULTRA FAST FIX MENISCAL 360 72202674 $376.00

PUTTY FIBERGRAFT BG 11CC $7,000.00

PYRAZINAMIDE 500 MG TABLET $21.00

PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION $50.00

PYRIDOSTIGMINE BROMIDE 60 MG TABLET $5.00

PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP $6,132.00

Page 361: DESCRIPTION Price - Fairview

PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE $126.00

PYRIDOXINE (VITAMIN B6) 100 MG TABLET $5.00

PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION $50.00

PYRIDOXINE (VITAMIN B6) 25 MG TABLET $5.00

PYRIDOXINE (VITAMIN B6) 50 MG TABLET $5.00

PYRIMETHAMINE 25 MG TABLET $3,260.00

PYRITHIONE ZINC 0.25 % TOPICAL SPRAY $81.00

PYRUVATE $111.00

QST 278 - TAVR $60,000.00

QUAD SCREEN, 2ND TRI $517.00

QUETIAPINE 100 MG TABLET $5.00

QUETIAPINE 200 MG TABLET $5.00

QUETIAPINE 25 MG TABLET $5.00

QUETIAPINE 300 MG TABLET $5.00

QUETIAPINE 50 MG TABLET $5.00

QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR $5.00

QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR $20.00

QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR $5.00

QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR $41.00

QUINAPRIL 20 MG TABLET $5.00

QUINIDINE $55.00

QUINIDINE GLUCONATE 80 MG/ML INJECTION SOLUTION $89.00

QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE $18.00

QUINIDINE SULFATE 200 MG TABLET $5.00

QUININE 324 MG CAPSULE $29.00

QUINUPRISTIN-DALFOPRISTIN 500 MG INTRAVENOUS SOLUTION $1,763.00

R HEAD LONG STANDARD RIM PLATE $3,612.00

R&B ACUTE INTERMEDIATE CARE $3,906.00

R&B BRAIN INJURY $2,497.00

R&B BRAIN INJURY WITH ATTENDANT $3,270.00

R&B CCU $4,297.00

R&B CD DAILY $3,896.00

R&B CHEST PAIN PRIVATE $3,910.00

R&B CHEST PAIN SEMI PRIVATE $3,910.00

R&B CLOSED DAILY $3,825.00

R&B COMPLEX MEDICAL CARE $3,837.00

R&B COMPLEX MEDICAL CARE WITH ATTENDANT $4,898.00

R&B DETOX DAILY $3,896.00

R&B EXEMPT MENTAL HEALTH PRIVATE $3,825.00

R&B EXEMPT MENTAL HEALTH SEMI-PRIVATE $3,896.00

R&B HIGH ACUITY ICU $11,573.00

R&B HOSPICE DAILY $1,119.00

R&B ICU $11,573.00

R&B LABOR ICU $3,906.00

R&B LEVEL 2 NURSERY $8,037.00

R&B LEVEL 3 NURSERY $9,165.00

R&B LEVEL 4 NURSERY $11,916.00

Page 362: DESCRIPTION Price - Fairview

R&B MEDICAL BEHAVORIAL SEMIPRIVATE DAILY $3,896.00

R&B NEWBORN CARE & MONITORING DAILY $2,035.00

R&B PEDIATRIC $6,650.00

R&B PRIVATE DAILY $3,906.00

R&B REHAB DAILY $2,653.00

R&B RESPIRATORY CARE $4,127.00

R&B RESPIRATORY CARE WITH ATTENDANT $4,607.00

R&B SEMI PRIVATE DAILY $3,906.00

R&B SEMI-PRIVATE RESPIRATORY CARE $8,522.00

R&B TELEMETRY $4,296.00

RA TEST QUANT $47.00

RA/RV VENTRICULOGRAM $847.00

RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE $11.00

RABIES ABY, SO $217.00

RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION $1,280.00

RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION $3,087.00

RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP $327.00

RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION $642.00

RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION $5.00

RACK SLD TSTK 24 PL 4465 $48.00

RACK TEST TUBE WIRE BLU 72 PLA $70.00

RAD CATH SOFT-VU OMNI FLUSH 5FRX65CM 10732203 $379.00

RAD GUIDED,PERCUT DRAINAGE,W/CATH PLACE $1,174.00

RAD INFLATOR BASIC COMPAK IN4130 $328.00

RAD KYPHOPAK TRAY FIRST FX ADDS 20/3 KPT2004 $4,855.00

RAD NDL TROCAR 18GAX15CM G00945 $36.00

RAD SET LIVER ACCESS ROZENBLIT-TIPS COR Q 19GAX60CM LABS-200 $1,055.00

RAD TUBE GASTROJEJUNOSTOMY 09FR W/G/W 000732 $414.00

RADEX SPINE CERVICAL 3 VIEWS OR LESS $378.00

RADIATION THERAPY,DOSIMETRY CALC $403.00

RADIATION TREATMENT DELIVERY, >1 MEV; COMPLEX $742.00

RADIATION TREATMENT DELIVERY, >1 MEV; INTERMEDIATE $564.00

RADIATION TREATMENT DELIVERY, >1 MEV; SIMPLE $463.00

RADIOACTIVE HANDLING & MONITOR $114.00

RADIOLOGIC EXAM ABDOMEN 1 VIEW $252.00

RADIOLOGIC EXAM ABDOMEN 2 VIEWS $297.00

RADIOLOGIC EXAM ABDOMEN 3 OR MORE VIEWS $298.00

RADIOLOGY PORT FILM(S) $207.00

RADIOPHARM RX-BY IV ADMIN PCV $790.00

RADN PHYSICS CONSULT CONTINUING $721.00

RADN PHYSICS CONSULT SPECIAL $919.00

RADN TREATMENT AID(S) COMPLX $1,043.00

RAIL ADULT 350MM $4,548.00

RAIL XS 20CM $3,283.00

RAL STYLOID PLATE DISTAL RADIUS 5H $994.00

RALOXIFENE 60 MG TABLET $29.00

RALTEGRAVIR 400 MG TABLET $114.00

Page 363: DESCRIPTION Price - Fairview

RAMELTEON 8 MG TABLET $64.00

RAMIPRIL 1.25 MG CAPSULE $5.00

RAMIPRIL 5 MG CAPSULE $5.00

RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION $5,020.00

RANITIDINE 15 MG/ML ORAL SYRUP $362.00

RANITIDINE 150 MG TABLET $5.00

RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR $31.00

RAPID GROWING MYCO BROTH MICRODILUTION MIC PANEL (AFBRG) $388.00

RAPID STREP $100.00

RARE REAGENT CELLS, THAW - REF LAB $276.00

RASAGILINE 0.5 MG TABLET $113.00

RASAGILINE 1 MG TABLET $113.00

RASBURICASE 1.5 MG INTRAVENOUS SOLUTION $3,769.00

RASP GLND SHLDR AR-1312 $863.00

RAVULIZUMAB-CWVZ 300 MG/30 ML (10 MG/ML) INTRAVENOUS SOLUTION $27,836.00

RBC L/R WASHED IR 1 UNIT $1,661.00

RBC SEPARATION-REF LAB $225.00

RBC-AUTOMATED $50.00

REAMER 10MM CANN HD SU EYE AR-1410 $565.00

REAMER 11MM CANN HD SU EYE AR-1411 $565.00

REAMER 12MM CANN HD STRL AR-1412 $565.00

REAMER 5.5MM CANN HD STRL AR-1405.5 $538.00

REAMER 6.5MM CANN HD STRL AR-1406.5 $538.00

REAMER 7MM CANN STRL AR-1407 $538.00

REAMER 8MM CANN HD STRL AR-1408 $538.00

REAMER 9MM CANN HD STRL AR-1409 $538.00

REAMER ARTHREX CORING 7.0MM AR-1220S $513.00

REAMER ARTHREX CORING 10MM AR-1224S $513.00

REAMER ARTHREX CORING 8.0MM AR-1222S $513.00

REAMER ARTHREX CORING 9.0MM AR-1223S $513.00

REAMER ARTHREX LOW PROFILE 10MM AR-1410LP $488.00

REAMER ARTHREX LOW PROFILE 7MM AR-1407LP $488.00

REAMER ARTHREX LOW PROFILE 8.5MM AR-1408LP-50 $488.00

REAMER ARTHREX LOW PROFILE 8MM AR-1408LP $488.00

REAMER ARTHREX LOW PROFILE 9MM AR-1409LP $488.00

REAMER ARTHREX METATARSAL 20MM AR-8944MR-20 $1,125.00

REAMER ARTHREX METATARSAL 22MM AR-8944MR-22 $1,125.00

REAMER ARTHREX PHALANGEAL 20MM AR-8944PR-20 $1,125.00

REAMER ARTHREX PHALANGEAL 22MM AR-8944PR-22 $1,125.00

REAMER ARTHREX PILOTED HEAD 6.0MM AR-1450 $513.00

REAMER ARTHREX PILOTED HEAD 7.5MM AR-1453 $513.00

REAMER ARTHREX PILOTED HEAD 7MM AR-1452 $513.00

REAMER SURGICAL ARTHROSCOPIC 6.5MM FEMORAL TUNNEL LOW-PRO $488.00

RECHARGER PATIENT $3,688.00

RECON TALON REDUCTION FORCEPS $2,598.00

RECOVERY ADDL HOUR $377.00

RED CELL CROSSMATCH, 37 INCUB - REF LAB $76.00

Page 364: DESCRIPTION Price - Fairview

RED CELL CROSSMATCH,IS - REF LAB $212.00

RED CELL PANEL, 1-12 CELLS - REF LAB $326.00

REDAPT ANTE CMT XL PE LNE 28MM X 52MM $3,228.00

REDUCING SUBSTANCE URINE $43.00

REF CONSULT W SLIDE PREP $427.00

REFILL/MAINT, PORTABLE PUMP $593.00

REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE $1,056.00

REM ENDOVAS VENA CAVA FILTER $7,751.00

REM FB EYE CORNEAL W/SLIT LAMP $331.00

REM FB FOOT; SQ $2,817.00

REM IMPL CONTRACEP CAPS $2,305.00

REM/RPL ICD GEN DUAL LEAD PROC $59,836.00

REM/RPL ICD GEN MULT LEAD PROC $82,270.00

REM/RPL ICD GEN SING LEAD PROC $59,836.00

REMIFENTANIL 2 MG INTRAVENOUS SOLUTION $533.00

REMIFENTANIL 5 MG INTRAVENOUS SOLUTION $1,134.00

REMOV EMBEDDED FB EYELID $729.00

REMOV FACE LESION .5CM OR LES $2,637.00

REMOV FACE LESION .6-1.0CM $1,432.00

REMOV FACE LESION 3.1-4.0CM $3,081.00

REMOV FACE LESION .5CM OR LESS $1,339.00

REMOV FB EXT EYE CONJUNCTIVAL $257.00

REMOV FB EYE CONJUNCTIVAL EMB $808.00

REMOV FB EYE CORNEAL $396.00

REMOV FB SHOULDER SUBCUTANEOUS $2,637.00

REMOVAL BILIARY DUCT AND/OR GALLBLADDER CALCULI, PERCUTANEOUS $5,018.00

REMOVAL CERCLAGE SUTURE W OR WO ANESTHESIA $5,818.00

REMOVAL FB COMPLEX $4,138.00

REMOVAL FB FOOT SUBCUTANEOUS $2,817.00

REMOVAL FB SIMPLE $839.00

REMOVAL FB FROM EAR W/O ANESTH $311.00

REMOVAL FB INTRANASAL $874.00

REMOVAL FB MUSCLE/TENDON DEEP $4,124.00

REMOVAL FB MUSCLE/TENDON SIMPL $2,994.00

REMOVAL FOREIGN BODY FOOT COMP $3,577.00

REMOVAL FOREIGN BODY FOOT DEEP $3,577.00

REMOVAL FOREIGN BODY PHARYNX $689.00

REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE $100.00

REMOVAL INTRAUTERINE DEVICE $902.00

REMOVAL OF ARM FOREIGN BODY $3,553.00

REMOVAL OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS, REQUIRING FLUORO GUIDANCE $2,680.00

REMOVAL OF HEMORRHOID CLOT $5,662.00

REMOVAL OF IMPLANT SUPERFICIAL $3,943.00

REMOVAL OF NAIL PLATE EA ADDTL $194.00

REMOVAL OF NAIL PLATE INITIAL $450.00

REMOVAL OF SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR ELECTRODE $7,632.00

REMOVAL SKIN LESION .5 CM OR L $2,871.00

Page 365: DESCRIPTION Price - Fairview

REMOVAL SKIN LESION .5CM OR LE $1,339.00

REMOVAL SKIN LESION .6CM-1.0CM $1,254.00

REMOVAL SKIN LESION .6CM-1.0CM $2,817.00

REMOVAL SKIN LESION 1.1-2.0CM $2,871.00

REMOVAL SKIN LESION 1.1CM-2CM $1,339.00

REMOVAL SKIN LESION OVER 4.0CM $3,943.00

REMOVAL SKIN TAGS ANY AREA <16 $470.00

REMOVAL THIGH LESION SUBCUTANE $4,124.00

REMOVE DRUG IMPLANT DEVICE $516.00

REMOVE FB UPPER ARM ELBOW SUBQ $3,553.00

REMOVE FOREIGN BODY DEEP $3,959.00

REMOVE FULL ARM OR LEG CAST $657.00

REMOVE IMPACTED CERUMEN $100.00

REMOVE TNL CV CATH $1,977.00

REMOVE VAD DIFFERENT SESSION $164.00

REMOVE&REPLACE PM GEN SINGL $20,547.00

REMOVE/INSERT DRUG IMPLANT $460.00

REMOVE/REPAIR/BIVALVE CAST $541.00

REMV&REPLC PM GEN DUAL LEAD $25,267.00

REMV&REPLC PM GEN MULT LEADS $43,048.00

RENAL BIOPSY - E.M. COMPLETE $545.00

RENAL BIOPSY - EACH ADD'L ABY - HCMC $177.00

RENAL BIOPSY - EACH ADD'L ABY - MAYO $177.00

RENAL BIOPSY - GROSS/ MICRO $66.00

RENAL BIOPSY - INITIAL ABY - HCMC $116.00

RENAL BIOPSY - INITIAL ABY - MAYO $359.00

RENAL BIOPSY - SPECIAL STAIN $32.00

RENAL BX EM COMP MAYO $545.00

RENAL BX SP STAIN-MAYO $108.00

RENAL CYST STUDY/ASP-BILAT $3,072.00

RENAL FUNCTION PROFILE $219.00

RENAL/VENOUS/BILAT/SELECTIVE $7,650.00

RENAL/VENOUS/UNILAT/SELECTIVE $7,650.00

RENIN $144.00

RENIN SAMPLING-EACH ORGAN $9,471.00

RENOGRAM W/PHARM INTERV-SINGLE $1,724.00

RENOGRAM WITH MAG 3 $1,243.00

REPAGLINIDE 0.5 MG TABLET $31.00

REPAGLINIDE 1 MG TABLET $15.00

REPAGLINIDE 2 MG TABLET $8.00

REPAIR BLOOD VESSEL DIR LOW EX $5,428.00

REPAIR BLOOD VESSEL LESION $9,200.00

REPAIR COMP EYE 1.1-2.5CM $1,438.00

REPAIR COMP FOREHEAD 1.1-2.5CM $1,009.00

REPAIR COMP FOREHEAD 2.6-7.5CM $1,353.00

REPAIR COMP FOREHEAD ADD'L 5CM $681.00

REPAIR COMPL EYE 2.6-7.5CM $1,307.00

Page 366: DESCRIPTION Price - Fairview

REPAIR COMPL EYE ADD'L 5CM $632.00

REPAIR COMPLEX SCALP 1.1-2.5CM $1,196.00

REPAIR COMPLEX SCALP 2.6-7.5CM $1,254.00

REPAIR COMPLEX SCALP ADD'L 5CM $592.00

REPAIR COMPLEX TRUNK 1.1-2.5CM $2,484.00

REPAIR COMPLEX TRUNK 2.6-7.5CM $1,395.00

REPAIR COMPLEX TRUNK-ADDL 5CM $834.00

REPAIR EXTENSOR TENDON FINGER $4,609.00

REPAIR EXTENSOR TENDON HAND $4,809.00

REPAIR FLEXOR TENDON W/GRAFT $6,703.00

REPAIR FLEXOR TENDON W/O GRAFT $6,476.00

REPAIR INT FACE 12.6-20 CM $817.00

REPAIR INT FACE 2.6-5.0 CM $792.00

REPAIR INT FACE 20.1-30 CM $1,509.00

REPAIR INT FACE 5.1-7.5 CM $792.00

REPAIR INT FACE 7.6-12.5 CM $776.00

REPAIR INT FACE OVER 30.0 CM $1,920.00

REPAIR INT NK ETC 12.6-20CM $976.00

REPAIR INT NK ETC 2.6-7.5CM $792.00

REPAIR INT NK ETC 20.1-30.0CM $1,373.00

REPAIR INT NK ETC 7.6-12.5CM $927.00

REPAIR INT NK ETC OVER 30CM $2,010.00

REPAIR INT NK ETC UP TO 2.5CM $761.00

REPAIR INTER FACE UP TO 2.5CM $792.00

REPAIR INTERM WOUND 12.6-20 CM $1,250.00

REPAIR INTERM WOUND 2.6-7.5CM $792.00

REPAIR INTERM WOUND 20.1-30 CM $1,250.00

REPAIR INTERM WOUND 7.6-12.5CM $727.00

REPAIR INTERM WOUND OVER 30 CM $3,837.00

REPAIR INTERM WOUND UP TO 2.5C $761.00

REPAIR LAC TONGUE ANTERIOR $655.00

REPAIR LAC TONGUE OVER 2.6 CM $1,922.00

REPAIR LAC TONGUE POSTERIOR $908.00

REPAIR LIP FT; > 1/2 V HGT OR $2,452.00

REPAIR LIP FULL THICK VERM ONL $1,922.00

REPAIR LIP, FULL THICKNESS; UP TO HALF VERTICAL HEIGHT $1,922.00

REPAIR PALATE LACERATION <2 CM $1,122.00

REPAIR PROFUNDUS TENDON $6,703.00

REPAIR TENDON/MUSCLE ARM/ELBOW $8,439.00

REPAIR TENDON/MUSCLE- FOREARM/WRIST, PRIMARY $8,405.00

REPAIR VAGINA/PERINEUM $5,564.00

REPAIR VESSEL HAND FINGER $11,312.00

REPLACE AORTIC VALVE; OPEN AXILLARY ARTERY APPROACH $54,171.00

REPLACE AORTIC VALVE; OPEN FEMORAL ARTERY APPROACH $54,171.00

REPLACE AORTIC VALVE; OPEN ILIAC ARTERY APPROACH $54,171.00

REPLACE AORTIC VALVE; PERQ FEMORAL ARTERY APPROACH $35,016.00

REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS $2,021.00

Page 367: DESCRIPTION Price - Fairview

REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS $2,000.00

REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS $2,117.00

REPLACEMENT VENOUS CATHETER $2,524.00

REPLANTATION DIGIT TIP TO ST $6,156.00

REPOSITION GASTRIC FEEDING TUBE THRU DUODENUM $1,805.00

REPOSITIONING OF PREVIOUSLY IMPLANTABLE SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR ELECTRODE $7,632.00

REPRO CRVD SHR SCSR HNDL AND H $1,438.00

RESERVOIR CELL SAVING BLOOD COLLECTION EL2120 $618.00

RESERVOIR CONCEAL FLAT 100ML IZ $6,575.00

RESERVOIR TITAN CL ER8125 $5,365.00

RESERVOIR VENTRICULAR CSF 28MM BOTTOM $896.00

RESERVOIR VENTRICULAR CSF 28MM SIDE $896.00

RESPIRATOR MOTION MGMT SIMUL $2,449.00

RESPIRATORY VIRUS PROFILE, PCR $1,262.00

RESTRAINT CUFF ANKLE LOCKING T $119.00

RESTRAINT CUFF WRIST LOCKING T $119.00

RESTRAINT XTRMT 18X13IN FRDM 8168M $28.00

RESTRAINT XTRMT CLSD ENDS PROT 2816 $33.00

RESTRICTOR BONE CEMENT 18.5MM SM UNIV W/INSERTER $125.00

RESTRICTOR CEMENT 18.5MM 5461-10-000 $1,750.00

RESTRICTOR CEMENT 25MM 5461-12-000 $1,750.00

RESTRICTOR CEMENT ABSRBL BIO STP 10MM $175.00

RESTRICTOR CEMENT ABSRBL BIO STP 12MM $175.00

RESTRICTOR CEMENT ABSRBL BIO STP 14MM $175.00

RESTRICTOR CEMENT ABSRBL BIO STP 16MM $175.00

RESTRICTOR CEMENT ABSRBL BIO STP 18MM $175.00

RESTRICTOR CEMENT ABSRBL BIO STP 8MM $175.00

RESTRICTOR CEMENT W/NOZZEL 1-16 1-25MM $618.00

RET CAM EXAM $712.00

RETICULOCYTE COUNT-AUTOMATED $64.00

RETR 4IN HEISS SHRP ATO 4X4 PR SU3145 $103.00

RETR 6IN RGNL DELCT DBL END LF 410-220 $45.00

RETR 8.75IN OBWGSR CRV NSL 01-0107 $383.00

RETR 8.75IN OBWGSR RAMUS 01-0106 $383.00

RETR 8.75IN OBWGSR TOE DN 01-0095 $498.00

RETR 8.75IN OBWGSR TOE DN 01-0096 $383.00

RETR 8.75IN OBWGSR TOE DN 01-0097 $498.00

RETR 8.75IN OBWGSR TOE DN 01-0098 $383.00

RETR 8.75IN OBWGSR TOE DN 01-0099 $498.00

RETR 8.75IN OBWGSR TOE UP 01-0102 $383.00

RETR 8.75IN OBWGSR TOE UP 01-0103 $383.00

RETR 8.75IN OBWGSR TOE UP 01-0104 $498.00

RETR ALEXIS 02-4CM XSM C8312 $400.00

RETR ALEXIS 05-9CM MED C8302 $400.00

RETR ALEXIS 2.5-6CM SM C8301 $400.00

RETR ALEXIS WOUND PROTECTOR XL C8404 $775.00

RETR C-SECTION ALEXIS 09-14CM G6313 $613.00

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RETR C-SECTION ALEXIS 11X17CM G6314 $775.00

RETR ELASTIC STAYS LONE STAR SHARP 5MM 8/PACK 3311-8G $151.00

RETR ELEV / UTERINE MANIPULATOR V-CARE LG CUP 60-6085-202A $1,424.00

RETR ELEV / UTERINE MANIPULATOR V-CARE MED CUP 60-6085-201A $1,424.00

RETR ELEV / UTERINE MANIPULATOR V-CARE SM CUP 60-6085-200A $1,423.00

RETR METRIX 6CMX18MM 9569816 $568.00

RETR MICRODISCECTOMY MEDT TUBULAR 22X7CM DISP 9560707 $526.00

RETR PANNICULUS TRAXI FOR PT POSITIONING PRS-1030 $1,249.00

RETR PENILE PROSTHESIS 72403867 $1,053.00

RETR PENILE WILSON XL 12" TLC-5042-M $740.00

RETR RING LONE STAR 14.1X14.1CM 3307G $151.00

RETR RING LONE STAR 28.3X18.3CM W/CATH CLIPSX2 3308G $151.00

RETR SPINE MEDT TUBULAR METRX DISP 22MMX6CM 9560706 $526.00

RETR SPINE METRX 18MMX5CM 9561815 $527.00

RETR SPINE METRX 18MMX6CM 9561816 $527.00

RETR VISCERA FISH MED 3204 $658.00

RETRACTOR DISP W/CATH CLIP 32.5CMX18.3CM $151.00

RETRACTOR ORTHOPEDIC HOHMANN 15MMW $163.00

RETRACTOR WOUND O ALEXIS L 9-14CM C8403 $613.00

RETRACTOR WOUND PROTECTOR SMALL $1,988.00

RETRIEVER SU CROCHET HK SHLDR AR-5008H $400.00

RETROCUTTER ARTHREX 10MM AR-1204R-10S $488.00

RETROCUTTER ARTHREX 7MM AR-1204R-07S $488.00

RETROGRADE FEMUR STRAIGHT 11.5MM X 360MM 7/10CM ST $62,500.00

RETROGRADE URETEROGRAM - XRAY $1,134.00

REVASCULARIZATION OPEN OR PERCUTANEOUS TIBIAL PERONEAL ARTERY EACH ADDL VESSEL W/ATHERECTOMY $26,274.00

REVASCULARIZATION OPEN OR PERCUTANEOUS TIBIAL PERONEAL ARTERY W/ TRANSLUMINAL STENT PLACEMENT $39,217.00

REVASCULARIZATION TIBIAL PERONEAL ARTERY INITIAL W/TRANSLUMINAL STENT PLCMNT ATHERECTOMY $39,838.00

REVASCULARIZATION, OPEN OR PERCUTANEOUS, TIBIAL, PERONEAL ARTERY; WITH ATHERECTOMY $39,217.00

REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY $15,153.00

REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY/STENT $26,176.00

REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY, INITIAL VESSEL $15,215.00

REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY/STENT, EA ADD VESSEL $12,999.00

REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY/STENT, INITIAL VESSEL $26,283.00

REVISION PINNACLE DEEP W/ GRIPTION 54MM $6,765.00

REVISION PINNACLE DEEP W/ GRIPTION 58MM $6,765.00

REVISION PINNACLE DEEP W/ GRIPTION 62MM $6,765.00

REVISION PINNACLE DEEP W/ GRIPTION 64MM $6,765.00

REVISION PINNACLE DEEP W/ GRIPTON 60MM $6,765.00

RF C/TH FACET JNT NRV EA ADDTL $1,418.00

RF C/TH FACET JNT NRV SGL LEV $3,943.00

RF C/TH FCT JNT NRV SGL LEV $3,943.00

RF FACET JNT N LUMB E/ADTL LEV $1,507.00

RF FACET JNT NRV LUMB SGL LEV $5,202.00

RGT HYDGL 4 IFE 40 TST 204.665 $2,020.00

RH BLOOD TYPE-REF LAB $91.00

RH PHENOTYPE-REF LAB $237.00

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RHC $8,597.00

RHC/CA $8,597.00

RHC/CA/GRAFTS $9,051.00

RHD/RHCE GENOTYPE $750.00

RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE $513.00

RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE $697.00

RHO(D) IMMUNE GLOBULIN 250 UNIT (50 MCG) INTRAMUSCULAR SYRINGE $240.00

RIA TUBE ASSY MIN 360MM LENGTH FO $874.00

RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION $95,384.00

RIBOFLAVIN (VITAMIN B2) $458.00

RIBOFLAVIN (VITAMIN B2) 100 MG TABLET $5.00

RIBS BILAT INC CXR > 3 VIEWS $627.00

RIBS BILATERAL 3 VIEWS $297.00

RIBS UNILAT INC CXR MORE THAN $399.00

RIBS UNILATERAL 2 VIEWS $300.00

RIFABUTIN 150 MG CAPSULE $138.00

RIFAMPIN 150 MG CAPSULE $6.00

RIFAMPIN 300 MG CAPSULE $5.00

RIFAMPIN 600 MG INTRAVENOUS SOLUTION $670.00

RIFAXIMIN 200 MG TABLET $90.00

RIFAXIMIN 550 MG TABLET $62.00

RILPIVIRINE 25 MG TABLET $162.00

RILUZOLE 50 MG TABLET $49.00

RIMABOTULINUMTOXINB 5,000 UNIT/ML INTRAMUSCULAR SOLUTION $1,263.00

RIMANTADINE 100 MG TABLET $11.00

RIMEXOLONE 1 % EYE DROPS,SUSPENSION $637.00

RING ACETABULAR BANTAM 62MM HIP DYNAMIC LOCKING DURALOC $557.00

RING ANNULOPLASTY CONT 3D TRICUSPID 26MM $4,625.00

RING ANNULOPLASTY CONT 3D TRICUSPID 28MM $4,625.00

RING ANNULOPLASTY CONT 3D TRICUSPID 30MM $4,625.00

RING ANNULOPLASTY CONT 3D TRICUSPID 32MM $4,625.00

RING ANNULOPLASTY CONT 3D TRICUSPID 34MM $5,000.00

RING ANNULOPLASTY CONT 3D TRICUSPID 36MM $4,625.00

RING ANNULOPLASTY PROFILE 3D RIGID 24MM $4,375.00

RING ANNULOPLASTY PROFILE 3D RIGID 26MM $4,375.00

RING ANNULOPLASTY PROFILE 3D RIGID 28MM $4,375.00

RING ANNULOPLASTY PROFILE 3D RIGID 30MM $4,375.00

RING ANNULOPLASTY PROFILE 3D RIGID 32MM $4,375.00

RING ANNULOPLASTY PROFILE 3D RIGID 34MM $4,375.00

RING ANNULOPLASTY PROFILE 3D RIGID 36MM $4,375.00

RING ANNULOPLASTY PROFILE 3D RIGID 38MM $4,375.00

RING ANNULOPLASTY PROFILE 3D RIGID 40MM $4,375.00

RING EXTERNAL FIXATION FULL 210MM ID CARBON HOLEX5 F/FOOT & $4,962.00

RING EXTERNAL FIXATION OPEN 210MM ID CARBON HOLEX4 F/FOOT & $4,255.00

RING EXTERNAL FIXATION SEGMENT 210MM ID CARBON F/FOOT & ANKL $3,268.00

RING FULL DIA 180MM CARBON $4,504.00

RING LOCK DURALOC DYNAMIC 50MM 124950000 $557.00

Page 370: DESCRIPTION Price - Fairview

RING LOCK DURALOC DYNAMIC 52MM $557.00

RING LOCK DURALOC DYNAMIC 56MM $557.00

RING LOCK DURALOC DYNAMIC 64MM $557.00

RING RINGLOC+ REPLACEMENT SZ 21 $390.00

RINGER'S INTRAVENOUS SOLUTION $70.00

RINGER'S IRRIGATION SOLUTION $70.00

RISPERIDONE 0.25 MG TABLET $5.00

RISPERIDONE 0.5 MG DISINTEGRATING TABLET $35.00

RISPERIDONE 0.5 MG TABLET $5.00

RISPERIDONE 1 MG DISINTEGRATING TABLET $11.00

RISPERIDONE 1 MG TABLET $5.00

RISPERIDONE 1 MG/ML ORAL SOLUTION $5.00

RISPERIDONE 2 MG DISINTEGRATING TABLET $8.00

RISPERIDONE 2 MG TABLET $5.00

RISPERIDONE 3 MG DISINTEGRATING TABLET $8.00

RISPERIDONE 3 MG TABLET $5.00

RISPERIDONE 4 MG TABLET $5.00

RISPERIDONE MICROSPHERES 12.5 MG/2 ML INTRAMUSCULAR SYRINGE $1,054.00

RISPERIDONE MICROSPHERES 25 MG/2 ML INTRAMUSCULAR SYRINGE $874.00

RISPERIDONE MICROSPHERES 37.5 MG/2 ML INTRAMUSCULAR SYRINGE $1,311.00

RISPERIDONE MICROSPHERES 50 MG/2 ML INTRAMUSCULAR SYRINGE $1,748.00

RISPERIDONE, SO $138.00

RISTOCETIN COFACTOR $120.00

RITONAVIR 100 MG TABLET $42.00

RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS $4,084.00

RIVAROXABAN 10 MG TABLET $18.00

RIVAROXABAN 15 MG TABLET $12.00

RIVAROXABAN 2.5 MG TABLET $37.00

RIVAROXABAN 20 MG TABLET $9.00

RIVASTIGMINE 1.5 MG CAPSULE $5.00

RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH $99.00

RIVASTIGMINE 3 MG CAPSULE $8.00

RIVASTIGMINE 4.5 MG CAPSULE $6.00

RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH $99.00

RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH $99.00

RIZATRIPTAN 10 MG DISINTEGRATING TABLET $5.00

RIZATRIPTAN 10 MG TABLET $79.00

RIZATRIPTAN 5 MG DISINTEGRATING TABLET $27.00

RLHC/CA/LV $8,597.00

RLHC/CA/LV/GRAFTS $8,597.00

RLHC/LV $9,108.00

RMVL, SUBQ CARDIAC RHYTHM MONITOR $1,781.00

ROBERT JONES BANDAGE $262.00

ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION $50.00

ROD 11X250MM $958.00

ROD 11X300MM $983.00

ROD 11X350MM $983.00

Page 371: DESCRIPTION Price - Fairview

ROD 11X400MM $1,126.00

ROD 11X450MM $1,126.00

ROD 3.5-475MM CCM+ 420MM $1,837.00

ROD 3.5X100MM 7753900 $506.00

ROD 3.5X300MM 7750088 $675.00

ROD 3.5X350MM $677.00

ROD 5.5X100CM STRAIGHT $832.00

ROD 5.5X110MM STRAIGHT $832.00

ROD 5.5X120MM HEX STR $832.00

ROD AMENDIA SAVANNAH T-CRV NTCH 55MM 10706-055 $488.00

ROD AMENDIA SAVANNAH T-CRV NTCH 80MM $488.00

ROD CCM NS CURVE 4.75X40MM $394.00

ROD CCM NS CURVE 4.75X45MM $394.00

ROD CCM NS CURVE 4.75X50MM $394.00

ROD CCM SEXTANT 4.75 X 35MM $675.00

ROD CCM SEXTANT 4.75X65MM $675.00

ROD CCM SEXTANT 4.75X70MM $675.00

ROD CD HORIZON VOYAGER $675.00

ROD CONNECTING HOFFMANN II R8X250MM $737.00

ROD CURVED 5.5X60MM $488.00

ROD CURVED SEMICIRCULAR 11X220MM $1,250.00

ROD ES2 480MM $832.00

ROD EXTERNAL FIXATION 5MM 100MML CARBON FIBER CONNECTING $177.00

ROD FIBULA 3.6MM X 180MM $3,188.00

ROD GUIDE 3X950MM SMOOTH TIP 355.041S $350.00

ROD HEX STR 5.5X140MM $832.00

ROD HEX STR 5.5X150MM $832.00

ROD HEX STR 5.5X90MM $832.00

ROD HEX STRAIGHT 5.5MM X 30MM $832.00

ROD HEX STRAIGHT 5.5MM X 35MM $832.00

ROD MANTIS LNG HEX RADIUS 6X110MM $790.00

ROD MANTIS LNG HEX RADIUS 6X40MM $790.00

ROD MANTIS LNG HEX RADIUS 6X45MM $790.00

ROD MANTIS LNG HEX RADIUS 6X50MM $790.00

ROD MANTIS LNG HEX STR 6X70MM $790.00

ROD MANTIS LNG HEX STR 6X90MM $790.00

ROD MANTIS RAD 6X60MM $790.00

ROD MATRIX CURVED 5.5X30MM $663.00

ROD MATRIX CURVED 5.5X35MM $488.00

ROD MATRIX CURVED 5.5X50MM $663.00

ROD MRI CONNECTING 8X100MM 5028-8-100 $718.00

ROD MRI CONNECTING 8X150MM 5028-8-150 $718.00

ROD MRI CONNECTING 8X200MM 5028-8-200 $737.00

ROD MRI CONNECTING 8X300MM 5028-8-300 $759.00

ROD MRI CONNECTING 8X350MM 5028-8-350 $759.00

ROD MRI CONNECTING 8X400MM 5028-8-400 $778.00

ROD MRI CONNECTING 8X450MM 5028-8-450 $778.00

Page 372: DESCRIPTION Price - Fairview

ROD MRI CONNECTING 8X500MM 5028-8-500 $822.00

ROD MRI CONNECTING 8X65MM 5028-8-065 $718.00

ROD MRI SEMI CIRCULAR CRV 8X174 $853.00

ROD PERC PEEK 6.35X40MM $2,846.00

ROD PERC PEEK 6.35X55MM 7579055 $2,846.00

ROD PERC STR 4.75X120MM $675.00

ROD PERC STR 4.75X80MM $675.00

ROD PERC STR 4.75X90MM $675.00

ROD PREBENT 5.75X50MM $875.00

ROD PREBENT VITALLIUM 4.5X200MM $750.00

ROD PREBENT VITALLIUM 4.5X45MM $750.00

ROD PREBENT VITALLIUM 4.5X50MM $750.00

ROD PRECURVED 3.2X200 OC TI $506.00

ROD PRECURVED 3.5X200 $506.00

ROD PRECUT 3.5 X 200MM $506.00

ROD PRECUT 3.5 X 220MM ADJUSTABLE $2,981.00

ROD PRECUT 4.5CMX5.5MM $488.00

ROD PRECUT CONTOURED 55X5.5MM $506.00

ROD PRECUT VERTEX SELECT 3.5X20MM $506.00

ROD PRECUT VERTEX SELECT 3.5X30MM $506.00

ROD PRECUT VERTEX SELECT 3.5X60MM $506.00

ROD PRECUT VERTEX SELECT 3.5X80MM $506.00

ROD PRECUT VERTEX SELECT 3.5X80MM $506.00

ROD PRECUT VERTEX SELECT 3.5X85MM $506.00

ROD PRECUT VETEX SELECT 3.5X70MM $506.00

ROD RADIUS MAX RAD 5.5X100MM $790.00

ROD RADIUS MAX RAD 5.5X110MM $790.00

ROD RADIUS MAX RAD 5.5X120MM $790.00

ROD RADIUS MAX RAD 5.5X70MM $790.00

ROD RADIUS MAX RAD 5.5X80MM $790.00

ROD RADIUS RAD 5.5X100MM $395.00

ROD RADIUS RAD 5.5X120MM $395.00

ROD RADIUS RAD 5.5X35MM $395.00

ROD RADIUS RAD 5.5X40MM $395.00

ROD RADIUS RAD 5.5X60MM $395.00

ROD RADIUS RAD 5.5X80MM $395.00

ROD RADIUS RAD 5.5X90MM $395.00

ROD RADIUS SPINAL 5.5X120MM $790.00

ROD RADIUS SPINAL 5.5X400MM $790.00

ROD RADIUS VIT 5.5X120MM $831.00

ROD RADIUS VITALLIUM 5.5X600MM $831.00

ROD RDIUS SPINAL 5.5X120MM $790.00

ROD SAGITTAL 5.5X70MM $3,416.00

ROD SEXTANT 4.75X40MM $675.00

ROD SPINAL 5.5MM 130MML TITANIUM STRAIGHT HEX ES2 MERCUR $750.00

ROD SPINAL 5.5MM 160MML TITANIUM STRAIGHT HEXAGONAL RADI $1,000.00

ROD SPINAL 5.5MM 180MML TITANIUM STRAIGHT HEX ES2 $750.00

Page 373: DESCRIPTION Price - Fairview

ROD SPINAL 5.5MM 190MML TITANIUM STRAIGHT HEX ES2 MERCUR $1,000.00

ROD SPINAL 5.5MM 60MML TITANIUM STRAIGHT HEX ES2 MERCURY $750.00

ROD SPINAL 5.5MM 80MML TITANIUM STRAIGHT HEX ES2 MERCURY $750.00

ROD SPINAL 6MM 60MML TITANIUM LONG HEX RADIUS F/NEW ROD- $790.00

ROD SPINAL 6MM 65MML TITANIUM LONG HEX RADIUS F/NEW ROD- $790.00

ROD SPINAL ES2 5.5X100MM $832.00

ROD SPINAL ES2 5.5X35MM $832.00

ROD SPINAL ES2 5.5X40MM $750.00

ROD SPINAL ES2 5.5X55MM $832.00

ROD SPINAL ES2 5.5X60MM $832.00

ROD SPINAL ES2 5.5X65MM 482806065 $832.00

ROD SPINAL ES2 5.5X70MM $832.00

ROD SPINAL ES2 5.5X75MM $832.00

ROD SPINAL ES2 5.5X80MM 482806080 $832.00

ROD STR 5.5X120MM $675.00

ROD STRAIGHT 5.5X40MM $875.00

ROD SYN REAMER BALL TIP 2.5X1150MM 351.708S $290.00

ROD SYN REAMER BALL TIP 2.5X950MM 351.706S $239.00

ROD SYN REAMER BALL TIP 2.5X950MM & EXT 351.707S $239.00

ROD SYN REAMER STR W/BALL TIP 3.0X950MM 351.76S $350.00

ROD VITALLIUM 6.00MM X 600MM $1,610.00

ROD VOYAGER 4.75 X 60MM $675.00

ROD VOYAGER 4.75 X 60MM $675.00

ROD XIA MAX RAD DOUBLE RADIUS 50MM $447.00

ROFLUMILAST 250 MCG TABLET $60.00

ROFLUMILAST 500 MCG TABLET $60.00

ROLL SM MED 24-34IN PSTN MCKNZ 750 $65.00

ROLLERBALL 3MM 24FR 27050NP $1,243.00

ROM SCREEN $337.00

ROMIDEPSIN 10 MG/2 ML INTRAVENOUS SOLUTION $11,186.00

ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION $7,102.00

ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE $1,645.00

RONGUER 6.875IN BANE 3MM CRV AU6720 $228.00

ROPINIROLE 0.25 MG TABLET $5.00

ROPINIROLE 0.5 MG TABLET $5.00

ROPINIROLE 1 MG TABLET $5.00

ROPINIROLE 2 MG TABLET $5.00

ROPINIROLE 5 MG TABLET $5.00

ROPINIROLE ER 2 MG TABLET,EXTENDED RELEASE 24 HR $11.00

ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION $201.00

ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION $54.00

ROSUVASTATIN 10 MG TABLET $22.00

ROSUVASTATIN 2.5 MG HALF-TABLET $5.00

ROSUVASTATIN 2.5 MG QUARTER-TABLET $5.00

ROSUVASTATIN 20 MG TABLET $11.00

ROSUVASTATIN 40 MG TABLET $5.00

ROSUVASTATIN 5 MG HALF-TABLET $5.00

Page 374: DESCRIPTION Price - Fairview

ROSUVASTATIN 5 MG TABLET $5.00

ROTAVIRUS $229.00

ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION $151.00

ROTIGOTINE 1 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH $97.00

ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH $97.00

ROTIGOTINE 3 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH $97.00

ROTIGOTINE 4 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH $97.00

ROTIGOTINE 6 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH $97.00

ROTIGOTINE 8 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH $97.00

RPR EXT TENDON LEG PRIMARY $8,900.00

RPR TITER SERUM,(FV) $135.00

RSV DETECTION $119.00

RT HEART CATH CONGENITAL $9,051.00

RUBELLA IGG TORCH, SO $111.00

RUBELLA IGG, SO $109.00

RUBELLA IMMUNE STATUS $109.00

RUBEOLA IMMUNE STATUS $91.00

RUFINAMIDE 200 MG TABLET $59.00

RUFINAMIDE 40 MG/ML ORAL SUSPENSION $7,910.00

RX SURGIFLO HEMOSTATIC MATRIX 8ML 2991 $1,742.00

S/D BLADE,MD,2/2.3MM,BOS,40MM, QTY: 001 EA $486.00

SACCHAROMYCES BOULARDII 250 MG CAPSULE $5.00

SACROILIAC JOINTS 1-2 VWS $603.00

SACROILIAC JOINTS 3+ VWS $337.00

SACRUM & COCCYX MORE THAN 1V $276.00

SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET $42.00

SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET $42.00

SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET $42.00

SALICYLATE $90.00

SALICYLIC ACID 17 % TOPICAL GEL $28.00

SALICYLIC ACID 27.5 % TOPICAL FILM-FORMING LIQUID $129.00

SALICYLIC ACID 40 % TOPICAL PATCH $5.00

SALICYLIC ACID 6 % TOPICAL GEL $253.00

SALIVA STIMULANT COMBINATION NO.2 ORAL MUCOSAL LIQUID $23.00

SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY $22.00

SALIVA STIMULANT COMBINATION NO.7 ORAL MUCOSAL GEL $23.00

SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH $14.00

SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION $1,131.00

SALSALATE 500 MG TABLET $5.00

SALSALATE 750 MG TABLET $5.00

SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION $1,197.00

SAXAGLIPTIN 2.5 MG TABLET $69.00

SBRT DELIVERY PER FRACTION $5,474.00

SC THER INFUSION UP TO 1 HR $875.00

SCHISTOSOMA IGG ABY, SO $343.00

SCLEROTHERAPY FLUID COLLECTION, PERCUTANEOUS WITH IMAGING GUIDANCE $2,800.00

SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH $93.00

Page 375: DESCRIPTION Price - Fairview

SCR ACETABULAR 6.5MM 15MML GRIPTION TITANIUM FOAM CANC $300.00

SCR ACETABULAR 6.5MM 20MML GRIPTION TITANIUM FOAM CANN $88.00

SCR ACETABULAR 6.5MM 25MML GRIPTION TITANIUM FOAM CANC $88.00

SCR ACETABULAR 6.5MM 40MML GRIPTION TITANIUM FOAM CANC $125.00

SCR BONE 1.7MM 4MML TITANIUM CROSS PIN HEAD SELF-TAPPI $129.00

SCR BONE 1.7MM 5MML TITANIUM CROSS PIN HEAD SELF-TAPPI $129.00

SCR BONE 1.7MM 6MML TITANIUM CROSS PIN HEAD SELF-TAPPI $129.00

SCR BONE 100MM STERILE F/SPIRAL BLADE FENESTRATED $2,106.00

SCR BONE 105MML TI ALLOY GOLD PERFORATED STERILE $2,106.00

SCR BONE 2.4MM 12MML STAINLESS STEEL CORTICAL T8 STARD $129.00

SCR BONE 2.4MM 14MML SS CORT T8 STARD $129.00

SCR BONE 2.7MM 12MML T10 HEX DRIVE FT $247.00

SCR BONE 2.7MM 18MML T10 HEX DRIVE FT $247.00

SCR BONE 2.7MM 18MML TI ALLOY T10 DRIVE FULLY TH $191.00

SCR BONE 2.7MM 20MML T10 HEX DRIVE FT $247.00

SCR BONE 2.7MM 36MML TI ALLOY T10 DRIVE THREADED $191.00

SCR BONE 2.7MM 48MML TI ALLOY T10 DRIVE THREADED $191.00

SCR BONE 2MM 12MML TITANIUM CROSS PIN HEAD SELF-TAPPIN $122.00

SCR BONE 2MM 5MML TITANIUM CROSS PIN HEAD SELF-TAPPING $148.00

SCR BONE 2MM 8MML TITANIUM CROSS PIN HEAD SELF-TAPPING $122.00

SCR BONE 2MM 9MML TITANIUM CORTICAL CRUCIFORM RECESS F $90.00

SCR BONE 3.5MM 12MML STAINLESS STEEL CORTICAL HEXAGONA $45.00

SCR BONE 3.5MM 12MML T10 HEX DRIVE FT $247.00

SCR BONE 3.5MM 14MML SS CORT HEXAGONA $45.00

SCR BONE 3.5MM 18MML T10 HEX DRIVE FT VARI $247.00

SCR BONE 3.5MM 20MML T10 HEX DRIVE FT VARI $247.00

SCR BONE 3.5MM 20MML TI CORT ST AXSOS $90.00

SCR BONE 3.5MM 26MML TI CORT SELF-TAP $113.00

SCR BONE 3.5MM 46MML SS CORT T15 STAR $52.00

SCR BONE 3.5MM 55MML TI CORT ST AXSOS $90.00

SCR BONE 3.5MM 60MML TI CORT ST AXSOS $90.00

SCR BONE 3.5MM 65MML SS CORT HEXAGONA $61.00

SCR BONE 4.5MM 16MML TI CORT ST AXSOS $101.00

SCR BONE 4.5MM 20MML TI CORT ST AXSOS $101.00

SCR BONE 4.5MM 22MML TI CORT ST AXSOS $101.00

SCR BONE 4.5MM 24MML SS CORT HEXAGONA $67.00

SCR BONE 4.5MM 24MML TI CORT ST AXSOS $101.00

SCR BONE 4.5MM 26MML SS CORT HEXAGONA $67.00

SCR BONE 4.5MM 26MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 26MML TI CORT ST AXSOS $101.00

SCR BONE 4.5MM 28MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 28MML TI CORT ST AXSOS $101.00

SCR BONE 4.5MM 30MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 30MML TI CORT ST AXSOS $101.00

SCR BONE 4.5MM 32MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 34MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 34MML TI CORT ST AXSOS $101.00

Page 376: DESCRIPTION Price - Fairview

SCR BONE 4.5MM 44MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 45MML TI $1,988.00

SCR BONE 4.5MM 46MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 48MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 50MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 52MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 54MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4.5MM 56MML TI CORT F/OSTEOTOMY $213.00

SCR BONE 4MM 14MML STAINLESS STEEL CANCELLOUS T7 STARD $36.00

SCR BONE 4MM 22MML TI CANC FT $97.00

SCR BONE 4MM 34MML TI CANC FT $97.00

SCR BONE 4MM 36MML TI CANC FT $97.00

SCR BONE 4MM 46MML TI CANC FT $97.00

SCR BONE 4MM 65MML TI CANC FT $97.00

SCR BONE 4MM 70MML TI CANC FT $97.00

SCR BONE 5MM X 40MM LOCKING THREADED NON-BIOABSORBABLE NON $453.00

SCR BONE 6.5MM 45MML TI CANC F/OSTEOTOMY $213.00

SCR BONE 6.5MM 50MML TITANIUM CANCELLOUS HEXAGONAL SOC $68.00

SCR BONE 6.5MM 60MML TI CANC F/OSTEOTOMY $213.00

SCR BONE 6.5MM 65MML TI CANC F/OSTEOTOMY $213.00

SCR BONE CAN 3.75MM 34MML TI CANCELL HEX $500.00

SCR BONE CAN 3.75MM 36MML TI CANCELL HEX $500.00

SCR BONE CAN 3MM 30MML PARTIALLY THREADED $375.00

SCR BONE CAN 4.5MM 55MML TI $438.00

SCR BONE CAN 4MM 40MML TI CANC T15 $413.00

SCR BONE CAN 4MM 46MML LONG THREADED $413.00

SCR BONE CAN 6.5MM 105MML TI HEXAGONAL RE $696.00

SCR BONE CAN 6.5MM 110MML TI HEXAGONAL RE $696.00

SCR BONE CAN 6.5MM 115MML TI HEXAGONAL RE $696.00

SCR BONE CAN 6.5MM 75MML TI ALLOY HEXAGON $696.00

SCR BONE CAN 6.7MM 65MML $625.00

SCR BONE CAN 7.3MM 145MML TI CANC L $546.00

SCR BONE CAN 8MM 140MML TI HEXAGONAL RECE $711.00

SCR BONE CAN COMPRESSION 4MM 46MM $875.00

SCR BONE CAN COMPRESSION HEADLESS 3MM 34MML TIT $697.00

SCR BONE CAN COMPRESSION HEADLESS 3MM 38MML STA $697.00

SCR BONE CAN COMPRESSION LOCKING 3.7MM 40MML ST $402.00

SCR BONE CAN COMPRESSION LOCKING 3.7MM 42MML ST $402.00

SCR BONE CAN COMPRESSION LOCKING 3.7MM 50MML ST $402.00

SCR BONE CAN COMPRESSION LOCKING 3.7MM 54MML ST $402.00

SCR BONE CAN COMPRESSION LOCKING 5MM 16MML STAI $439.00

SCR BONE CAN COMPRESSION LOCKING 7.3MM 160MML S $633.00

SCR BONE CAN COMPRESSION LOCKING 7.3MM 165MML S $633.00

SCR BONE CAN COMPRESSION TRIAL 2.5MM 28MML TITA $875.00

SCR BONE CAN COMPRESSION TRIAL 2.5MM MICRO 10MM $875.00

SCR BONE CAN COMPRESSION TRIAL 2.5MM MICRO 12MM $875.00

SCR BONE CAN COMPRESSION TRIAL 2.5MM MICRO 22MM $875.00

Page 377: DESCRIPTION Price - Fairview

SCR BONE CAN COMPRESSION TRIAL 2.5MM MICRO 24MM $875.00

SCR BONE CAN COMPRESSION TRIAL 3.5MM MINI 12MM $875.00

SCR BONE CAN COMPRESSION TRIAL 3.5MM MINI 18MM $875.00

SCR BONE CAN COMPRESSION TRIAL 3.5MM MINI 20MM $875.00

SCR BONE CAN COMPRESSION TRIAL 3.5MM MINI 22MM $875.00

SCR BONE CAN COMPRESSION TRIAL 3.5MM MINI 34MM $875.00

SCR BONE CAN COMPRESSION TRIAL 3.6MM MINI 28MM $875.00

SCR BONE CAN COMPRESSION TRIAL 4MM 36MM $875.00

SCR BONE CAN COMPRESSION TRIAL 4MM 38MM $875.00

SCR BONE CAN COMPRESSION TRIAL 4MM 40MM $875.00

SCR BONE CAN COMPRESSION TRIAL 4MM 42MM $875.00

SCR BONE CAN COMPRESSION TRIAL 4MM 44MM $875.00

SCR BONE CAN LOCKING 2.4MM 16MML SS $313.00

SCR BONE CAN LOCKING 2.4MM 18MML SS $313.00

SCR BONE CAN LOCKING 2.4MM 20MML SS $313.00

SCR BONE CANNULATED 2.4MM 12MML TITANIUM CANCELLOUS T1 $500.00

SCR BONE CANNULATED 2MM MICRO 24MML TITANIUM 6MML THRE $540.00

SCR BONE CANNULATED 2MM MICRO 26MML TITANIUM 6MML THRE $540.00

SCR BONE CANNULATED 3MM MICRO 16MML TITANIUM 4MML THRE $540.00

SCR BONE CANNULATED 3MM MICRO 18MML TITANIUM 5MML THRE $519.00

SCR BONE CANNULATED 3MM MICRO 19MML TITANIUM 5MML THRE $540.00

SCR BONE CANNULATED 3MM MICRO 20MML TITANIUM 5MML THRE $540.00

SCR BONE CANNULATED 3MM MICRO 24MML TITANIUM 6MML THRE $540.00

SCR BONE CANNULATED 3MM MICRO 26MML TITANIUM 6MML THRE $540.00

SCR BONE CANNULATED 4.5MM 50MML TITANIUM HEXAGONAL SOC $422.00

SCR BONE CANNULATED 7.3MM 85MML TITANIUM HEXAGONAL SOC $546.00

SCR BONE CANNULATED COMPRESSION HEADLESS 2.4MM 18MML S $697.00

SCR BONE CANNULATED LOCKING 2.4MM 18MML STAINLESS STEE $313.00

SCR BONE CANNULATED LOCKING 3.5MM 14MML TITANIUM ALLOY $415.00

SCR BONE CANNULATED LOCKING 3.5MM 16MML TITANIUM ALLOY $415.00

SCR BONE COMPRESSION 1.5MM 6MML TI T4 STARDRIVE $104.00

SCR BONE COMPRESSION LAG 13MM 80MML SS OM $741.00

SCR BONE COMPRESSION LOCKING 2MM 11MML TI CORTIC $111.00

SCR BONE COMPRESSION LOCKING 2MM 8MML TI CORTICA $111.00

SCR BONE COMPRESSION LOCKING 3.5MM 44MML SS $52.00

SCR BONE COMPRESSION LOCKING 5MM 14MML SS $616.00

SCR BONE CORT 2MM 12MML TI ST $88.00

SCR BONE CORT COMPRESSION 2MM 9MML TI PARTIA $111.00

SCR BONE CORTICAL DYNAMIC COMPRESSION 6MM/2.4MM/3.5MM DIA $32.00

SCR BONE EMERGENCY 1.9MM 5MML TITANIUM CROSS PIN HEAD $141.00

SCR BONE EMERGENCY 2.3MM 6MML TITANIUM CROSS PIN HEAD $162.00

SCR BONE FENESTRATED 95MML HELICAL BLADE STERILE $2,210.00

SCR BONE HEADED 3.5MM 110MML SS CORT $65.00

SCR BONE LOCKING 2.7MM 10MML T10 HEX DRIVE FULLY THREA $454.00

SCR BONE LOCKING 2.7MM 12MML CORT $288.00

SCR BONE LOCKING 2.7MM 14MML T10 HEX DRIVE FULLY THREA $454.00

SCR BONE LOCKING 2.7MM 16MML T10 HEX DRIVE FULLY THREA $454.00

Page 378: DESCRIPTION Price - Fairview

SCR BONE LOCKING 2.7MM 18MML FT SOFT $454.00

SCR BONE LOCKING 2.7MM 20MML T10 HEX DRIVE FULLY THREA $454.00

SCR BONE LOCKING 2.7MM 26MML STAINLESS STEEL CORTICAL $216.00

SCR BONE LOCKING 2.7MM 42MML SS CORT $326.00

SCR BONE LOCKING 2MM 10MML TITANIUM CROSS PIN HEAD SEL $122.00

SCR BONE LOCKING 3.5MM 12MML TI CORT $191.00

SCR BONE LOCKING 3.5MM 16MML TI CORT $280.00

SCR BONE LOCKING 3.5MM 20MML TI CORT $280.00

SCR BONE LOCKING 3.5MM 26MML SS T15 STARD $389.00

SCR BONE LOCKING 3.5MM 28MML STAINLESS STEEL T15 STARD $389.00

SCR BONE LOCKING 3.5MM 28MML TI ALLOY T10 DRIVE $371.00

SCR BONE LOCKING 3.5MM 28MML TI CORT $375.00

SCR BONE LOCKING 3.5MM 44MML SS T15 STARD $389.00

SCR BONE LOCKING 3.5MM 50MML TI ALLOY T10 DRIVE $371.00

SCR BONE LOCKING 3.5MM 60MML SS T15 STAR $389.00

SCR BONE LOCKING 3.5MM 65MML SS T15 STARD $389.00

SCR BONE LOCKING 3.5MM 70MML SS T15 STARD $389.00

SCR BONE LOCKING 3MM 12MML TI QUICKFIX NON-STER $438.00

SCR BONE LOCKING 3MM 16MML TI CORT BLUE $375.00

SCR BONE LOCKING 3MM 16MML TI LOW-PRO NON-STER $438.00

SCR BONE LOCKING 3MM 20MML TI LOW-PROFILE $438.00

SCR BONE LOCKING 4.5MM 20MML SS CORT $67.00

SCR BONE LOCKING 4.5MM 22MML SS CORT $67.00

SCR BONE LOCKING 4.5MM 24MML THREADED F/REVERSE SHOULD $250.00

SCR BONE LOCKING 4.5MM 30MML THREADED F/REVERSE SHOULD $250.00

SCR BONE LOCKING 4.5MM 30MML TI FT S $621.00

SCR BONE LOCKING 4.5MM 32MML SS CORT $67.00

SCR BONE LOCKING 4.5MM 36MML SS CORT $67.00

SCR BONE LOCKING 4.5MM 36MML THREADED F/REVERSE SHOULD $250.00

SCR BONE LOCKING 4.5MM 36MML TI FT S $621.00

SCR BONE LOCKING 4.5MM 38MML TI FT S $621.00

SCR BONE LOCKING 4.5MM 42MML THREADED F/REVERSE SHOULD $250.00

SCR BONE LOCKING 4.5MM 42MML TI FT S $621.00

SCR BONE LOCKING 4.5MM 44MML SS CORT $67.00

SCR BONE LOCKING 4.5MM 85MML SS CORT $67.00

SCR BONE LOCKING 4MM 16MML SS CANC $56.00

SCR BONE LOCKING 4MM 40MML ST $431.00

SCR BONE LOCKING 4MM 55MML ST $431.00

SCR BONE LOCKING 5MM 30MML ST $455.00

SCR BONE LOCKING 5MM 32MML ST $455.00

SCR BONE LOCKING 5MM 46MML ST $455.00

SCR BONE LOCKING 5MM 55MML ST $455.00

SCR BONE LOCKING 5MM 65MML ST $455.00

SCR BONE LOCKING CAN COMPRESSION 7.3MM 165MML S $546.00

SCR BONE LOCKING SHAFT 2.4MM 14MML CORT $245.00

SCR BONE LOCKING SHAFT 5MM 35MML TI PARTIALLY TH $465.00

SCR BONE LOCKING SHAFT 5MM 40MML TI PARTIALLY TH $461.00

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SCR BONE LOCKING SHAFT 5MM 45MML TI PARTIALLY TH $461.00

SCR BONE NON-LOCKING 2.7MM 12MML T8 STARDRIVE F $238.00

SCR BONE NON-LOCKING 2.7MM 14MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 16MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 18MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 20MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 22MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 24MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 30MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 32MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 34MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 36MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 38MML CANC CORT $113.00

SCR BONE NON-LOCKING 2.7MM 42MML CANC CORT $113.00

SCR BONE NON-LOCKING 3.5MM 12MML TI ALLOY T10 DR $191.00

SCR BONE NON-LOCKING 3.5MM 18MML TI CORT $113.00

SCR BONE NON-LOCKING 3.5MM 20MML TI CORT $113.00

SCR BONE NON-LOCKING 4.5MM 18MML THREADED F/REVERSE SH $250.00

SCR BONE NON-LOCKING 4.5MM 24MML THREADED F/REVERSE SH $250.00

SCR FEMORAL NECK 95MML PERFORATED STERILE $2,106.00

SCR INTERFERENCE CAN 7MM 23MML PEEK VENTED $788.00

SCR L UNCORTICAL NCB 5.0 L=12MM $500.00

SCR LOCKING ORTHOPAEDIC 5.0MMW X 35MML FULLY THREADED NON- $453.00

SCR LOCKING ORTHOPAEDIC 5.0MMW X 45MML FULLY THREADED NON- $453.00

SCR SPINAL SMOOTH SHANK OPEN HEAD 3.5MM 26MML TITANIUM $2,000.00

SCREENING DIGITAL BREAST TOMOSYNTHESIS, BILATERAL $105.00

SCREW 1.3/8MM 400.608.96 $131.00

SCREW 10MMX20MM BC IF VENTED $738.00

SCREW 3.5 HEXALOBE NONLOCKING 3.5X34MM $225.00

SCREW 3.5 X 20MM LOCKING FIXED ANGLE $403.00

SCREW 3.5MM DIAMETER X 12MM LENGTH $263.00

SCREW 3.5MM DIAMETER X 20MM LENGTH $263.00

SCREW 3.5MM DIAMETER X 28MM LENGTH $263.00

SCREW 3.5MM DIAMETER X 30MM LENGTH $383.00

SCREW 3.5MM DIAMETER X 36MM LENGTH $263.00

SCREW 3.5MM DIAMETER X 38MM LENGTH $263.00

SCREW 3.5X26MM MAS $2,025.00

SCREW 3.5X26MM PT MAS $1,800.00

SCREW 3.5X30MM MAS $2,025.00

SCREW 3.5X32MM PT MAS $1,800.00

SCREW 3MM DIAMETER X 14MM LENGTH $263.00

SCREW 3MM DIAMETER X 14MM LENGTH $383.00

SCREW 3MM DIAMETER X 16MM LENGTH $263.00

SCREW 3MM DIAMETER X 16MM LENGTH $383.00

SCREW 3MM DIAMETER X 18MM LENGTH $263.00

SCREW 3MM DIAMETER X 18MM LENGTH $383.00

SCREW 3MM DIAMETER X 20MM LENGTH $263.00

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SCREW 3MM DIAMETER X 20MM LENGTH $383.00

SCREW 3MM DIAMETER X 22MM LENGTH $383.00

SCREW 3MM DIAMETER X 24MM LENGTH $263.00

SCREW 3MM DIAMETER X 24MM LENGTH $383.00

SCREW 3MM DIAMETER X 26MM LENGTH $263.00

SCREW 3MM DIAMETER X 26MM LENGTH $383.00

SCREW 3MM DIAMETER X 28MM LENGTH $383.00

SCREW 3MM DIAMETER X 30MM LENGTH $263.00

SCREW 4.0 X 20MM NONLOCKING $403.00

SCREW 4.5X20MM MAS $2,025.00

SCREW 4.5X22MM MAS $2,025.00

SCREW 4.5X30MM FT NO WASHER $2,250.00

SCREW 4.5X30MM MAS $2,025.00

SCREW 4X26MM PT MAS $1,800.00

SCREW 4X34MM PT MAS $1,800.00

SCREW 5.5 X 30MM $281.00

SCREW 5X24MM $508.00

SCREW 5X26MM $508.00

SCREW 5X40MM $508.00

SCREW 5X70MM $508.00

SCREW 6.5 X 30MM $2,025.00

SCREW 6.5MM X 28MM $452.00

SCREW 6.5X20MM $750.00

SCREW 6X22MM $750.00

SCREW 6X26MM $750.00

SCREW 6X28MM $750.00

SCREW 6X32MM $750.00

SCREW 6X34MM $750.00

SCREW 6X36MM $750.00

SCREW ANCHOR C SD 3.5X10MM $356.00

SCREW ANCHOR C SD 3.5X14MM $356.00

SCREW ANCHOR C SD 3.5X8MM $356.00

SCREW ANCHOR C SD 4.0X12MM $356.00

SCREW ANCHOR C SD 4X10MM $356.00

SCREW ANCHOR C ST 4X10MM $356.00

SCREW ANCHOR C ST 4X8MM $356.00

SCREW ANCHOR-C SD 4X8MM $356.00

SCREW ANCHOR-C ST 3.5X12MM $356.00

SCREW ANCHOR-C ST 3.5X14MM $356.00

SCREW ANCHOR-C ST 3.5X8MM $356.00

SCREW AND CAP 4.5MM $733.00

SCREW AND CAP 4.5MMX17.5MM $733.00

SCREW AND CAP 4.5MMX40MM $733.00

SCREW AND CAP 4.5X15MM LONG $733.00

SCREW AND CAP 4.5X20MM LONG $733.00

SCREW AND CAP 4.5X30MM LONG $733.00

SCREW AS2 TI 6.5X100MM 20MM TL $696.00

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SCREW AS3 TI 4X24MM $455.00

SCREW AS3 TI 4X28MM $455.00

SCREW AS3 TI 4X28MM FT STERILE $455.00

SCREW AS3 TI 4X30MM $455.00

SCREW AS3 TI 4X30MM FT STERILE $455.00

SCREW AS3 TI 4X32MM $455.00

SCREW AS3 TI 4X34MM $455.00

SCREW AS3 TI 4X34MM FT STERILE $455.00

SCREW AS3 TI 4X36MM $455.00

SCREW AS3 TI 4X38MM $455.00

SCREW AS3 TI 4X40MM $455.00

SCREW AS3 TI 4X40MM FT STERILE $455.00

SCREW AS3 TI 4X42MM $455.00

SCREW AS3 TI 4X42MM FT STERILE $455.00

SCREW AS3 TI 4X44MM $455.00

SCREW AS3 TI 4X46MM $455.00

SCREW AS3 TI 4X48MM $455.00

SCREW AS3 TI 4X48MM FT STERILE $455.00

SCREW AS3 TI 4X50MM $455.00

SCREW AS3 TI 4X50MM FT STERILE $455.00

SCREW AS3 TI 4X55MM $455.00

SCREW AS3 TI 4X60MM $455.00

SCREW AS3 TI 4X65MM $455.00

SCREW AS3 TI 4X70MM $455.00

SCREW AS3 TI 4X70MM PT STERILE $455.00

SCREW AS3 TI 5X32MM $500.00

SCREW AS3 TI 5X40MM PT STERILE $500.00

SCREW AS3 TI 5X42MM PT STERILE $500.00

SCREW AS3 TI 5X44MM PT STERILE $500.00

SCREW AS3 TI 5X46MM PT STERILE $500.00

SCREW AS3 TI 5X48MM PT STERILE $500.00

SCREW AS3 TI 5X50MM $500.00

SCREW AS3 TI 5X50MM PT STERILE $500.00

SCREW AS3 TI 5X55MM $500.00

SCREW AS3 TI 5X55MM PT STERILE $500.00

SCREW AS3 TI 5X60MM PT STERILE $500.00

SCREW AS3 TI 5X65MM PT STERILE $500.00

SCREW AS3 TI 5X70MM PT STERILE $500.00

SCREW AS3 TI 6.5X100MM 20MM TL STERILE $696.00

SCREW AS3 TI 6.5X100MM 40MM TL $696.00

SCREW AS3 TI 6.5X100X40MM TL STERILE $696.00

SCREW AS3 TI 6.5X120MM 20MM TL $696.00

SCREW AS3 TI 6.5X40MM 20MM TL $696.00

SCREW AS3 TI 6.5X40MM 20MM TL STERILE $696.00

SCREW AS3 TI 6.5X45MM 20MM TL $696.00

SCREW AS3 TI 6.5X45MM 20MM TL STERILE $696.00

SCREW AS3 TI 6.5X50MM 20MM TL $696.00

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SCREW AS3 TI 6.5X50MM 20MM TL STERILE $696.00

SCREW AS3 TI 6.5X55MM 20MM TL $696.00

SCREW AS3 TI 6.5X55MM 20MM TL STERILE $696.00

SCREW AS3 TI 6.5X60MM 20MM TL $696.00

SCREW AS3 TI 6.5X60MM 20MM TL STERILE $696.00

SCREW AS3 TI 6.5X65MM 20MM TL $696.00

SCREW AS3 TI 6.5X65MM 20MM TL STERILE $696.00

SCREW AS3 TI 6.5X65MM FT STERILE $711.00

SCREW AS3 TI 6.5X70MM 20MM TL $696.00

SCREW AS3 TI 6.5X70MM 20MM TL STERILE $696.00

SCREW AS3 TI 6.5X70MM FT STERILE $711.00

SCREW AS3 TI 6.5X70X40MM TL NON-STERILE $696.00

SCREW AS3 TI 6.5X70X40MM TL STERILE $696.00

SCREW AS3 TI 6.5X75MM 20MM TL $696.00

SCREW AS3 TI 6.5X75MM 20MM TL STERILE $696.00

SCREW AS3 TI 6.5X80MM 20MM TL $696.00

SCREW AS3 TI 6.5X80MM 20MM TL STERILE $703.00

SCREW AS3 TI 6.5X80MM 40MM TL $696.00

SCREW AS3 TI 6.5X85MM 20MM TL $703.00

SCREW AS3 TI 6.5X85MM 20MM TL STERILE $703.00

SCREW AS3 TI 6.5X85MM 40MM TL $696.00

SCREW AS3 TI 6.5X85MM FT STERILE $711.00

SCREW AS3 TI 6.5X85X40MM TL STERILE $696.00

SCREW AS3 TI 6.5X90MM 20MM TL $696.00

SCREW AS3 TI 6.5X90MM 20MM TL STERI $703.00

SCREW AS3 TI 6.5X90MM 40MM TL $696.00

SCREW AS3 TI 6.5X90X40MM TL STERILE $696.00

SCREW AS3 TI 6.5X95MM 20MM TL $696.00

SCREW AS3 TI 6.5X95MM 20MM TL STERILE $703.00

SCREW AS3 TI 6.5X95MM 40MM TL $696.00

SCREW AS3 TI 8X100MM 25MM PT $711.00

SCREW AS3 TI 8X100X 25 PT STERILE $711.00

SCREW AS3 TI 8X15MM 25MM PT $711.00

SCREW AS3 TI 8X85X25 PT STERILE $711.00

SCREW BIOCOMPSITE TENODESIS 4.75X15MM $963.00

SCREW BN 40MM 8MM VA LOCK SYNERGY 6583 $1,438.00

SCREW BONE 2.7 X 22MM $238.00

SCREW BONE 2.7X14MM $238.00

SCREW BONE 2.7X16MM $238.00

SCREW BONE 2.7X18MM $238.00

SCREW BONE 3.5X25MM $295.00

SCREW BONE 4.5X10MM $452.00

SCREW BONE 4.5X8MM $452.00

SCREW BONE 5.0 X 8MM $450.00

SCREW BONE CANCELLOUS 5.5MMX55M $256.00

SCREW BONE CANCELLOUS 505MMX50MM $256.00

SCREW BONE CANCELLOUS 6.5X50MM $88.00

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SCREW BONE CANCELLOUS 6.5X55MM $88.00

SCREW BONE CANCELLOUS 6.5X60MM $88.00

SCREW BONE CORTICAL RIM 5X40MM $326.00

SCREW BONE CS 3.5 X 24MM $713.00

SCREW BONE HYOID AIRVANCE $965.00

SCREW BONE OCCIPITAL 4.5X12MM $450.00

SCREW BONE OCCIPITAL 4.5X14MM $450.00

SCREW BONE OCCIPITAL 4.5X6MM $450.00

SCREW BONE OCCIPITAL 4.5X8MM $450.00

SCREW BONE PRESTIGE FAST 4X13MM $950.00

SCREW BONE SMARTLOCK CROSSPIN 2.7X10MM $191.00

SCREW BONE SMARTLOCK CROSSPIN 2.7X12MM $191.00

SCREW BONE SMARTLOCK CROSSPIN 2.7X16MM $191.00

SCREW BONE SMARTLOCK CROSSPIN 2.7X20MM $191.00

SCREW BONE ST 2.7X16MM $191.00

SCREW BONE ST 2.7X20MM $191.00

SCREW BONE ST 2.7X22MM $191.00

SCREW BONE ST 2.7X26MM $191.00

SCREW BONE ST 2.7X60MM $191.00

SCREW BONE ST 2.7X8MM $191.00

SCREW BONE ST 3.5X14MM $191.00

SCREW BONE ST 3.5X16MM $191.00

SCREW BONE ST 3.5X18MM $191.00

SCREW BONE ST 3.5X20MM $191.00

SCREW BONE ST 3.5X22MM $191.00

SCREW BONE ST 3.5X24MM $191.00

SCREW BONE ST 3.5X26MM $191.00

SCREW BONE ST 3.5X28MM $191.00

SCREW BONE ST 3.5X30MM $191.00

SCREW BONE ST 3.5X32MM $191.00

SCREW BONE ST 3.5X34MM $191.00

SCREW BONE ST 3.5X36MM $191.00

SCREW BONE ST 3.5X38MM $191.00

SCREW BONE ST 3.5X42MM $191.00

SCREW BONE ST 3.5X44MM $191.00

SCREW BONE ST 3.5X46MM $191.00

SCREW BONE ST 3.5X50MM $191.00

SCREW BONE ST 3.5X55MM $191.00

SCREW BONE ST 3.5X60MM $191.00

SCREW BONE ST 3.5X65MM $191.00

SCREW BONE VARIAX ELBOW 3.5X10MM $191.00

SCREW BONE VARIAX FOOT T10 3.5X10MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X12MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X14MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X16MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X18MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X20MM $204.00

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SCREW BONE VARIAX FOOT T10 3.5X22MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X24MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X26MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X28MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X30MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X32MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X34MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X36MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X38MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X40MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X42MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X44MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X46MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X48MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X50MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X55MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X60MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X65MM $204.00

SCREW BONE VARIAX FOOT T10 3.5X70MM $204.00

SCREW BONE VARIAX FOOT T7 2.7X12MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X14MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X16MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X20MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X22MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X24MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X26MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X28MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X30MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X32MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X34MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X36MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X38MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X40MM $183.00

SCREW BONE VARIAX FOOT T7 2.7X45MM $183.00

SCREW BONE VERTEX 5.0 X 12MM $450.00

SCREW BUTTRESS LWPRFL 6.5X30MM $875.00

SCREW CANCELLOUS 4.0 X 32MM 207.932 $41.00

SCREW CANCELLOUS 4.0 X 55MM 207.055 $34.00

SCREW CANCELLOUS 4.0MM $97.00

SCREW CANCELLOUS 4X22MM TL 9MM $56.00

SCREW CANCELLOUS 4X30MM TL 14MM $56.00

SCREW CANCELLOUS 4X34MM TL 14MM $56.00

SCREW CANCELLOUS 4X38MM TL 14MM $56.00

SCREW CANCELLOUS 4X40MM TL 14MM $56.00

SCREW CANCELLOUS 4X44MM TL 15MM $97.00

SCREW CANCELLOUS 4X45MM TI P/T $48.00

SCREW CANCELLOUS 4X45MM TL 15MM $56.00

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SCREW CANCELLOUS 4X50MM TI F/T $48.00

SCREW CANCELLOUS 4X50MM TI P/T $48.00

SCREW CANCELLOUS 4X50MM TL 15MM $56.00

SCREW CANCELLOUS 4X50MM TL 15MM $97.00

SCREW CANCELLOUS 4X55MM TI F/T $48.00

SCREW CANCELLOUS 4X60MM TI F/T $48.00

SCREW CANCELLOUS 4X60MM TI P/T $48.00

SCREW CANCELLOUS 4X60MM TL 15MM $56.00

SCREW CANCELLOUS 4X80MM $64.00

SCREW CANCELLOUS 6.5 X 110MM 216.310 $81.00

SCREW CANCELLOUS 6.5X30MM $80.00

SCREW CANCELLOUS 6.5X35MM $213.00

SCREW CANCELLOUS 6.5X40MM $213.00

SCREW CANCELLOUS 6.5X42MM $213.00

SCREW CANCELLOUS 6.5X50MM $80.00

SCREW CANCELLOUS 6.5X50MM $213.00

SCREW CANCELLOUS 6.5X55MM $213.00

SCREW CANCELLOUS 6.5X60MM $80.00

SCREW CANCELLOUS 6.5X70MM $213.00

SCREW CANCELLOUS 6.5X75MM TL 16MM $79.00

SCREW CANCELLOUS 6.5X75MM TL 32MM $79.00

SCREW CANCELLOUS 6.5X85MM $80.00

SCREW CANCELLOUS 60MM 608060 $114.00

SCREW CANCELLOUS 6X85MM $114.00

SCREW CANCELLOUS 6X85MM THD 16MM $114.00

SCREW CANCELLOUS 70MM 608070 $114.00

SCREW CANCELLOUS FT 4X10MM $56.00

SCREW CANCELLOUS FT 4X14MM $56.00

SCREW CANCELLOUS FT 4X36MM $56.00

SCREW CANCELLOUS FT 4X38MM $56.00

SCREW CANCELLOUS FT 4X40MM $56.00

SCREW CANCELLOUS FT 4X40MM 607340 $97.00

SCREW CANCELLOUS FT 4X42MM 607342 $97.00

SCREW CANCELLOUS FT 4X44MM $97.00

SCREW CANCELLOUS FT 4X45MM $56.00

SCREW CANCELLOUS FT 4X50MM $56.00

SCREW CANCELLOUS FT 4X55MM $56.00

SCREW CANCELLOUS FT 4X60MM $56.00

SCREW CANCELLOUS FT 4X60MM 607360 $97.00

SCREW CANCELLOUS FT 4X70MM $56.00

SCREW CANCELLOUS LOCKING 2.7X10MM $198.00

SCREW CANCELLOUS LOCKING 2.7X12MM $198.00

SCREW CANCELLOUS LOCKING 2.7X14MM $198.00

SCREW CANCELLOUS LOCKING 2.7X16MM $198.00

SCREW CANCELLOUS LOCKING 2.7X18MM $198.00

SCREW CANCELLOUS LOCKING 2.7X20MM $198.00

SCREW CANCELLOUS LOCKING 2.7X8MM $198.00

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SCREW CANCELLOUS LOCKING 4X54MM $280.00

SCREW CANCELLOUS LOCKING SD 2.4X10MM $198.00

SCREW CANCELLOUS LOCKING SD 2.4X12MM $180.00

SCREW CANCELLOUS LOCKING SD 2.4X14MM $180.00

SCREW CANCELLOUS LOCKING SD 2.4X16MM $198.00

SCREW CANCELLOUS LOCKING SD 2.4X18MM $198.00

SCREW CANCELLOUS LOCKING SD 2.4X20MM $198.00

SCREW CANCELLOUS LOCKING SD 2.4X8MM $198.00

SCREW CANCELLOUS SPS 4X70MM $56.00

SCREW CANN CANC LAG 4X42MM $315.00

SCREW CANN CANC LAG 4X44MM $315.00

SCREW CANN CANC LAG 4X50MM $315.00

SCREW CANNULATED 10.35X100MM STL $2,106.00

SCREW CANNULATED 10.35X105MM STL $2,106.00

SCREW CANNULATED 10.35X110MM STL $2,106.00

SCREW CANNULATED 10.35X115MM STL $2,106.00

SCREW CANNULATED 10.35X75MM STL $2,106.00

SCREW CANNULATED 10.35X80MM STL $2,106.00

SCREW CANNULATED 10.35X85MM STL $2,106.00

SCREW CANNULATED 10.35X90MM STL $2,106.00

SCREW CANNULATED 10.35X95MM STL $2,106.00

SCREW CANNULATED 120MM STL $2,106.00

SCREW CANNULATED 3.75X26MM PT $500.00

SCREW CANNULATED 3.75X28MM PT $500.00

SCREW CANNULATED 3.75X34MM PARTIALL $500.00

SCREW CANNULATED 3.75X36MM FULLY THREAD $500.00

SCREW CANNULATED 3.75X36MM PARTIALL $500.00

SCREW CANNULATED 4.0 X 26MM LNG THD $414.00

SCREW CANNULATED 4.0 X 26MM SHT THD $414.00

SCREW CANNULATED 4.0 X 30MM SHT THD $457.00

SCREW CANNULATED 4.0 X 32MM SHT THD $414.00

SCREW CANNULATED 4.0 X 34MM LNG THD $414.00

SCREW CANNULATED 4.0 X 40MM $457.00

SCREW CANNULATED 4.0 X 61MM 207.761 $130.00

SCREW CANNULATED 4.0 X 72MM $414.00

SCREW CANNULATED 4X16MM $455.00

SCREW CANNULATED 4X38MM $455.00

SCREW CANNULATED 6.5X75X20MM THD $711.00

SCREW CANNULATED 8.0 X 115MM 14192-115 $582.00

SCREW CANNULATED 8.0 X 120MM 14192-120 $582.00

SCREW CANNULATED AS3 4X26MM $455.00

SCREW CANNULATED AS3 4X30MM $455.00

SCREW CANNULATED AS3 4X32MM $455.00

SCREW CANNULATED AS3 4X34MM $455.00

SCREW CANNULATED AS3 4X36MM $455.00

SCREW CANNULATED AS3 4X38MM $455.00

SCREW CANNULATED AS3 4X40MM $455.00

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SCREW CANNULATED AS3 4X42MM $455.00

SCREW CANNULATED AS3 4X44MM $455.00

SCREW CANNULATED AS3 4X46MM $455.00

SCREW CANNULATED AS3 4X48MM $455.00

SCREW CANNULATED AS3 4X50MM $455.00

SCREW CANNULATED AS3 4X55MM $455.00

SCREW CANNULATED AS3 4X60MM $455.00

SCREW CANNULATED AS3 4X65MM $455.00

SCREW CANNULATED ASNIS MICRO 2X14/6MM $540.00

SCREW CANNULATED ASNIS MICRO 2X16/7MM $540.00

SCREW CANNULATED ASNIS MICRO 2X18/5MM $540.00

SCREW CANNULATED ASNIS MICRO 2X20/5MM $540.00

SCREW CANNULATED ASNIS MICRO 3X17/4MM $519.00

SCREW CANNULATED ASNIS MICRO 3X18/5MM $519.00

SCREW CANNULATED ASNIS MICRO 3X28/6MM $519.00

SCREW CANNULATED ASNIS MICRO 3X30/6MM $519.00

SCREW CANNULATED ASNIS MICRO 3X32/6MM $519.00

SCREW CANNULATED ASNIS MICRO 3X34/7MM $519.00

SCREW CANNULATED ASNIS MICRO 3X36/7MM $519.00

SCREW CANNULATED ASNIS MICRO 3X38/8MM $519.00

SCREW CANNULATED ASNIS MICRO 3X40/8MM $519.00

SCREW CANNULATED CORTICAL 4X34MM $2,072.00

SCREW CANNULATED CORTICAL LAG 4X36MM $2,072.00

SCREW CANNULATED CORTICAL LAG 4X38MM $2,072.00

SCREW CANNULATED CORTICAL LAG 4X40MM $2,072.00

SCREW CANNULATED MICRO ACUTRAK 2 22MM NS $1,120.00

SCREW CANNULATED MINI 3.5X16MM $875.00

SCREW CANNULATED MINI 3.5X18MM $875.00

SCREW CANNULATED MINI 3.5X20MM $875.00

SCREW CANNULATED MINI 3.5X24MM $875.00

SCREW CANNULATED MINI 3.5X26MM $875.00

SCREW CANNULATED MINI ACUTRAK 2 20MM NS $1,225.00

SCREW CANNULATED MOCRO ACUTRAK 20MM NS $1,120.00

SCREW CANNULATED MULTIAXIAL 6.5X35MM $2,531.00

SCREW CANNULATED MULTIAXIAL 6.5X40MM $2,531.00

SCREW CANNULATED MULTIAXIAL 6.5X45MM $2,531.00

SCREW CANNULATED MULTIAXIAL 6.5X50MM $2,531.00

SCREW CANNULATED MULTIAXIAL 7.5X35MM $2,531.00

SCREW CANNULATED SZ. 5MMX60MM $814.00

SCREW CANNULATED VA LOCKING 5.0MMX30MM $619.00

SCREW CENTRAL 25MM $425.00

SCREW CENTRAL 6.5 X 15NL $283.00

SCREW CENTRAL 6.5 X 25MM NL $283.00

SCREW CENTRAL 6.5 X20 NL $283.00

SCREW CENTRAL 6.5MM $500.00

SCREW CENTRAL REVERSE 6.5X25MM $138.00

SCREW CENTRAL REVERSE 6.5X30MM $138.00

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SCREW CENTRAL REVERSE 6.5X35MM $138.00

SCREW CENTRAL REVERSE 6.5X40MM $138.00

SCREW CLAVICLE DUAL-TRAK 3X80MM $3,135.00

SCREW CLOSED MAS 7.5X70MM $1,800.00

SCREW CLOSED MAS 8.5X60MM $1,800.00

SCREW COMP HEADLESS 16MM THRD 6.5MMX45MM $704.00

SCREW COMP HEADLESS 16MM THRD 6.5X50MM $704.00

SCREW COMP HEADLESS 16MM THRD 6.5X55MM $704.00

SCREW COMP HEADLESS 16MM THRD 6.5X55MM $781.00

SCREW COMP HEADLESS 16MM THRD 6.5X60MM $704.00

SCREW COMP HEADLESS 16MM THRD 6.5X60MM $781.00

SCREW COMP HEADLESS 16MM THRD 6.5X65MM $704.00

SCREW COMP HEADLESS 16MM THRD 6.5X70MM $704.00

SCREW COMP HEADLESS 16MM THRD 6.5X75MM $704.00

SCREW COMP HEADLESS 16MM THRD 6.5X80MM $704.00

SCREW COMP HEADLESS 16MM THRD 6.5X85MM $704.00

SCREW COMP HEADLESS 16MM THRD 6.5X90MM $704.00

SCREW COMP HEADLESS 32MM THRD 6.5X85MM $704.00

SCREW COMP HEADLESS 3MM THRD 34MM $697.00

SCREW COMP HEADLESS 4.5MM THRD 46MM $706.00

SCREW COMP HEADLESS 4.5MM THRD 50MM $706.00

SCREW COMP LNG HEADLESS 3.0MM THRD 16MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 17MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 18MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 19MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 20MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 21MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 22MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 23MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 24MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 25MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 26MM $697.00

SCREW COMP LNG HEADLESS 3.0MM THRD 40MM $697.00

SCREW COMP LNG HEADLESS 3MM THRD 36MM $697.00

SCREW COMP LNG HEADLESS 4.5X54MM $706.00

SCREW COMP LONG HEADLESS 2.4MM THRD 26MM $697.00

SCREW COMP LONG HEADLESS 2.4MM THRD 32MM $697.00

SCREW COMP LONG HEADLESS 4.5MM 48MM $706.00

SCREW COMP SHIRT HEADLESS 4.5MM THRD36MM $706.00

SCREW COMP SHORT HEADLESS 4.5MM 38MM $706.00

SCREW COMP SHRT HEADLESS 3.0 THRD 40MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 10MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 11MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 12MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 13MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 14MM $800.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 16MM $697.00

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SCREW COMP SHRT HEADLESS 3.0MM THRD 17MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 18MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 19MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 20MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 21MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 22MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 24MM $697.00

SCREW COMP SHRT HEADLESS 3.0MM THRD 30MM $697.00

SCREW COMP SHRT HEADLESS 300MM THRD 15MM $697.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 26MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 28MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 30MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 32MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 34MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 40MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 54MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 56MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 56MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 60MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD 70MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD40MM $706.00

SCREW COMP SHRT HEADLESS 4.5MM THRD42MM $706.00

SCREW COMPRESSION 1.5X14MM $527.00

SCREW COMPRESSION 1.5X16MM $527.00

SCREW COMPRESSION 1.5X19MM $527.00

SCREW COMPRESSION 1.5X20MM $527.00

SCREW COMPRESSION FT 2.5X14MM $875.00

SCREW COMPRESSION FT 2.5X16MM $875.00

SCREW COMPRESSION FT 2.5X18MM $875.00

SCREW COMPRESSION FT 2.5X26MM $875.00

SCREW COMPRESSION HEADLESS 4.5MM 44MM $778.00

SCREW COMPRESSION HEADLESS 4X28MM $870.00

SCREW COMPRESSION HEADLESS 4X44MM $870.00

SCREW COMPRESSION HEADLESS 5MM L40MM $911.00

SCREW COMPRESSION HEADLESS 5MM L44MM $911.00

SCREW COMPRESSION HEADLESS 5X42MM $911.00

SCREW COMPRESSION HEADLESS 5X46MM $911.00

SCREW COMPRESSION HEADLESS 5X55MM $911.00

SCREW COMPRESSION HEADLESS 5X60MM $911.00

SCREW COMPRESSION HEADLESS 5X70MM $911.00

SCREW COMPRESSION HEADLESS 7X55MM LNG $1,470.00

SCREW COMPRESSION HEADLESS 7X70MM $1,470.00

SCREW COMPRESSION HEADLESS 7X75MM $1,470.00

SCREW COMPRESSION HEADLESS 7X90MM $1,470.00

SCREW COMPRESSION HEADLESS L50MM $911.00

SCREW COMPRESSION HEADLESS L80MM $911.00

SCREW COMPRESSION MULTI-USE 4.3X32MM $693.00

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SCREW COMPRESSION MULTI-USE 4.3X42MM LNG $1,315.00

SCREW COMPRESSION MULTI-USE 7X65X16MM $3,455.00

SCREW COMPRESSION MULTI-USE 7X70X16MM $3,455.00

SCREW COMPRESSION MULTI-USE 7X75X16MM $3,455.00

SCREW COMPRESSION T2 $439.00

SCREW CONDYLE 5X95MM $468.00

SCREW CONICAL ST 3.5MMX85MM $326.00

SCREW CONICAL ST FT 3.5X60MM $326.00

SCREW CONICAL ST FT 3.5X65MM $326.00

SCREW CONICAL ST FT 3.5X70MM $326.00

SCREW CONICAL ST FT 3.5X75MM $326.00

SCREW CONICAL ST FT 3.5X80MM $326.00

SCREW CONICAL ST FT 3.5X90MM $314.00

SCREW CONICAL ST PT 3.5X65MM $326.00

SCREW CONICAL ST PT 3.5X70MM $326.00

SCREW CONICAL ST PT 3.5X75MM $326.00

SCREW CONICAL ST PT 3.5X80MM $326.00

SCREW CONICAL ST PT 3.5X85MM $326.00

SCREW COPMP SHRT HEADLESS 4.5MM THR 44MM $706.00

SCREW CORT NCB SELF TAPPING 5.0X50MM $540.00

SCREW CORTEX 1.5 X 8MM 400.808 $102.00

SCREW CORTEX 1.5 X 9MM 400.809 $102.00

SCREW CORTEX 2.0 X 10MM 401.810 $88.00

SCREW CORTEX 2.0 X 14MM 401.814 $88.00

SCREW CORTEX 2.0 X 22MM 401.822.96 $127.00

SCREW CORTEX 2.0 X 8MM 401.808 $88.00

SCREW CORTEX 2.7MM TI ST $135.00

SCREW CORTEX 3.5 X 42MM 204.842 $45.00

SCREW CORTEX 3.5X22MM 661422 $90.00

SCREW CORTEX 3.5X24MM $90.00

SCREW CORTEX 3.5X26MM 661426 $90.00

SCREW CORTEX 3.5X28MM 661428 $90.00

SCREW CORTEX 3.5X30MM 661430 $90.00

SCREW CORTEX 3.5X30MM 661470 $90.00

SCREW CORTEX 3.5X32MM $90.00

SCREW CORTEX 3.5X34MM 661434 $90.00

SCREW CORTEX 3.5X36MM $90.00

SCREW CORTEX 3.5X38MM 661438 $90.00

SCREW CORTEX 3.5X40MM 661440 $90.00

SCREW CORTEX 3.5X42MM $90.00

SCREW CORTEX 3.5X44MM $90.00

SCREW CORTEX 3.5X46MM $90.00

SCREW CORTEX 3.5X48MM 661448 $90.00

SCREW CORTEX 3.5X50MM $90.00

SCREW CORTEX 3.5X75MM 661475 $90.00

SCREW CORTEX 3.5X80MM $90.00

SCREW CORTEX 4.5 X 32MM $101.00

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SCREW CORTEX 4.5X36MM $101.00

SCREW CORTEX 4.5X38MM $101.00

SCREW CORTEX 4.5X40MM $101.00

SCREW CORTEX 4.5X42MM $101.00

SCREW CORTEX 4.5X44MM $101.00

SCREW CORTEX 4.5X46MM $101.00

SCREW CORTEX 4.5X48MM $101.00

SCREW CORTEX 4.5X50MM $101.00

SCREW CORTEX 4.5X55MM $101.00

SCREW CORTEX 4.5X65MM $101.00

SCREW CORTEX 4.5X70MM $101.00

SCREW CORTEX 4.5X85MM $101.00

SCREW CORTEX LP ST 3.5MM W T15STARTAP $66.00

SCREW CORTEX SD 1.5X5MM $184.00

SCREW CORTEX SD 2X6MM $186.00

SCREW CORTEX SD 2X8MM $186.00

SCREW CORTEX SELF TAP 1.5X20MM 200.820 $51.00

SCREW CORTEX SELF TAP 1.5X22MM 200.822 $65.00

SCREW CORTEX SELF TAP 1.5X24MM 200.824 $65.00

SCREW CORTEX SELF TAP 2.0X11MM $140.00

SCREW CORTEX SELF TAP 2.0X13MM 201.813 $65.00

SCREW CORTEX SELF TAP 2.0X38MM 201.838 $65.00

SCREW CORTEX SELF TAP 2.0X8MM 201.801 $51.00

SCREW CORTEX SELF TAP 2.0X9MM 201.809 $65.00

SCREW CORTEX SELF TAP 4.0X100MM 206.500 $110.00

SCREW CORTEX SELF TAP 4.0X50MM 206.450 $55.00

SCREW CORTEX SELF TAP 4.0X52MM 206.452 $55.00

SCREW CORTEX SELF TAP 4.0X54MM 206.454 $55.00

SCREW CORTEX SELF TAP 4.0X70MM 206.470 $60.00

SCREW CORTEX SELF TAP 4.0X75MM 206.475 $99.00

SCREW CORTEX SELF TAP 4.0X80MM 206.480 $110.00

SCREW CORTEX SELF TAP 4.0X85MM 206.485 $99.00

SCREW CORTEX SELF TAP 4.0X90MM 206.490 $110.00

SCREW CORTEX SELF TAP 4.0X95MM 206.495 $99.00

SCREW CORTEX SLF-TAPING 2.0MM 15MM $101.00

SCREW CORTEX ST 2.4X11MM $100.00

SCREW CORTEX ST 2.7X10MM $115.00

SCREW CORTEX ST 2.7X12MM $135.00

SCREW CORTEX ST 2.7X14MM $135.00

SCREW CORTEX ST 2.7X16MM $135.00

SCREW CORTEX ST 2.7X18MM $135.00

SCREW CORTEX ST 2.7X20MM $115.00

SCREW CORTEX ST 2.7X30MM $115.00

SCREW CORTEX ST 2.7X34MM $135.00

SCREW CORTEX ST 2.7X36MM $135.00

SCREW CORTEX ST 2.7X38MM $135.00

SCREW CORTEX ST 2.7X42MM $135.00

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SCREW CORTEX ST 2X10MM $332.00

SCREW CORTEX ST 3.5X10MM $61.00

SCREW CORTEX ST 3.5X12MM $52.00

SCREW CORTEX ST 3.5X12MM $52.00

SCREW CORTEX ST 3.5X14MM $52.00

SCREW CORTEX ST 3.5X14MM $52.00

SCREW CORTEX ST 3.5X14MM $61.00

SCREW CORTEX ST 3.5X15MM $61.00

SCREW CORTEX ST 3.5X16MM $52.00

SCREW CORTEX ST 3.5X16MM $52.00

SCREW CORTEX ST 3.5X16MM $61.00

SCREW CORTEX ST 3.5X18MM $52.00

SCREW CORTEX ST 3.5X18MM $52.00

SCREW CORTEX ST 3.5X18MM $61.00

SCREW CORTEX ST 3.5X20MM $52.00

SCREW CORTEX ST 3.5X20MM $52.00

SCREW CORTEX ST 3.5X20MM $61.00

SCREW CORTEX ST 3.5X22MM $52.00

SCREW CORTEX ST 3.5X22MM $52.00

SCREW CORTEX ST 3.5X22MM $61.00

SCREW CORTEX ST 3.5X24MM $52.00

SCREW CORTEX ST 3.5X24MM $61.00

SCREW CORTEX ST 3.5X26MM $52.00

SCREW CORTEX ST 3.5X26MM $61.00

SCREW CORTEX ST 3.5X28MM $52.00

SCREW CORTEX ST 3.5X28MM $61.00

SCREW CORTEX ST 3.5X30MM $52.00

SCREW CORTEX ST 3.5X30MM $61.00

SCREW CORTEX ST 3.5X32MM $52.00

SCREW CORTEX ST 3.5X32MM $61.00

SCREW CORTEX ST 3.5X34MM $52.00

SCREW CORTEX ST 3.5X34MM $61.00

SCREW CORTEX ST 3.5X36MM $52.00

SCREW CORTEX ST 3.5X36MM $61.00

SCREW CORTEX ST 3.5X38MM $52.00

SCREW CORTEX ST 3.5X38MM $61.00

SCREW CORTEX ST 3.5X40MM $52.00

SCREW CORTEX ST 3.5X40MM $61.00

SCREW CORTEX ST 3.5X42MM $52.00

SCREW CORTEX ST 3.5X42MM $61.00

SCREW CORTEX ST 3.5X44MM $61.00

SCREW CORTEX ST 3.5X46MM $61.00

SCREW CORTEX ST 3.5X48MM $61.00

SCREW CORTEX ST 3.5X50MM $61.00

SCREW CORTEX ST 3.5X55MM $52.00

SCREW CORTEX ST 3.5X55MM $61.00

SCREW CORTEX ST 3.5X60MM $61.00

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SCREW CORTEX ST 3.5X75MM $56.00

SCREW CORTEX ST 4.5X38MM $67.00

SCREW CORTEX ST 4.5X65MM $67.00

SCREW CORTEX ST 4.5X70MM $67.00

SCREW CORTEX ST W T8 STARDRIVE 2.4X13MM $170.00

SCREW CORTEX ST W T8 STARDRIVE 2.4X16MM $170.00

SCREW CORTEX ST W T8 STARDRIVE 2.4X18MM $170.00

SCREW CORTEX ST W T8 STARDRIVE 2.4X22MM $170.00

SCREW CORTEX ST W T8 STARDRIVE 2.4X24MM $170.00

SCREW CORTEX ST W T8 STARDRIVE 2.4X28MM $170.00

SCREW CORTEX ST W T8 STARDRIVE 2.4X30MM $151.00

SCREW CORTEX ST W T8 STARDRIVE 2.4X34MM $170.00

SCREW CORTEX ST W T8 STARDRIVE 2.7X22MM $135.00

SCREW CORTEX ST W T8 STARDRIVE 2.7X24MM $135.00

SCREW CORTEX ST W T8 STARDRIVE 2.7X26MM $135.00

SCREW CORTEX ST W T8 STARDRIVE 2.7X32MM $135.00

SCREW CORTEX ST W/T4 1.5X10MM $104.00

SCREW CORTEX ST W/T4 1.5X8MM $104.00

SCREW CORTEX ST W/T4 1.5X9MM $104.00

SCREW CORTEX TI 2.0MM $111.00

SCREW CORTEX TI 2.0MM $111.00

SCREW CORTEX TI SELF TAP 4.5 X 20MM $52.00

SCREW CORTEX TI SELF TAP 4.5 X 22MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 28MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 30MM $52.00

SCREW CORTEX TI SELF TAP 4.5 X 32MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 34MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 36MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 36MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 38MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 40MM $52.00

SCREW CORTEX TI SELF TAP 4.5 X 42MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 44MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 48MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 50MM $73.00

SCREW CORTEX TI SELF TAP 4.5 X 52MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 54MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 56MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 58MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 60MM $73.00

SCREW CORTEX TI SELF TAP 4.5 X 62MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 64MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 66MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 68MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 70MM $73.00

SCREW CORTEX TI SELF TAP 4.5 X 72MM $45.00

SCREW CORTEX TI SELF TAP 4.5 X 76MM $71.00

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SCREW CORTEX TI SELF TAP 4.5 X 80MM $97.00

SCREW CORTEX TI SELF TAP 4.5 X 85MM $71.00

SCREW CORTEX TI SELF TAP 4.5 X 90MM $97.00

SCREW CORTEX TI SELF TAP 4.5 X 95MM $71.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X18MM $40.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X20MM $40.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X22MM $40.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X26MM $40.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X28MM $40.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X30MM $40.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X34MM $40.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X38MM $40.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X40MM 414.040 $34.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X42MM $60.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X44MM $60.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X46MM $60.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X48MM $60.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X50MM $60.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X52MM $60.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X54MM $60.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X56MM $60.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X58MM $60.00

SCREW CORTEX TITANIUM BUTTRESS 4.5X60MM $60.00

SCREW CORTEX VAL NEAR TI 2.4X16MM $245.00

SCREW CORTEX VAL NEAR TI 2.4X18MM $245.00

SCREW CORTEX VAL NEAR TI 2.4X20MM $245.00

SCREW CORTEX VAL NEAR TI 2.4X22MM $245.00

SCREW CORTEX W/ T4 1.5X10MM $104.00

SCREW CORTEX W/ T4 1.5X11MM $104.00

SCREW CORTEX W/ T4 1.5X12MM $104.00

SCREW CORTEX W/ T4 1.5X13MM $104.00

SCREW CORTEX W/ T4 1.5X14MM $104.00

SCREW CORTEX W/ T4 1.5X15MM $104.00

SCREW CORTEX W/ T4 1.5X16MM $104.00

SCREW CORTEX W/ T4 1.5X18MM $104.00

SCREW CORTEX W/ T4 1.5X20MM $104.00

SCREW CORTEX W/ T4 1.5X22MM $104.00

SCREW CORTEX W/ T4 1.5X24MM $104.00

SCREW CORTEX W/ T4 1.5X6MM $104.00

SCREW CORTEX W/ T4 1.5X7MM $104.00

SCREW CORTEX W/ T4 1.5X8MM $104.00

SCREW CORTEX W/ T4 1.5X9MM $104.00

SCREW CORTICAL - 200/40 $545.00

SCREW CORTICAL - 200/50 $545.00

SCREW CORTICAL - 220/50 $545.00

SCREW CORTICAL - 220/60 $545.00

SCREW CORTICAL - 250/40 $545.00

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SCREW CORTICAL 1.5 MM X 12MM $104.00

SCREW CORTICAL 1.5 MM X 13MM $104.00

SCREW CORTICAL 1.5MM X 11MM $104.00

SCREW CORTICAL 1.5MM X 14MM $104.00

SCREW CORTICAL 1.5MM X 15MM $99.00

SCREW CORTICAL 1.5MM X 18MM $104.00

SCREW CORTICAL 3.5 TITANIUM $161.00

SCREW CORTICAL 3.5MM X 18MM $141.00

SCREW CORTICAL 3.5MMX34MM TITANIUM $113.00

SCREW CORTICAL 3.5X16MM $208.00

SCREW CORTICAL 3.5X18MM $208.00

SCREW CORTICAL 3.5X20MM $208.00

SCREW CORTICAL 3.5X22MM $113.00

SCREW CORTICAL 3.5X22MM $208.00

SCREW CORTICAL 3.5X32MM $113.00

SCREW CORTICAL 4.5 X 26MM $84.00

SCREW CORTICAL 4.5 X 28MM $84.00

SCREW CORTICAL 4.5 X 30MM $84.00

SCREW CORTICAL 4.5X36MM $213.00

SCREW CORTICAL 4.5X38MM $213.00

SCREW CORTICAL 4.5X40MM $213.00

SCREW CORTICAL 4X22MM $380.00

SCREW CORTICAL 4X24MM $380.00

SCREW CORTICAL 4X28MM $380.00

SCREW CORTICAL 4X30MM $380.00

SCREW CORTICAL 4X32MM $380.00

SCREW CORTICAL 4X34MM $380.00

SCREW CORTICAL 4X36MM $380.00

SCREW CORTICAL 4X40MM $295.00

SCREW CORTICAL 4X42MM $380.00

SCREW CORTICAL 4X44MM $295.00

SCREW CORTICAL 4X48MM $380.00

SCREW CORTICAL 4X55MM $380.00

SCREW CORTICAL 5X30MM $540.00

SCREW CORTICAL 5X32MM $540.00

SCREW CORTICAL 5X36MM $540.00

SCREW CORTICAL 5X38MM $540.00

SCREW CORTICAL 5X40MM $540.00

SCREW CORTICAL 5X42MM $540.00

SCREW CORTICAL 5X46MM $540.00

SCREW CORTICAL 5X65MM $466.00

SCREW CORTICAL 5X70MM $466.00

SCREW CORTICAL LOCKING 3.4X38MM $272.00

SCREW CORTICAL LOCKING 3.5X32MM $272.00

SCREW CORTICAL LP 3.5X24MM $125.00

SCREW CORTICAL LP 3.5X24MM $338.00

SCREW CORTICAL LP 3.5X26MM $338.00

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SCREW CORTICAL LP 3.5X28MM $119.00

SCREW CORTICAL LP 3.5X30MM $119.00

SCREW CORTICAL LP 3.5X32MM $119.00

SCREW CORTICAL LP 4.5MM X 40MM $1,988.00

SCREW CORTICAL LP HYBRID 3.0X14MM $275.00

SCREW CORTICAL LP HYBRID 3.0X18MM $275.00

SCREW CORTICAL LP HYBRID 3.0X20MM $275.00

SCREW CORTICAL LP HYRID 3.0X16MM $275.00

SCREW CORTICAL LP ST HEX 3.5X12MM $66.00

SCREW CORTICAL LP ST HEX 3.5X16MM $66.00

SCREW CORTICAL LP ST HEX 3.5X18MM $66.00

SCREW CORTICAL LP ST HEX 3.5X20MM $66.00

SCREW CORTICAL LP ST HEX 3.5X22MM $66.00

SCREW CORTICAL LP ST HEX 3.5X24MM $66.00

SCREW CORTICAL LP ST HEX 3.5X26MM $66.00

SCREW CORTICAL LP ST HEX 3.5X28MM $66.00

SCREW CORTICAL LP ST HEX 3.5X30MM $66.00

SCREW CORTICAL LP ST HEX 3.5X32MM $66.00

SCREW CORTICAL LP ST HEX 3.5X36MM $66.00

SCREW CORTICAL LP ST HEX 3.5X36MM $66.00

SCREW CORTICAL LP ST HEX 3.5X38MM $66.00

SCREW CORTICAL LP ST HEX 3.5X40MM $66.00

SCREW CORTICAL LP ST HEX 3.5X42MM $66.00

SCREW CORTICAL LP ST HEX 3.5X44MM $66.00

SCREW CORTICAL LP ST HEX 3.5X46MM $66.00

SCREW CORTICAL LP ST HEX 3.5X48MM $66.00

SCREW CORTICAL LP ST HEX 3.5X50MM $66.00

SCREW CORTICAL NON-LOCKING 3.5X36MM $113.00

SCREW CORTICAL ORTHOLOC LOCKING 2.75X32M $578.00

SCREW CORTICAL ORTHOLOC LOCKING 2.7X12MM $578.00

SCREW CORTICAL ORTHOLOC LOCKING 2.7X14MM $578.00

SCREW CORTICAL ORTHOLOC LOCKING 2.7X16MM $578.00

SCREW CORTICAL ORTHOLOC LOCKING 2.7X18MM $578.00

SCREW CORTICAL ORTHOLOC LOCKING 2.7X28MM $578.00

SCREW CORTICAL PT 6-5X200MM TL 60MM $545.00

SCREW CORTICAL ST 3.5X40MM $60.00

SCREW CORTICAL ST 3.5X85MM $56.00

SCREW CORTICAL ST 3.5X90MM $56.00

SCREW CORTICAL ST 4.5X14MM $59.00

SCREW CORTICAL ST 4.5X22MM $59.00

SCREW CORTICAL TI VA-LOCKING 1.5X11MM $353.00

SCREW CORTICAL TI VA-LOCKING 1.5X8MM $353.00

SCREW CORTICAL TI VA-LOCKING 1.5X9MM $353.00

SCREW CORTICAL VA-LCP 2.4X42MM $129.00

SCREW CORTICAL VA-LCP 2.4X44MM $129.00

SCREW CORTICAL VA-LCP 2.4X46MM $129.00

SCREW CORTICAL VA-LCP 2.4X48MM $129.00

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SCREW CORTICAL VA-LCP 2.4X50MM $129.00

SCREW CORTICAL VA-LCP 2.4X52MM $129.00

SCREW CORTICAL VA-LCP 2.4X54MM $129.00

SCREW CORTICAL VA-LCP 2.4X56MM $129.00

SCREW CORTICAL VA-LCP 2.4X58MM $129.00

SCREW CORTICAL VA-LCP 2.4X60MM $129.00

SCREW CRTX ST 3.5MM STAR DRIVE 45MM $66.00

SCREW CRTX ST 3.5MM STAR DRIVE 70MM $66.00

SCREW DARCO HEADED 4.5X34MM SHORT $603.00

SCREW DARCO HEADED 4.5X42MM SHT $603.00

SCREW DIVERGENCE 20MM $281.00

SCREW DIVERGENCE 25MM $281.00

SCREW EMERGENCY 1.8X4MM $139.00

SCREW EMERGENCY 2.0X4MM $163.00

SCREW EMERGENCY 2.0X6MM $163.00

SCREW EMERGENCY SCREW 2.0X5MM $163.00

SCREW ENDCAP 12MMX+5 $492.00

SCREW FIX NAIL ST 11X105MM STRL $1,161.00

SCREW FIX NAIL ST 11X110MM STRL $1,161.00

SCREW FIX NAIL ST 11X115MM STRL $1,161.00

SCREW FIX NAIL ST 11X120MM STRL $1,161.00

SCREW FIX NAIL ST 11X70MM STRL $1,161.00

SCREW FIX NAIL ST 11X75MM STRL $1,161.00

SCREW FIX NAIL ST 11X80MM STRL $1,161.00

SCREW FIX NAIL ST 11X85MM STRL $1,161.00

SCREW FIXED LOCK 4.75X15MM $308.00

SCREW FOR COMPRESSION FORCEPS DIA.4XL55 $291.00

SCREW FT NO WASHER 4.5X35MM $2,250.00

SCREW FT NO WASHER 4.5X40MM $2,250.00

SCREW FT NO WASHER 4.5X45MM $2,250.00

SCREW FT NO WASHER 4.5X50MM $2,250.00

SCREW FT NO WASHER 5.0X35MM $2,250.00

SCREW FT NO WASHER 5.0X40MM $2,250.00

SCREW FULLY THREADED 2X12MM $180.00

SCREW FULLY THREADED 2X14MM $180.00

SCREW FULLY THREADED 2X16MM $180.00

SCREW HADED 4.5 X 40MM SHT $603.00

SCREW HADLESS 4.5MM THRD 65MM $706.00

SCREW HAEDED 4.5 X 40MM $603.00

SCREW HEAD COMPRESSION 3.5 X 32MM $505.00

SCREW HEADED 4.5X30MM DARCO $603.00

SCREW HEADED 4.5X55MM DARCO $603.00

SCREW HEADED 4.5X55MM SHORT DARCO $603.00

SCREW HEADED 6.5 X 70MM X16 $975.00

SCREW HEADED 6.5X65MM X16 $975.00

SCREW HEADED 6.5X76X16MM $975.00

SCREW HEADED 7.5X16MM DARCO $1,055.00

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SCREW HEADED SHT 4X44MM $590.00

SCREW HEADLESS 4.5MM THRD 60MM $706.00

SCREW HEADLESS COMPRESSION 5.5X46MM $706.00

SCREW HEADLESS COMPRESSION 7.0MM 60MML $1,470.00

SCREW HEADLESS COMPRESSION 7.0MM L55MM $1,470.00

SCREW HEADLESS COMPRESSION 7X75MM SHT $1,470.00

SCREW HEADLESS COMPRESSION 7X80MM SHT $1,828.00

SCREW HEADLESS COMPRESSION 7X85MM SHT $1,470.00

SCREW HEXALOBE LOCKING 3.0MMX50MM $455.00

SCREW HEXALOBE LOCKING 3.0MMX60MM $455.00

SCREW HEXALOBE NONLOCKING 3.0MMX60MM $225.00

SCREW HEXALOBE NONLOCKING 3.0MMX65MM $225.00

SCREW HEXALOBE NONLOCKING 3.0X38MM $225.00

SCREW HEXALOBE NONLOCKING 3.0X40MM $225.00

SCREW HEXALOBE NONLOCKING 3.0X50MM $225.00

SCREW HEXALOBE NONLOCKING 3.5MMX28MM $225.00

SCREW HEXALOBE NONLOCKING 3.5X32MM $225.00

SCREW HEXALOBE NONLOCKINT 3.00X45MM $225.00

SCREW HEXALOBULAR DISCOVERY $293.00

SCREW JONES 4.5 X 40MM $4,445.00

SCREW KIT HUMERAL 2 $663.00

SCREW LAG DHS 12.7 X 130MM 280.300% $756.00

SCREW LAG T2 RECON 6.5X100MM $549.00

SCREW LAG T2 RECON 6.5X70MM $549.00

SCREW LAG T2 RECON 6.5X75MM $549.00

SCREW LAG T2 RECON 6.5X80MM $549.00

SCREW LAG T2 RECON 6.5X85MM $549.00

SCREW LAG T2 RECON 6.5X90MM $549.00

SCREW LAG T2 RECON 6.5X95MM $549.00

SCREW LITE 5.5X25MM $452.00

SCREW LNG ARM PA 6.5X50MM $1,919.00

SCREW LNG ARM PA 7.5X45MM $1,919.00

SCREW LOCK 6960120 $403.00

SCREW LOCK SMARTLOCK CROSSPIN 2.3X14MM $218.00

SCREW LOCK SMARTLOCK CROSSPIN 2.3X16MM $217.00

SCREW LOCK SMARTLOCK STCROSSPIN 2.7X16MM $218.00

SCREW LOCK SMARTLOCK STCROSSPIN 2.7X18MM $218.00

SCREW LOCK SMARTLOCK STCROSSPIN 2.7X22MM $218.00

SCREW LOCK SMARTLOCK STCROSSPIN 2.7X24MM $218.00

SCREW LOCKGIN 3.5 20MM $260.00

SCREW LOCKING 1.5 X 18MM $353.00

SCREW LOCKING 1.5MM RECESS 24MM $353.00

SCREW LOCKING 1.5MM X 12MM $353.00

SCREW LOCKING 2.0MM ST $365.00

SCREW LOCKING 2.0MM X 11MM $365.00

SCREW LOCKING 2.0MM X 9MM TI-6AL-4V $282.00

SCREW LOCKING 2.3X7MM $320.00

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SCREW LOCKING 2.7MM SELF TAPPING 13MM $295.00

SCREW LOCKING 2.7X10MM $718.00

SCREW LOCKING 2.7X12MM $408.00

SCREW LOCKING 2.7X12MM $718.00

SCREW LOCKING 2.7X14MM $408.00

SCREW LOCKING 2.7X16MM $408.00

SCREW LOCKING 2.7X18MM $408.00

SCREW LOCKING 2.7X20MM $408.00

SCREW LOCKING 25MM $380.00

SCREW LOCKING 2X11MM $320.00

SCREW LOCKING 2X7MM $400.00

SCREW LOCKING 2X9MM $320.00

SCREW LOCKING 3.0MM X 12MM $438.00

SCREW LOCKING 3.0MM X 18MM $438.00

SCREW LOCKING 3.5 14MM $260.00

SCREW LOCKING 3.5 18MM $260.00

SCREW LOCKING 3.5 22MM $260.00

SCREW LOCKING 3.5 T10 48MM $403.00

SCREW LOCKING 3.5 X 24MM $260.00

SCREW LOCKING 3.5MM T10 50MM $403.00

SCREW LOCKING 3.5MM T10 55MM $403.00

SCREW LOCKING 3.5MM T10 70MM $403.00

SCREW LOCKING 3.5X10MM $383.00

SCREW LOCKING 3.5X12MM $383.00

SCREW LOCKING 3.5X14MM $383.00

SCREW LOCKING 3.5X14MM $618.00

SCREW LOCKING 3.5X16MM $383.00

SCREW LOCKING 3.5X16MM $718.00

SCREW LOCKING 3.5X18MM $383.00

SCREW LOCKING 3.5X18MM $618.00

SCREW LOCKING 3.5X20MM $371.00

SCREW LOCKING 3.5X20MM $383.00

SCREW LOCKING 3.5X22MM $383.00

SCREW LOCKING 3.5X22MM $638.00

SCREW LOCKING 3.5X24MM $260.00

SCREW LOCKING 3.5X24MM $383.00

SCREW LOCKING 3.5X24MM $618.00

SCREW LOCKING 3.5X26MM $618.00

SCREW LOCKING 3.5X30MM $618.00

SCREW LOCKING 3.5X32MM $383.00

SCREW LOCKING 3.5X34MM $383.00

SCREW LOCKING 3.5X40MM $383.00

SCREW LOCKING 30MM $203.00

SCREW LOCKING 30MM $380.00

SCREW LOCKING 36MM $203.00

SCREW LOCKING 3X10MM $383.00

SCREW LOCKING 3X12MM $383.00

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SCREW LOCKING 3X30MM $383.00

SCREW LOCKING 4.0 X 26MM $565.00

SCREW LOCKING 4.0MM $431.00

SCREW LOCKING 4.0MM $431.00

SCREW LOCKING 4.0MM $431.00

SCREW LOCKING 4.0X30MM ST $283.00

SCREW LOCKING 4.0X60MM ST $283.00

SCREW LOCKING 45MM $380.00

SCREW LOCKING 4X14MM $431.00

SCREW LOCKING 4X18MM $431.00

SCREW LOCKING 4X20MM $431.00

SCREW LOCKING 4X22MM $431.00

SCREW LOCKING 4X24MM $431.00

SCREW LOCKING 4X26MM $431.00

SCREW LOCKING 4X30MM $431.00

SCREW LOCKING 4X32MM $431.00

SCREW LOCKING 4X34MM $283.00

SCREW LOCKING 4X34MM $431.00

SCREW LOCKING 4X36MM $431.00

SCREW LOCKING 4X42MM $431.00

SCREW LOCKING 4X44MM $431.00

SCREW LOCKING 4X46MM $431.00

SCREW LOCKING 4X48MM $431.00

SCREW LOCKING 4X50MM $431.00

SCREW LOCKING 4X60MM $431.00

SCREW LOCKING 4X65MM $431.00

SCREW LOCKING 4X70MM $431.00

SCREW LOCKING 4X75MM $431.00

SCREW LOCKING 4X80MM $431.00

SCREW LOCKING 4X85MM $431.00

SCREW LOCKING 5.0MM/L28MM 661128 $455.00

SCREW LOCKING 5X16MM $315.00

SCREW LOCKING 5X16MM $455.00

SCREW LOCKING 5X20MM $455.00

SCREW LOCKING 5X24MM $455.00

SCREW LOCKING 5X34MM $455.00

SCREW LOCKING 5X36MM $315.00

SCREW LOCKING 5X36MM $455.00

SCREW LOCKING 5X38MM $315.00

SCREW LOCKING 5X38MM $455.00

SCREW LOCKING 5X40MM $455.00

SCREW LOCKING 5X42MM $455.00

SCREW LOCKING 5X44MM $455.00

SCREW LOCKING 5X48MM $315.00

SCREW LOCKING 5X48MM $455.00

SCREW LOCKING 5X50MM $455.00

SCREW LOCKING 5X55MM $315.00

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SCREW LOCKING 5X60MM $315.00

SCREW LOCKING 5X60MM $455.00

SCREW LOCKING 5X65MM $315.00

SCREW LOCKING 5X70MM $315.00

SCREW LOCKING 5X70MM $455.00

SCREW LOCKING 5X75MM $315.00

SCREW LOCKING 5X75MM $455.00

SCREW LOCKING 5X80MM $315.00

SCREW LOCKING 5X80MM $455.00

SCREW LOCKING 5X85MM $315.00

SCREW LOCKING 5X90MM $455.00

SCREW LOCKING 5X95MM $455.00

SCREW LOCKING AXSOS 4X14MM $283.00

SCREW LOCKING AXSOS 4X16MM $283.00

SCREW LOCKING AXSOS 4X18MM $283.00

SCREW LOCKING AXSOS 4X20MM $283.00

SCREW LOCKING AXSOS 4X22MM $283.00

SCREW LOCKING AXSOS 4X24MM $283.00

SCREW LOCKING AXSOS 4X26MM $283.00

SCREW LOCKING AXSOS 4X28MM $283.00

SCREW LOCKING AXSOS 4X32MM $283.00

SCREW LOCKING AXSOS 4X36MM $283.00

SCREW LOCKING AXSOS 4X38MM $283.00

SCREW LOCKING AXSOS 4X40MM $283.00

SCREW LOCKING AXSOS 4X42MM $283.00

SCREW LOCKING AXSOS 4X44MM $283.00

SCREW LOCKING AXSOS 4X46MM $283.00

SCREW LOCKING AXSOS 4X48MM $283.00

SCREW LOCKING AXSOS 4X50MM $283.00

SCREW LOCKING AXSOS 4X55MM $283.00

SCREW LOCKING AXSOS 4X65MM $229.00

SCREW LOCKING AXSOS 4X65MM $283.00

SCREW LOCKING AXSOS 4X70MM $229.00

SCREW LOCKING AXSOS 4X70MM $283.00

SCREW LOCKING AXSOS 4X75MM $229.00

SCREW LOCKING AXSOS 4X75MM $283.00

SCREW LOCKING AXSOS 4X80MM $229.00

SCREW LOCKING AXSOS 4X80MM $283.00

SCREW LOCKING AXSOS 4X85MM $283.00

SCREW LOCKING AXSOS 4X90MM $283.00

SCREW LOCKING CAP $500.00

SCREW LOCKING CROSS PIN ST 1.7X10MM $244.00

SCREW LOCKING CROSS PIN ST 1.7X12MM $244.00

SCREW LOCKING CROSS PIN ST 1.7X8MM $244.00

SCREW LOCKING CROSS PIN ST 2.3X10MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X11MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X12MM $252.00

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SCREW LOCKING CROSS PIN ST 2.3X13MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X14MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X15MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X16MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X18MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X20MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X22MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X24MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X26MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X8MM $252.00

SCREW LOCKING CROSS PIN ST 2.3X9MM $252.00

SCREW LOCKING EXPLOR $250.00

SCREW LOCKING FT T10 3.5X24MM $454.00

SCREW LOCKING HEXALOBE 2.7MM X 16MM $375.00

SCREW LOCKING HEXALOBE 2.7MM X 18MM $375.00

SCREW LOCKING HEXALOBE 2.7MM X 20MM $375.00

SCREW LOCKING HEXALOBE 3.5MM X 16MM $375.00

SCREW LOCKING HEXALOBE 3.5MM X 30MM $375.00

SCREW LOCKING HEXALOBE 3.5MM X 40MM $375.00

SCREW LOCKING HEXALOBE 3.5MM X 45MM $375.00

SCREW LOCKING HYBRID 3.20MM $438.00

SCREW LOCKING LP VA HYBRID 3.0X14MM $438.00

SCREW LOCKING LP VA HYBRID 3.0X16MM $438.00

SCREW LOCKING PERIPHERAL $203.00

SCREW LOCKING PERIPROSTH 0X10MM $414.00

SCREW LOCKING RADIUS 2.3X36MM $44.00

SCREW LOCKING SELF TAP 3.5 SIZE 35 $297.00

SCREW LOCKING SELF TAP 3.5 SIZE 42 $297.00

SCREW LOCKING SELF TAP 3.5 SIZE 44 $297.00

SCREW LOCKING SELF TAP 3.5 SIZE 46 $297.00

SCREW LOCKING SELF TAP 3.5 SIZE 48 $289.00

SCREW LOCKING SELF TAP 3.5 SIZE 52 $297.00

SCREW LOCKING SELF TAP 3.5X54MM $299.00

SCREW LOCKING SELF TAP 3.5X56MM $299.00

SCREW LOCKING SELF TAP 3.5X58MM $299.00

SCREW LOCKING SOTEOPONIC 4.0 X 16MM $565.00

SCREW LOCKING SQUARE 2.7X11MM $268.00

SCREW LOCKING SQUARE 2.7X12MM $268.00

SCREW LOCKING SQUARE 2.7X13MM $268.00

SCREW LOCKING SQUARE 2.7X14MM $268.00

SCREW LOCKING SQUARE 2.7X15MM $268.00

SCREW LOCKING ST 2.0MM $365.00

SCREW LOCKING ST 2.0MM $365.00

SCREW LOCKING ST 2.0MM T6 $365.00

SCREW LOCKING ST 2.4X 12MM $313.00

SCREW LOCKING ST 2.4X18MM $313.00

SCREW LOCKING ST 2.4X20MM $313.00

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SCREW LOCKING ST 2.4X22MM $313.00

SCREW LOCKING ST 2.4X24MM $313.00

SCREW LOCKING ST 2.7X10MM $287.00

SCREW LOCKING ST 2.7X10MM $326.00

SCREW LOCKING ST 2.7X12MM $287.00

SCREW LOCKING ST 2.7X12MM $326.00

SCREW LOCKING ST 2.7X14MM $287.00

SCREW LOCKING ST 2.7X16MM $287.00

SCREW LOCKING ST 2.7X16MM $371.00

SCREW LOCKING ST 2.7X18MM $287.00

SCREW LOCKING ST 2.7X20MM $287.00

SCREW LOCKING ST 2.7X22MM $287.00

SCREW LOCKING ST 2.7X24MM $371.00

SCREW LOCKING ST 2.7X28MM $326.00

SCREW LOCKING ST 2.7X30MM $287.00

SCREW LOCKING ST 2.7X30MM $326.00

SCREW LOCKING ST 2.7X32MM $326.00

SCREW LOCKING ST 2.7X38MM $326.00

SCREW LOCKING ST 2.7X40MM $326.00

SCREW LOCKING ST 2.7X46MM $326.00

SCREW LOCKING ST 2.7X48MM $326.00

SCREW LOCKING ST 2.7X50MM $326.00

SCREW LOCKING ST 2.7X52MM $326.00

SCREW LOCKING ST 2.7X54MM $326.00

SCREW LOCKING ST 2.7X56MM $326.00

SCREW LOCKING ST 2.7X58MM $326.00

SCREW LOCKING ST 2.7X60MM $326.00

SCREW LOCKING ST 2X14MM $332.00

SCREW LOCKING ST 3.5X10MM $371.00

SCREW LOCKING ST 3.5X12MM $371.00

SCREW LOCKING ST 3.5X12MM $371.00

SCREW LOCKING ST 3.5X14MM $371.00

SCREW LOCKING ST 3.5X14MM $371.00

SCREW LOCKING ST 3.5X16MM $371.00

SCREW LOCKING ST 3.5X18MM $371.00

SCREW LOCKING ST 3.5X18MM $371.00

SCREW LOCKING ST 3.5X20MM $371.00

SCREW LOCKING ST 3.5X22MM $371.00

SCREW LOCKING ST 3.5X24MM $371.00

SCREW LOCKING ST 3.5X26MM $371.00

SCREW LOCKING ST 3.5X30MM $371.00

SCREW LOCKING ST 3.5X32MM 213.032 $297.00

SCREW LOCKING ST 3.5X38MM $297.00

SCREW LOCKING ST 3.5X40MM $371.00

SCREW LOCKING ST 3.5X40MM 213.040 $297.00

SCREW LOCKING ST 3.5X44MM $371.00

SCREW LOCKING ST 3.5X48MM $371.00

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SCREW LOCKING ST 3.5X55MM $371.00

SCREW LOCKING ST 3.5X60MM $371.00

SCREW LOCKING ST 3.5X65MM $371.00

SCREW LOCKING ST 3.5X70MM $371.00

SCREW LOCKING ST 3.5X8MM $371.00

SCREW LOCKING ST W T8 2.7X12MM $282.00

SCREW LOCKING ST W T8 2.7X14MM $282.00

SCREW LOCKING ST W T8 2.7X16MM $282.00

SCREW LOCKING ST W T8 2.7X22MM $282.00

SCREW LOCKING ST W T8 2.7X24MM $282.00

SCREW LOCKING ST W T8 STARDRIVE 2.7X18MM $282.00

SCREW LOCKING ST W T8 STARDRIVE 2.7X20MM $274.00

SCREW LOCKING ST W/ T4 1.5X10MM $259.00

SCREW LOCKING ST W/ T4 1.5X11MM $259.00

SCREW LOCKING ST W/ T4 1.5X12MM $259.00

SCREW LOCKING ST W/ T4 1.5X13MM $259.00

SCREW LOCKING ST W/ T4 1.5X14MM $259.00

SCREW LOCKING ST W/ T4 1.5X8MM $259.00

SCREW LOCKING ST W/ T4 1.5X9MM $259.00

SCREW LOCKING T10 3.5X12MM $454.00

SCREW LOCKING T10 3.5X14MM $454.00

SCREW LOCKING T10 3.5X16MM $454.00

SCREW LOCKING T10 3.5X18MM $454.00

SCREW LOCKING T10 3.5X28MM $454.00

SCREW LOCKING T10 FULL THREAD 3.5MM/L26MM 657326 $454.00

SCREW LOCKING T2 F/T 4X26MM $432.00

SCREW LOCKING T2 F/T 4X28MM $435.00

SCREW LOCKING T2 F/T 4X30MM $435.00

SCREW LOCKING T2 F/T 4X32MM $435.00

SCREW LOCKING T2 F/T 4X34MM $435.00

SCREW LOCKING T2 F/T 4X35MM $435.00

SCREW LOCKING T2 F/T 4X36MM $435.00

SCREW LOCKING T2 F/T 4X40MM $432.00

SCREW LOCKING T2 F/T 4X45MM $432.00

SCREW LOCKING T2 F/T 5X47.5MM $426.00

SCREW LOCKING T2 F/T 5X52.5MM $426.00

SCREW LOCKING T2 F/T 5X57.5MM $426.00

SCREW LOCKING T2 FT 4X38MM $435.00

SCREW LOCKING T2 FT 4X50MM $435.00

SCREW LOCKING TI 1.5X10MM $259.00

SCREW LOCKING TI 1.5X11MM $259.00

SCREW LOCKING TI 1.5X12MM $259.00

SCREW LOCKING TI 1.5X13MM $259.00

SCREW LOCKING TI 1.5X14MM $259.00

SCREW LOCKING TI 1.5X15MM $259.00

SCREW LOCKING TI 1.5X16MM $259.00

SCREW LOCKING TI 1.5X18MM $259.00

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SCREW LOCKING TI 1.5X20MM $259.00

SCREW LOCKING TI 1.5X22MM $259.00

SCREW LOCKING TI 1.5X24MM $259.00

SCREW LOCKING TI 1.5X6MM $259.00

SCREW LOCKING TI 1.5X7MM $259.00

SCREW LOCKING TI 1.5X8MM $259.00

SCREW LOCKING TI 1.5X9MM $259.00

SCREW LOCKING TI 3.5X10MM $191.00

SCREW LOCKING VA LP 3.0X8MM HYBRID $438.00

SCREW LOCKING VA-LCP 2.4X32MM $305.00

SCREW LOCKING VA-LCP 2.4X34MM $305.00

SCREW LOCKING VA-LCP 2.4X36MM $305.00

SCREW LOCKING VA-LCP 2.4X38MM $305.00

SCREW LOCKING VA-LCP 2.4X40MM $305.00

SCREW LOCKING VA-LCP 2.4X42MM $305.00

SCREW LOCKING VA-LCP 2.4X44MM $305.00

SCREW LOCKING VA-LCP 2.4X46MM $305.00

SCREW LOCKING VA-LCP 2.4X48MM $305.00

SCREW LOCKING VA-LCP 2.4X50MM $305.00

SCREW LOCKING VA-LCP 2.4X52MM $305.00

SCREW LOCKING VA-LCP 2.4X54MM $305.00

SCREW LOCKING VA-LCP 2.4X56MM $305.00

SCREW LOCKING VA-LCP 2.4X58MM $305.00

SCREW LOCKING VA-LCP 2.4X60MM $305.00

SCREW LOCKING VARIAX FOOT T10 2.7X28MM $403.00

SCREW LOCKING VARIAX FOOT T10 2.7X3 $403.00

SCREW LOCKING VARIAX FOOT T10 2.7X4 $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X10MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X12MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X14MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X16MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X18MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X20MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X22MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X24MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X26MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X28MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X30MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X32MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X34MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X36MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X38MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X40MM $403.00

SCREW LOCKING VARIAX FOOT T10 3.5X44MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X10MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X12MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X14MM $403.00

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SCREW LOCKING VARIAX FOOT T7 2.7X16MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X18MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X20MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X22MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X24MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X26MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X30MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X32MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X34MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X36MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X40MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X50MM $403.00

SCREW LOCKING VARIAX FOOT T7 2.7X8MM $403.00

SCREW LOCKING WT25 6X68MM $372.00

SCREW LOCKING WT25 STARDRIVE 6X72MM $372.00

SCREW LOCKING WT25 STARDRIVE 6X76MM $372.00

SCREW LOCKING WT25 STARDRIVE 6X80MM $372.00

SCREW LOCKING WT25 STARDRIVE 6X85MM $372.00

SCREW LOCKTIN 5.85MM $455.00

SCREW LOW PRO CORT 3.5X22MM $338.00

SCREW LP 2.7X14MM $101.00

SCREW LP 2.7X15MM $101.00

SCREW MANTIS PA 5.5X40MM $2,371.00

SCREW MANTIS PA 5.5X45MM $2,371.00

SCREW MANTIS PA 5.5X50MM $2,371.00

SCREW MANTIS PA 6.5X35MM $2,371.00

SCREW MANTIS PA 6.5X45MM $2,371.00

SCREW MANTIS PA 6.5X50MM $2,371.00

SCREW MANTIS PA 6.5X55MM $2,371.00

SCREW MATRIX 5X45MM $1,000.00

SCREW MATRIX 6X45MM $1,000.00

SCREW MATRIX 6X50MM $1,000.00

SCREW MATRIX 7X35MM $1,000.00

SCREW MATRIX 7X40MM $1,500.00

SCREW MATRIX 7X45MM $1,500.00

SCREW MATRIX 7X50MM $1,500.00

SCREW MATRIX 7X55MM $1,000.00

SCREW MATRIX 7X60MM $1,000.00

SCREW MATRIX 8X40MM $1,000.00

SCREW MATRIX 8X45MM $1,000.00

SCREW MAXDRIVE 2.0 X 7MM $122.00

SCREW MAXDRIVE DF 2.0MM X 5MM $133.00

SCREW MAXDRIVE LOCKING 2.3 X 11MM $938.00

SCREW MAXDRIVE LOCKING 2.3 X 13MM $188.00

SCREW MEDIAL BASED ANGLE 3.5X20MM $1,919.00

SCREW MEDIAL BIASED ANGLE 3.5X22MM $1,919.00

SCREW MEDIAL BIASED ANGLE 3.5X24MM $1,919.00

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SCREW METAPHYSEAL ST 2.7X10MM $118.00

SCREW METAPHYSEAL ST 2.7X12MM $118.00

SCREW METAPHYSEAL ST 2.7X14MM $118.00

SCREW METAPHYSEAL ST 2.7X16MM $118.00

SCREW METAPHYSEAL ST 2.7X18MM $118.00

SCREW METAPHYSEAL ST 2.7X20MM $118.00

SCREW METAPHYSEAL ST 2.7X22MM $118.00

SCREW METAPHYSEAL ST 2.7X24MM $118.00

SCREW METAPHYSEAL ST 2.7X26MM $118.00

SCREW METAPHYSEAL ST 2.7X30MM $118.00

SCREW METAPHYSEAL ST 2.7X34MM $118.00

SCREW METAPHYSEAL ST 2.7X36MM $118.00

SCREW METAPHYSEAL ST 2.7X38MM $118.00

SCREW METAPHYSEAL ST 2.7X40MM $118.00

SCREW METAPHYSEAL ST 2.7X42MM $118.00

SCREW METAPHYSEAL ST 2.7X44MM $118.00

SCREW METAPHYSEAL ST 2.7X46MM $118.00

SCREW METAPHYSEAL ST 2.7X48MM $118.00

SCREW METAPHYSEAL ST 2.7X50MM $118.00

SCREW METAPHYSEAL ST 2.7X52MM $118.00

SCREW METAPHYSEAL ST 2.7X54MM $118.00

SCREW METAPHYSEAL ST 2.7X56MM $118.00

SCREW METAPHYSEAL ST 2.7X58MM $118.00

SCREW METAPHYSEAL ST 2.7X60MM $118.00

SCREW METAPHYSEAL ST 2.7X62MM $118.00

SCREW METAPHYSEAL ST 2.7X64MM $118.00

SCREW METAPHYSEAL ST 2.7X66MM $118.00

SCREW METAPHYSEAL ST 2.7X68MM $118.00

SCREW METAPHYSEAL ST 2.7X70MM $118.00

SCREW MMF 2X16MM 12MM THREAD $234.00

SCREW MMF MD DF 2.0 X12MM 8MM TEMP USE $234.00

SCREW MMF XD DF 2.0 X 12MM 8MM TEMP USE $229.00

SCREW MMF XD DF 2.0X12MM 8MM TEMP USE $234.00

SCREW MUC 7X100X32MM $3,455.00

SCREW MUC 7X50X16MM $3,455.00

SCREW MUC 7X80X16MM $3,455.00

SCREW MUC 7X85X32MM $3,455.00

SCREW MUC 7X90X16MM $3,455.00

SCREW MULTIAXIAL 4X35MM $2,025.00

SCREW MULTIAXIAL 5.5X60MM $2,025.00

SCREW MULTIAXIAL 9.5 X 30MM $2,060.00

SCREW MULTIAXIAL 9.5X60MM $2,060.00

SCREW MULTIAXIAL CANNULATED 5.5X50MM $2,531.00

SCREW MULTIAXIAL VOYAGER 7.5 X 55MM $2,811.00

SCREW MULTIAXIAL VOYAGER 7.5X40MM $2,531.00

SCREW MULTIDIRECT 3.5X28MM $396.00

SCREW MULTIDIRECTIONAL 2.7X16MM $510.00

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SCREW MULTILOC 4.5X28MM STRL $621.00

SCREW MULTILOC 4.5X40MM STRL $621.00

SCREW NEURO EMERGENCY 1.8X4MM $145.00

SCREW NEURO MAXDRIVE 1.5MM X 3.5MM $145.00

SCREW NEURO MAXDRIVE 1.5MM X 4MM $145.00

SCREW NEURO MAXDRIVE 1.5MM X 5MM $145.00

SCREW NEURO MAXDRIVE 1.8MM X 4MM $145.00

SCREW NEURO MAXDRIVE 1.8MM X 5MM $145.00

SCREW NEURO ULTRA LOW PROF 1.5 X 3.5MM $145.00

SCREW NEURO ULTRA LP 1.5 X 4.0MM $145.00

SCREW NL 2.7X14MM $513.00

SCREW NL 2.7X16MM $513.00

SCREW NL 3.5X10MM $513.00

SCREW NON-LOCKING 3.5X14MM $263.00

SCREW NON-LOCKING 3.5X16MM $263.00

SCREW NON-LOCKING 3.5X18MM $263.00

SCREW NON-LOCKING 3.5X22MM $263.00

SCREW NON-LOCKING 3.5X24MM $263.00

SCREW NON-LOCKING 3.5X26MM $263.00

SCREW NON-LOCKING 3.5X30MM $263.00

SCREW NON-LOCKING 3.5X32MM $263.00

SCREW NON-LOCKING 3.5X34MM $263.00

SCREW NON-LOCKING 3.5X40MM $263.00

SCREW NON-LOCKING 3X12MM $263.00

SCREW NON-LOCKING 3X22MM $263.00

SCREW NON-LOCKING 3X28MM $263.00

SCREW NON-LOCKING HEXALOBE 2.7 X 22MM $225.00

SCREW NON-LOCKING HEXALOBE 3.5MM X 12MM $205.00

SCREW NON-LOCKING HEXALOBE 3.5MM X 14MM $225.00

SCREW NON-LOCKING HEXALOBE 3.5MM X 16MM $225.00

SCREW NON-LOCKING HEXALOBE 3.5MM X 20MM $225.00

SCREW NON-LOCKING HEXALOBE 3.5MM X 22MM $225.00

SCREW NON-LOCKING HEXALOBE 3.5MM X 24MM $225.00

SCREW NON-LOCKING HEXALOBE 3.5MM X 26MM $225.00

SCREW NON-LOCKING HEXALOBE 3.5MM X 55MM $293.00

SCREW NON-LOCKING HEXALOBE 3.5MM X 60MM $293.00

SCREW NON-LOCKING OSTEOPENIC 5.5X26MM $323.00

SCREW NON-LOCKING OSTEOPENIC 5.5X30MM $323.00

SCREW NON-LOCKING T10 3.5X16MM $247.00

SCREW NON-LOCKING T10 3.5X30MM $247.00

SCREW OFFSET LA T 22M $2,468.00

SCREW ORTHOLOGIC LOCKING 2.7X24MM $578.00

SCREW PEDICAL ES2 6.5X35MM $3,327.00

SCREW PEDICLE 7.5MM X 35MM $3,327.00

SCREW PEDICLE ES2 4.5X35MM 482804435 $3,327.00

SCREW PEDICLE ES2 4.5X40MM 482804440 $3,327.00

SCREW PEDICLE ES2 4.5X45MM 482804445 $3,327.00

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SCREW PEDICLE ES2 5.5X35MM 482802535 $3,327.00

SCREW PEDICLE ES2 5.5X35MM 482804535 $3,327.00

SCREW PEDICLE ES2 5.5X40MM 482802540 $3,327.00

SCREW PEDICLE ES2 5.5X40MM 482804540 $3,327.00

SCREW PEDICLE ES2 5.5X45MM 482802545 $3,327.00

SCREW PEDICLE ES2 5.5X45MM 482804545 $3,327.00

SCREW PEDICLE ES2 5.5X50MM 482802550 $3,327.00

SCREW PEDICLE ES2 5.5X50MM 482804550 $3,327.00

SCREW PEDICLE ES2 6.5X40MM 482802640 $3,327.00

SCREW PEDICLE ES2 6.5X45MM 482802645 $3,327.00

SCREW PEDICLE ES2 6.5X50MM 482802650 $3,327.00

SCREW PEDICLE ES2 6.5X55MM $3,327.00

SCREW PEDICLE ES2 7.5X40MM $3,327.00

SCREW PEDICLE ES2 7.5X45MM $3,327.00

SCREW PEDICLE ES2 7.5X55MM $3,327.00

SCREW PEDICLE ES2 7.5X60MM $3,327.00

SCREW PEDICLE ES2 LNG 6.5X40MM $3,327.00

SCREW PEDICLE ES2 LNG 6.5X45MM $3,327.00

SCREW PEDICLE ES2 LNG 6.5X50MM $3,327.00

SCREW PEDICLE ES2 LNG 6.5X50MM $3,327.00

SCREW PEDICLE ES2 LNG 7.5X45MM $3,000.00

SCREW PEDICLE ES2 LNG 7.5X50MM $3,327.00

SCREW PEDICLE ES2 LNG 7.5X55MM $3,327.00

SCREW PEDICLE ES2 LNG 7.5X60MM $3,327.00

SCREW PERIPHERAL 14MM $375.00

SCREW PERIPHERAL 18MM $375.00

SCREW PERIPHERAL 22MM $375.00

SCREW PERIPHERAL 26MM $375.00

SCREW PERIPHERAL 30MM $375.00

SCREW PERIPHERAL 34MM $375.00

SCREW PERIPHERAL 38MM $375.00

SCREW POLY ILIOS & REVISION 10.5X80MM $2,032.00

SCREW POLYAXIAL 7X40MM $2,000.00

SCREW POST STD 4.5X35MM $892.00

SCREW POST STD 4.5X40MM $892.00

SCREW POST STD 5.5X40MM $892.00

SCREW POST STD 5.5X45MM $892.00

SCREW POST STD 6.5X35MM $892.00

SCREW POST STD 6.5X50MM $892.00

SCREW POST STD 7.5X35MM $892.00

SCREW POST STD 7.5X40MM $892.00

SCREW POST STD 7.5X45MM $892.00

SCREW POST STD 7.5X50MM $892.00

SCREW POST STD 8.5X40MM $892.00

SCREW PT CANNULATED 4X32MM $454.00

SCREW PT CANNULATED 4X46MM $454.00

SCREW PT NO WASHER 5.0X50MM $2,250.00

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SCREW PT STERILE 4X55MM $454.00

SCREW PT STERILE 4X60MM $454.00

SCREW RMAS BREAKOFF SET $556.00

SCREW SALVATION OP LOCKING 4.0X22MM $565.00

SCREW SALVATION OP LOCKING 4.0X26MM $323.00

SCREW SALVATION OP LOCKING 4.0X28MM $565.00

SCREW SALVATION OP LOCKING 4.0X30MM $565.00

SCREW SALVATION OP LOCKING 4.0X32MM $565.00

SCREW SALVATION OP LOCKING 4.0X34MM $323.00

SCREW SALVATION OP LOCKING 4.0X34MM $565.00

SCREW SAS 4.5 X 45MM $4,995.00

SCREW SAS 6.5 X 45MM $4,995.00

SCREW SD 2X6MM $368.00

SCREW SD 2X8MM $368.00

SCREW SD VAIRABLE 4X17MM $394.00

SCREW SELF DRILLING 1.5X4MM $189.00

SCREW SELF DRILLING 1.5X5MM $189.00

SCREW SELF LOCKING 1.5MM RECESS 13MM $353.00

SCREW SELF-DRILLING TI 2.00MM 4MM RECESS $932.00

SCREW SET T2 RECONSTRUCTION NAIL $416.00

SCREW SHAFT 3.5 X 20MM 204.220 $41.00

SCREW SMARTLOCK HYBRID 2X6MM $348.00

SCREW SMOOTH STEM 16MM X 40MM $3,423.00

SCREW SPINE XIA II PA 5.5X40MM $1,919.00

SCREW SPINE XIA II PEDIATRIC MAW 5X40MM $1,919.00

SCREW SPINE XIA ILIOS PA 7.5X70MM $1,919.00

SCREW ST FIXED 4.5X11MM $394.00

SCREW ST FIXED 4.5X13MM $394.00

SCREW ST FIXED 4.5X15MM $394.00

SCREW ST FIXED 4.5X17MM $394.00

SCREW ST FIXED 4X16MM $394.00

SCREW ST FIXED 4X17MM $394.00

SCREW ST VARIABLE 4.5X11MM $394.00

SCREW ST VARIABLE 4X12MM $394.00

SCREW ST VARIABLE 4X13MM $394.00

SCREW ST VARIABLE 4X16MM $394.00

SCREW STARDRIVE W/T15 3.5X10MM $389.00

SCREW STARDRIVE W/T15 3.5X16MM $389.00

SCREW STARDRIVE W/T15 3.5X19MM $389.00

SCREW STARDRIVE W/T15 3.5X22MM $389.00

SCREW STARDRIVE W/T15 3.5X22MM $389.00

SCREW STARDRIVE W/T15 3.5X24MM $389.00

SCREW STARDRIVE W/T15 3.5X26MM $389.00

SCREW STARDRIVE W/T15 3.5X28MM $389.00

SCREW STARDRIVE W/T15 3.5X30MM $389.00

SCREW STARDRIVE W/T15 3.5X32MM $389.00

SCREW STARDRIVE W/T15 3.5X34MM $389.00

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SCREW STARDRIVE W/T15 3.5X38MM $389.00

SCREW STARDRIVE W/T15 3.5X40MM $389.00

SCREW STARDRIVE W/T15 3.5X42MM $389.00

SCREW STARDRIVE W/T15 3.5X46MM $389.00

SCREW STARDRIVE W/T15 3.5X50MM $389.00

SCREW STARDRIVE W/T15 3.5X52MM $389.00

SCREW STARDRIVE W/T15 3.5X56MM $389.00

SCREW STARDRIVE W/T15 3.5X58MM $389.00

SCREW STARDRIVE W/T15 3.5X75MM $389.00

SCREW STARDRIVE W/T15 3.5X95MM $389.00

SCREW STARLOCK VA ST 5X20MM $439.00

SCREW STERNAL 2.3 X 13MM $188.00

SCREW STERNAL 2.3 X 15MM $188.00

SCREW SV 2.5MM X 18MM X PITCH.91MM $713.00

SCREW SV 2.5MM X 24MM PITCH .91 $713.00

SCREW SV-FIX 2.5X14MM $713.00

SCREW SV-FIX 2.5X16MM $713.00

SCREW SV-FIX 2.5X20MM $713.00

SCREW SV-FIX 2.5X22MM $713.00

SCREW T2 COMPRESSION SCREW $430.00

SCREW T2 CONDYLE 5X100MM $373.00

SCREW T2 CONDYLE 5X54MM $468.00

SCREW T2 CONDYLE 5X55MM $468.00

SCREW T2 CONDYLE 5X56MM $468.00

SCREW T2 CONDYLE 5X60MM $468.00

SCREW T2 CONDYLE 5X70MM $468.00

SCREW T2 CONDYLE 5X75MM $468.00

SCREW T2 CONDYLE 5X80MM $468.00

SCREW T2 CONDYLE 5X85MM $468.00

SCREW T2 CONDYLE 5X90MM $468.00

SCREW T2 END CAP +10MM $420.00

SCREW T2 END CAP +15MM $420.00

SCREW T2 END CAP +5MM $420.00

SCREW T2 SHAFT 5X50MM $461.00

SCREW TENODESIS G-FORCE 4 X 10MM $1,418.00

SCREW TENODESIS G-FORCE 5 X 15MM $1,418.00

SCREW THOR STANDARD 6.0 X 22MM $452.00

SCREW THOR STD 6.5X22MM $452.00

SCREW THOR STD 6.5X25MM $452.00

SCREW THOR STD 6.5X55MM $452.00

SCREW THOR STD 6X25MM $452.00

SCREW THOR STD 6X28MM $452.00

SCREW THOR STD 6X31MM $452.00

SCREW THOR STD 6X34MM $452.00

SCREW THOR STD 6X49MM $452.00

SCREW THOR STD 6X52MM $452.00

SCREW THOR STD LNG 6X40MM $452.00

Page 412: DESCRIPTION Price - Fairview

SCREW THORACIC 6.5X40MM $1,575.00

SCREW THORACIC 6.5X45MM $1,575.00

SCREW THORASIC 5.5 X 30MM $1,575.00

SCREW THORASIC 5.5 X 35MM $1,575.00

SCREW TI 3.5X12MM $150.00

SCREW TI LOCKING SELF DRILL 5.0 X 26MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 24MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 26MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 28MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 34MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 36MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 38MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 40MM $498.00

SCREW TI LOCKING SELF TAP 5.0 X 42MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 44MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 46MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 48MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 50MM $498.00

SCREW TI LOCKING SELF TAP 5.0 X 55MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 60MM $498.00

SCREW TI LOCKING SELF TAP 5.0 X 65MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 70MM $498.00

SCREW TI LOCKING SELF TAP 5.0 X 75MM $513.00

SCREW TI LOCKING SELF TAP 5.0 X 80MM $498.00

SCREW TI LOCKING SELF TAP 5.0 X 85MM $513.00

SCREW TI LOCKING SELF TAP 5.0MM X 32MM $513.00

SCREW TI LOCKING SELT TAP 5.0 X 30MM $498.00

SCREW TITANIUM LOCKING 5.0 X 40MM STRL $471.00

SCREW TITANIUM LOCKING 5X36MM STRL $471.00

SCREW TWIST-OFF 2X11MM $713.00

SCREW UN3 W/NEW HEAD 1.5X5MM SD $248.00

SCREW UNICORTICAL 5X10MM $500.00

SCREW UNICORTICAL 5X16MM $427.00

SCREW UNI-CORTICALDNP-A UCS $209.00

SCREW UNS W/NEW HEAD 1.5X4MM SD $248.00

SCREW VA-LCKING 2.0MM X 18MM $365.00

SCREW VA-LCKING TI 2.0MM $365.00

SCREW VA-LCKING TI 2.0MM $365.00

SCREW VA-LOCING 1.5MM 10MM $353.00

SCREW VA-LOCKING 1.5MM 11MM $353.00

SCREW VA-LOCKING 1.5MM 12MM $353.00

SCREW VA-LOCKING 1.5MM 13MM $353.00

SCREW VA-LOCKING 1.5MM 24MM $353.00

SCREW VA-LOCKING 1.5MM 9MM $353.00

SCREW VA-LOCKING SLF-TAPING 2.0MM 14MM $365.00

SCREW VA-LOCKING SLF-TAPING 2.0MM 16MM $365.00

SCREW VARIABLE 6.5X35MM $450.00

Page 413: DESCRIPTION Price - Fairview

SCREW VARIABLE LOCK 4.75X40MM $308.00

SCREW WEDGE INTERFACE 6X23MM $701.00

SCREW WEDGE INTERFACE 8X23MM $701.00

SCREW WS-FIX 2MM X 12MM $713.00

SCREW XIA 3 PA 6.5X60MM $2,258.00

SCREW XIA 3 PA 7.5X60MM $2,258.00

SCREW XIA 3 PA 7.5X70MM $2,258.00

SCREW XIA 4.5 POLYAXIAL 6.5X40MM $1,919.00

SCREW XIA 4.5 POLYAXIAL 6.5X45MM $1,919.00

SCREW XIA 4.5 POLYAXIAL 7.5X40MM $1,919.00

SCREW XIA 6.0MM X 25MM $2,258.00

SCREW XIA PA 8.5X70MM $1,919.00

SCREW XIA PA 8.5X80MM $1,919.00

SCREWDRIVER 15MM SHRT HEX AR-1350D $2,050.00

SCREWDRIVER 23MM BIO TNDNS AR-1570DB $2,388.00

SCREWDRIVER 4MM BIOTNDS SCR AR-1540DB $1,975.00

SCREWDRIVER 5.5IN 5.5MM AR-1399 $920.00

SCREWDRIVER 6.5MM HIP TMX CANN 14616 $702.00

SCREWDRIVER 6.8IN 5.5MM 3.5MM AR-1998 $485.00

SCREWDRIVER RATCHETING HANDLE 62-20290 $2,813.00

SCREWDRIVER STERNAL TALON $508.00

SCREWDRIVER SYN T8 STARDRIVE SHAFT 105MM 314.467 $653.00

SCRWE LOCKING 2.0MM X 12MM $365.00

SCRWE SCHANZ SD 4.0 X 150MM 294.778 $303.00

SCSR 4.75IN RGERS ANG 1 SERR SU1980 $56.00

SEAL SET MYOSURE ROD LENS SCOPE SINGLE USE 40-902 $250.00

SEALANT PLEURAL AIRLEAK PROGEL 4ML PGPS002 $9,250.00

SEALANT SPINE DURASEAL EXACT 5ML $10,156.00

SECONDARY WOUND CLOSURE $5,272.00

SECRETIN (HUMAN) 16 MCG INTRAVENOUS SOLUTION $2,282.00

SED RATE $71.00

SELECTIVE CATH - SEGMENTAL ARTERY $1,282.00

SELEGILINE 5 MG CAPSULE $8.00

SELEGILINE 6 MG/24 HR TRANSDERMAL 24 HOUR PATCH $239.00

SELENIUM 200 MCG TABLET $5.00

SELENIUM 200 MCG TABLET,DELAYED RELEASE $5.00

SELENIUM 50 MCG TABLET $5.00

SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION $1,491.00

SELENIUM SULFIDE 1 % SHAMPOO $14.00

SELENIUM SULFIDE 2.5 % LOTION $49.00

SELENIUM,SERUM, SO $202.00

SELINEXOR 160 MG/WEEK (20 MG X 8) TABLET $11,953.00

SEMEN ANALYSIS $342.00

SEMEN ANALYSIS (SEMB) $504.00

SEMEN ANALYSIS-POST. VAS $822.00

SEMI RIGID COLLAR $74.00

SENNA LEAF EXTRACT 176 MG/5 ML ORAL SYRUP $1.00

Page 414: DESCRIPTION Price - Fairview

SENNOSIDES 8.6 MG TABLET $5.00

SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET $5.00

SENNOSIDES 8.8 MG/5 ML SYRUP,SENNA LEAF EXTRACT 176 MG/5 ML $5.00

SENSOR PO LG ADLT CRBRL STRL D $4,000.00

SENSORY INTEG 15 MIN OT $149.00

SEPARATOR PENUMBRA INDIGO 6 $2,763.00

SEPARATOR PENUMBRA INDIGO 8 $4,763.00

SEROMA/HEMATOMA/FLUID COL/DRAI $3,300.00

SEROTONIN $260.00

SEROTONIN RELEASE ASSAY EA ABY $1,216.00

SERPINA1 $557.00

SERPINA1 GENE $557.00

SERRATO 5.5MM X 40MM POLYAXIAL SCR $3,698.00

SERRATO 6.5MM X 35MM POLYAXIAL SCR $2,125.00

SERRATO 6.5MM X 45MM POLYAXIAL SCR $3,698.00

SERRATO 6.5MM X 50MM POLYAXIAL SCR $3,698.00

SERRATO 6.5MM X 55MM POLYAXIAL SCR $3,698.00

SERRATO TAP - 5.5MM $1,661.00

SERTRALINE 100 MG TABLET $5.00

SERTRALINE 20 MG/ML ORAL CONCENTRATE $5.00

SERTRALINE 25 MG TABLET $5.00

SERTRALINE 50 MG TABLET $5.00

SESTAMIBI (PER DOSE) $81.00

SET CLAMP EXTERNAL FIXATION PERIARTICULAR HOLEX4 F/3MM/4MM D $1,037.00

SET CLAMP EXTERNAL FIXATION SCHANZ PIVOT SCR F/DISTRACTION $965.00

SET CYLINDER INFRAPUBIC 0DEG W/PUMP 20CM $24,433.00

SET CYLINDER INFRAPUBIC 0DEG W/PUMP 22CM $24,433.00

SET ENDOSCOPIC DELTOID LIGAMENT RECONSTRUCTION $4,888.00

SET GUIDE TRUMATCH ATTUNE RESECTION $1,750.00

SET INST MEDT GUIDWIRE SHARP 8670002 $126.00

SET INTL FIX IMP SYS W/DRILL GUIDE/ CAN BIT/SUT TENS $3,738.00

SET INTRODUCER CYSTIC DUCT $482.00

SET IV ADMIN CONTINU-FLO 2 CLR $365.00

SET NERVE BLOCK TUOHY CONT 18GAX4" 331693 $913.00

SET POST EXTERNAL FIXATION 30DEG ANGLED F/5MM PIN HOFFMA $208.00

SET RADN THERAPY FIELD 3D RECON $5,546.00

SET RADN THERAPY FIELD COMPLEX $1,792.00

SET RADN THERAPY FIELD SIMPLE $776.00

SET SCR POLYAXIAL 6.5MMW X 40MML $3,698.00

SET SCR SPNL T-PDCL AMENDIA SAVANNAH 10-07 $163.00

SET SCREW BREAK OFF TI $113.00

SET TRMA FX ACL 10MM SZR TAMP AR-1985-10 $485.00

SET TRMA FX ACL 6MM SZR TAMP AR-1985-06 $485.00

SET TRMA FX ACL 8MM SZR TAMP AR-1985-08 $485.00

SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET $84.00

SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET $84.00

SEVELAMER CARBONATE 800 MG TABLET $11.00

Page 415: DESCRIPTION Price - Fairview

SEVELAMER HCL 400 MG TABLET $16.00

SEVELAMER HCL 800 MG TABLET $17.00

SEVOFLURANE INHALATION LIQUID $672.00

SEX HORMONE BIND GLOB $181.00

SEX HORMONE BINDING GLOBULIN $181.00

SEXUAL ASSAULT NURSING EXAM $1,635.00

SGL NBI BRACHIAL PLEXUS $1,646.00

SGMDSC FLX DIRED SBMCSL NJX ANY SBST $2,243.00

SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ $2,191.00

SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE $2,202.00

SHAFT SCRDRVR 1.6MM SLF RET 313.991 $993.00

SHAVE LES F/E/N/L; 0.5CM/< $433.00

SHAVE SKIN LESION 0.5 CM/< $375.00

SHAVER SINUS HYDRODEBRIDER STD HANDPIECE 1914001 $915.00

SHEATH $694.00

SHEATH 7FR ULTIMUM 407847 $163.00

SHEATH ACCESS 9.5 X 45CM FUS-095045 $412.00

SHEATH ACCESS 9.5X28CM FUS-095028 $412.00

SHEATH AGILIS 8.5F NXT 408309 $2,075.00

SHEATH CPLI 8.0 38 073779 $150.00

SHEATH FLEXOR ANSEL 6FR .035 45CM $128.00

SHEATH GLIDE RADIAL 6FR 10CM .035 $450.00

SHEATH GUIDE SLENDER 7FRX10CM SS $138.00

SHEATH GUIDING PINNACLE DEST 8FR.X90CM $248.00

SHEATH INTRODUCER DRYSEAL FLEX W/HYDRO CT 12FRX33CM DSF1233 $743.00

SHEATH INTRODUCER DRYSEAL FLEX W/HYDRO CT 14FRX33CM DSF1433 $743.00

SHEATH PINNACLE 5FR 10CM W/MARKER GW $575.00

SHEATH PINNACLE 9FR 10CM W/MARKER $650.00

SHEATH PINNACLE 9FR 10CM W/MARKER GW $575.00

SHEATH PINNACLE DESTINATION 6FRX45CM ST $205.00

SHEATH PINNACLE DESTINATION 8FRX45CM ST $205.00

SHEATH PRELUDE SNAP 13CM 8FR $363.00

SHEATH PRELUDE SNAP 25CM 6FR X 25CM $457.00

SHEATH SOLOPATH FEM ACCESS 19FRX35CM $1,525.00

SHEATH SUPERFLEX 9FR X 4CM $835.00

SHEATH URETERAL ACCESS 11/13 28CM NAV HD $278.00

SHEATH URETERAL ACCESS 11/13 36CM NAV HD $278.00

SHEATH URETERAL ACCESS 11/13 46CM NAV HD $278.00

SHEATH URETERAL ACCESS 12/14 28CM NAV HD $278.00

SHEATH URETERAL ACCESS 12/14 36CM NAV HD $278.00

SHEATH URETERAL ACCESS 12/14 46CM NAV HD $278.00

SHEATH URETERAL ACCESS 13/15 28CM NAV HD $278.00

SHEATH URETERAL ACCESS 13/15 36CM NAV HD $278.00

SHEATH URETERAL ACCESS 13/15 46CM NAV HD $278.00

SHEATH URETERAL ACCESS FORTE AXP 10FR 12-16F 35CM $1,500.00

SHEATH URETERAL ACCESSFORTE HD 10FR 12-16F 35CM $1,500.00

SHEATH VISI 12FRX33CM NON-LASER DILATOR $638.00

Page 416: DESCRIPTION Price - Fairview

SHEETING SILICON 5X5CM .13MM 1532505 $593.00

SHELL ACETABULAR 46C SOLIDBACK TITANIUM $2,000.00

SHELL ACETABULAR 48D SOLIDBACK TITANIUM $2,000.00

SHELL ACETABULAR 50D SOLIDBACK TITANIUM $2,000.00

SHELL ACETABULAR 52E SOLIDBACK TRITANIUM $2,000.00

SHELL ACETABULAR 54E SOLIDBACK TRITANIUM $2,000.00

SHELL ACETABULAR 54MM OD GRIPTION PRIMARY LOCKING RING SOLID $2,350.00

SHELL ACETABULAR 56F SOLIDBACK TITANIUM $2,000.00

SHELL ACETABULAR 56MM OD POROCOAT PRIMARY LOCKING RING SOLID $2,500.00

SHELL ACETABULAR 58F SOLIDBACK TITANIUM $2,000.00

SHELL ACETABULAR 60G SOLIDBACK TITANIUM $2,000.00

SHELL ACETABULAR 60MM 3H $1,875.00

SHELL ACETABULAR 62G SOLIDBACK TITANIUM $2,000.00

SHELL ACETABULAR MULTI HOLE 62MM $10,855.00

SHELL ACETABULAR MULTI HOLE 72MM $10,855.00

SHELL ACETABULAR MULTI-HOLE 50MM OD GRIPTION PRIMARY LOCKING $5,516.00

SHELL ACETABULAR PINN SECTOR W GRIPTON $2,350.00

SHELL ACETABULAR PINNACLE 100 48MM $2,100.00

SHELL ACETABULAR PINNACLE 100 50MM $2,100.00

SHELL ACETABULAR PINNACLE 100 52MM 1217-01-052 $2,100.00

SHELL ACETABULAR PINNACLE 100 54MM 1217-01-054 $2,100.00

SHELL ACETABULAR PINNACLE 100 56MM 1217-01-056 $2,100.00

SHELL ACETABULAR PINNACLE 100 58MM 121701058 $2,100.00

SHELL ACETABULAR REDAPT 76MM $6,555.00

SHELL ACETABULAR SECTOR 62MM OD GRIPTION PRIMARY LOCKING RIN $2,350.00

SHELL ACETABULAR SZ A 44MM OD TRITANIUM HEMISPHERICAL PRIM $2,000.00

SHELL G7 OSSEO ACETABULAR 4HOLE 58MM $8,988.00

SHELL G7 OSSEO T1 ACETABULAR 52MM $8,988.00

SHELL G7 OSSEO TI ACETABULAR 50MM $8,988.00

SHELL G7 OSSEO TI ACETABULAR 62MM $8,988.00

SHELL G7 OSSEO TI MULTHOLE ACET 58MM G $10,855.00

SHELL G7 OSSEO TI MULTIHOLE ACET 56MM $10,855.00

SHELL MULTI HOLE ACETABULAR 58MM $1,750.00

SHELL MULTIHOLE SZ 72 SS $5,970.00

SHELL PINNACLE 100 W GRIPTION 66MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 44MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 46MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 48MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 50MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 52MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 54MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 56MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 58MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 60MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 62MM $2,350.00

SHELL PINNACLE 100 W GRIPTION 64MM $2,350.00

SHELL PINNACLE BANTAM W/GRIPTION 44MM $2,350.00

Page 417: DESCRIPTION Price - Fairview

SHELL PINNACLE BANTAM W/GRIPTION 46MM $2,350.00

SHELL PINNACLE MULT W/ GRIPTION 50MM $5,516.00

SHELL PINNACLE MULTI W/ GRIPTION 48MM $5,516.00

SHELL PINNACLE MULTI W/ GRIPTION 52MM $5,516.00

SHELL PINNACLE MULTI W/ GRIPTION 62MM $5,516.00

SHELL PINNACLE MULTIHOLE W/GRIPTION 54MM $5,516.00

SHELL PINNACLE MULTIHOLE W/GRIPTION 56MM $5,516.00

SHELL PINNACLE MULTIHOLE W/GRIPTION 58MM $5,516.00

SHELL PINNACLE MULTIHOLE W/GRIPTION 60MM $5,516.00

SHELL PINNACLE MULTIHOLE W/GRIPTION 64MM $5,516.00

SHELL PINNACLE MULTIHOLE W/GRIPTION 66MM $5,516.00

SHELL PINNACLE MULTIHOLE WGRIPTION 68MM $5,516.00

SHELL PINNACLE REVISION W/ GRIPTION 68MM $6,431.00

SHELL PINNACLE SECTOR W/ GRIPTION 50MM $2,350.00

SHELL PINNACLE SECTOR W/ GRIPTION 52MM $2,350.00

SHELL PINNACLE SECTOR W/ GRIPTION 56MM $2,350.00

SHELL PINNACLE SECTOR W/ GRIPTION 60MM $2,350.00

SHELL PINNACLE SECTOR W/ GRIPTION 62MM $2,350.00

SHELL PINNACLE SECTOR W/ GRIPTION 66MM $2,350.00

SHELL R3 0H ACETABULAR 52MM $1,750.00

SHELL R3 0H ACETABULAR 54MM $1,750.00

SHELL R3 0H ACETABULAR 56MM $1,750.00

SHELL R3 0H ACETABULAR 58MM $1,750.00

SHELL R3 0H ACETABULAR 60MM $1,750.00

SHELL R3 0H ACETABULAR 62MM $1,750.00

SHELL REGENEREX RINGLOC+ 54X23MM $8,868.00

SHELL REGENEREX RINGLOC+ 58X24MM $8,868.00

SHELL RESTORATION ANATOMIC 64 L $11,375.00

SHELL RESTORATION ANATOMIC SZ 62 R $11,375.00

SHELL REVISION TM 58MM 00-7000-058-20 $9,450.00

SHELL RINGLOC+ LIMITED HOLE FIN SZ 56 $1,875.00

SHELL RINGLOC+ LIMITED HOLE FIN SZ 58 $1,875.00

SHELL TRIDENT HEMISPHERE SOLID BACK 56MM 500-01-56F $2,000.00

SHELL TRIDENT HEMISPHERE SOLID BACK 60MM $2,000.00

SHLDR DSLC FX TUB W/MANI $2,643.00

SHOEHORN - PLASTIC $3.00

SHOEHORN- METAL $7.00

SHUNT 1.5 REGULAR $3,446.00

SHUNT BECKER EXTERNAL DRAIN 46128 $519.00

SHUNT CAROTID ARGYLE $849.00

SHUNT CAROTID JAVID 007714 $498.00

SHUNT CATH PERITONEAL ANTIBIOTIC-IMPREG ARES 122CM 93092 $1,153.00

SHUNT CATH VENTRICULAR ANTIBIOTIC-IMPREG ARES 23CM 91101 $1,153.00

SHUNT CORONARY SOF-FLO 1.0MM $1,625.00

SHUNT CORONARY SOF-FLO 1.50MM $1,625.00

SHUNT CORONARY SOF-FLO 2.0MM $1,625.00

SHUNT CORONARY SOF-FLO 2.50MM $1,625.00

Page 418: DESCRIPTION Price - Fairview

SHUNT INAHARA PRUITT 9FR 15CM INLYING $1,998.00

SHUNT KIT NON-INVASIVE AXIEM 9733605 $1,780.00

SHUNT RESERVOIR OMMAYA SIDE INLET NL850-1212 $827.00

SHUNT STYLET 23CM AXIEM NAVIGATION SYSTEM 9735428 $1,365.00

SHUNT TROCAR SPLIT 82-4095 $639.00

SHUNT TUNNELER SHEATH 61CM 901124 $602.00

SHUNT VALVE STRATA ADJ REGULAR 42866 $12,232.00

SI BELT $36.00

SICKLE CELL (HGB S) - REF LAB $77.00

SICKLE CELL SCREEN $80.00

SIG TIB CEM STM 13X60 2/2.5/3 $1,706.00

SIGMOIDOSCOPY & POLYPECTOMY $1,973.00

SIGMOIDOSCOPY DIAGNOSTIC $1,804.00

SIGMOIDOSCOPY FLX CONTROL BLEEDING $2,191.00

SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD $1,804.00

SIGMOIDOSCOPY FLX TNDSC BALO DILAT $2,191.00

SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE $1,626.00

SIGMOIDOSCOPY W/FB REMOVAL $2,788.00

SIGMOIDOSCOPY W/ULTRASOUND $5,760.00

SIJ ANESTH/STEROID INJ $714.00

SIJ ANESTH/STEROID INJ $714.00

SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET $5.00

SILODOSIN 8 MG CAPSULE $14.00

SILTUXIMAB 400 MG INTRAVENOUS SOLUTION $16,378.00

SILVER NITRATE $518.00

SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK $5.00

SILVER SULFADIAZINE 1 % TOPICAL CREAM $37.00

SIMETHICONE 125 MG CAPSULE $5.00

SIMETHICONE 125 MG CHEWABLE TABLET $5.00

SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION $9.00

SIMETHICONE 80 MG CHEWABLE TABLET $5.00

SIMPLE CYSTOMETROGRAM $1,012.00

SIMPLE REPAIR 12.6-20.0CM $792.00

SIMPLE REPAIR 2.6-7.5CM $596.00

SIMPLE REPAIR 20.1-30.0CM $727.00

SIMPLE REPAIR 7.6-12.5CM $596.00

SIMPLE REPAIR FACE OVER 30 CM $501.00

SIMPLE REPAIR FACE 12.6-20.0CM $761.00

SIMPLE REPAIR FACE 2.6-5.0CM $596.00

SIMPLE REPAIR FACE 20.1-30 CM $387.00

SIMPLE REPAIR FACE 5.1-7.5CM $596.00

SIMPLE REPAIR FACE 7.5-12.5 CM $631.00

SIMPLE REPAIR FACE UP TO 2.5CM $429.00

SIMPLE REPAIR OVER 30.0 CM $727.00

SIMPLE TREATMENT DEVICE $591.00

SIMVASTATIN 10 MG TABLET $5.00

SIMVASTATIN 20 MG TABLET $5.00

Page 419: DESCRIPTION Price - Fairview

SIMVASTATIN 40 MG TABLET $5.00

SIMVASTATIN 5 MG HALF-TABLET $5.00

SIMVASTATIN 5 MG TABLET $5.00

SIMVASTATIN 80 MG TABLET $5.00

SINCALIDE 5 MCG SOLUTION FOR INJECTION $363.00

SINGLE CHAMBER PACER, HIS LEAD ONLY $27,012.00

SINGLE-INNER SETSCR TI $163.00

SINUS BALL CATH 7X16MM ULTIRRA BC0716RU $9,763.00

SINUS BALLOON DILATION RELIEVA SCOUT 6X24MM SCT0624 $24,375.00

SINUS CATH GUIDE RELIEVA FLEX F-70C TIP GC070CRF $4,625.00

SINUS CATH GUIDE RELIEVA FLEX M-110 TIP GC110RF $4,625.00

SINUS CATH GUIDE RELIEVA FLEX S-0 TIP GC000RF $4,625.00

SINUS LUMEN ILLUMINATION RELIEVA SIS100B $5,363.00

SINUS TRACT INJ THERAPEUTIC $2,156.00

SINUSES PARANASAL 3+ VIEWS $426.00

SIROLIMUS $90.00

SIROLIMUS 1 MG TABLET $133.00

SIROLIMUS 1 MG/ML ORAL SOLUTION $254.00

SITAGLIPTIN 100 MG TABLET $19.00

SITAGLIPTIN 25 MG TABLET $74.00

SITAGLIPTIN 50 MG TABLET $37.00

SIZER 11MM ACL/PCL GFT SZ TB 013527 $284.00

SIZER 7MM ACL PCL GFT SZ TB 013523 $284.00

SIZER BREAST 605CC FULL $625.00

SIZER BREAST 650CC FULL $625.00

SIZER BREAST 750CC EXTRA FULL $625.00

SIZER BREAST 800CC EXTRA FULL $625.00

SIZERS DILATORS AMS SPECTRA DIAMETERS 9.5MM & 12MM $1,638.00

SKIN FULL GRFT FACE/GENIT/HF $4,129.00

SKIN GRAFT FOOT $5,682.00

SKIN GRAFT FOOT $1,493.00

SKIN GRAFT FOOT 100 OR > $6,254.00

SKIN GRAFT FOOT 100 OR > $4,129.00

SKIN GRAFT FOOT ADDL $2,092.00

SKIN GRAFT FOOT ADD'L $2,167.00

SKIN GRAFT FOOT ADDL 100 OR > $2,781.00

SKIN GRAFT FOOT ADDL 100 OR > $4,605.00

SKIN GRAFT LEF/ANK/TRUNK ADDL $2,335.00

SKIN GRAFT LEG/ANK/TRUNK $6,736.00

SKIN GRAFT LEG/ANK/TRUNK $1,493.00

SKIN GRAFT LEG/ANK/TRUNK 100 OR > $6,254.00

SKIN GRAFT LEG/ANK/TRUNK ADD'L $2,167.00

SKIN GRAFT LEG/ANK/TRUNK ADD'L 100 OR > $4,605.00

SKIN GRAFT PREP FOOT 100 SQ CM $1,135.00

SKIN GRAFT PREP LEG 100 SQ CM $3,665.00

SKIN GRFT LEG/ANK/TRNK 100 OR> $7,900.00

SKIN STAPLER/REMOVER $56.00

Page 420: DESCRIPTION Price - Fairview

SKIN TISSUE REARRANGEMENT $4,175.00

SKN GRFT LG/ANK/TK ADD 100 OR> $2,890.00

SKULL 4+ VIEWS $694.00

SKY 1 LEVEL PLTE 12MM TI $2,438.00

SKY 1 LEVEL PLTE 14MM TI $2,400.00

SKY 1 LEVEL PLTE 28MM TI $2,438.00

SKY 14MM DRILL FLAT CHUCK $515.00

SKY 2 LEVEL PLTE 30MM TI $2,625.00

SKY 2 LEVEL PLTE 32MM TI $2,625.00

SKY 3 LEVEL PLTE 45MM TI $2,250.00

SKY CONST S-D SCW 14MM TI $2,625.00

SKY VARIABLE LRG-D SCW 14MM TI $488.00

SKY VARIABLE LRG-D SCW 16MM TI $488.00

SKY VARIABLE S-D SCW 14MM TI $456.00

SKY VARIABLE S-D SCW 16MM TI $488.00

SKY VARIABLE S-T SCW 14MM TI $450.00

SLCTV WND DEBRIDEM 20 CM OR < $512.00

SLEEP DEPRIVED EEG $797.00

SLEEP STUDY $3,980.00

SLEEVE ADAPTER MORSE/C-TAPER $1,007.00

SLEEVE CONE ZTT 14B-LG 550502 $1,500.00

SLEEVE CONE ZTT 14D-SM $1,500.00

SLEEVE CONE ZTT 16D-LG $1,500.00

SLEEVE CONE ZTT 18D-LG $1,500.00

SLEEVE DRL 3.5MM 2.5MM DBL 312.28 $675.00

SLEEVE FEMORAL CEMENTLESS SZ 18D LG POROUS COATED PROXI $1,500.00

SLEEVE FEMORAL UNIV 40MML TITANIUM ALLOY FULLY POROUS C $5,598.00

SLEEVE FEMORAL UNIV DISTAL POROUS 31MM $4,750.00

SLEEVE FEMORAL UNIVERSAL CEMENT 20MM $4,750.00

SLEEVE FEMORAL UNIVERSAL FULL POROUS 31M $5,598.00

SLEEVE FEMORAL UNIVERSAL FULL POROUS 34M $5,598.00

SLEEVE FEMORAL UNIVERSAL FULL POROUS 40M $5,598.00

SLEEVE FEMORAL UNIVERSAL FULL POROUS 46M $5,598.00

SLEEVE LOCKING 110DEG $715.00

SLEEVE PROTECTIVE BREAST BIOPSY GMSLV001-10 $600.00

SLEEVE SPA PROX 14B $1,500.00

SLEEVE SPA PROX 16B $1,500.00

SLEEVE TRAY MBT CEMENT M/L 29MM $4,880.00

SLEEVE TRAY MBT POROUS M/L 29MM $4,880.00

SLEEVE TRAY MBT POROUS M/L 37MM $4,880.00

SLEEVE TRAY MBT POROUS M/L 45MM 1294-54-110 $4,880.00

SLEEVE TRAY MBT POROUS M/L 53MM $4,880.00

SLEEVE TRAY MBT POROUS M/L 61MM $4,880.00

SLEEVES SCD $498.00

SLIM Y-PLATE 3 SHAFT HOLES (T8) $2,205.00

SLIM Y-PLATE 4 SHAFT HOLES (T8) $2,205.00

SLIM Y-PLATE 6 SHAFT HOLES (T8) $2,205.00

Page 421: DESCRIPTION Price - Fairview

SLING $101.00

SLING SOLYX TRANSVAGINAL MESH M0068507000 $4,151.00

SLING SUPRAPUBIC SURPRIS 1.1X60CM 93-4450 $2,863.00

SLING URINARY TVT EXACT TVTRL $2,808.00

SLING Y MESH RESTORELLE 27X4CM $2,175.00

SLING Y MESH RESTORELLE CONTOUR 15X10CM $2,195.00

SLITTING PREPUCE DORSAL/LATERA $5,366.00

SM STATURE W REDUCED NECK GEOMETRY 8 IN. $13,716.00

SMALL BOWEL ENDOSCOPY $3,280.00

SMALL BOWEL INC. MULTI SERIAL $1,909.00

SMOKING AND TOBACCO CESSATION > 10 MINUTES $154.00

SMOKING AND TOBACCO CESSATION 3 - 10 MINUTES $102.00

SMOOTH MUSCLE ABY IGG TITER $164.00

SMOOTH MUSCLE ANTIBODIES, SO $94.00

SNARE AMPLATZ GOOSENECK 2-3FRX7MM 150CM CATH KIT SK700 $1,559.00

SNARE ONE 2.3-3FRX175CMX7MM $1,415.00

SNARE ONE 2.3-3FRX200CMX7MM $1,415.00

SOAP LIQ ALOE GRD ANMC REFL 7740 $279.00

SOCK AID - CLOTH $12.00

SOCK AID- RIGID $13.00

SOD POLYSTYRENE SULFONATE 30 GRAM-SORBITOL 40 GRAM/120 ML ENEMA $390.00

SODIUM BLOOD $34.00

SODIUM BODY FLUID $74.00

SODIUM UR $38.00

SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION $50.00

SODIUM AZIDE 100 GRAM S2002 $115.00

SODIUM BICARBONATE (BULK) POWDER $97.00

SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION $50.00

SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE $53.00

SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION $50.00

SODIUM BICARBONATE 650 MG TABLET $5.00

SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE $50.00

SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN $7.00

SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION $70.00

SODIUM CHLORIDE 0.5 GRAM TABLET $5.00

SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL $9.00

SODIUM CHLORIDE 0.9 % INJECTION SOLUTION $4.00

SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION $70.00

SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION $9.00

SODIUM CHLORIDE 0.9 % IV $70.00

SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION $50.00

SODIUM CHLORIDE 1 GRAM TABLET $5.00

SODIUM CHLORIDE 2 % EYE DROPS $75.00

SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION $50.00

SODIUM CHLORIDE 3 % FOR NEBULIZATION $5.00

SODIUM CHLORIDE 3 % INTRAVENOUS INJECTION SOLUTION $50.00

SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION $50.00

Page 422: DESCRIPTION Price - Fairview

SODIUM CHLORIDE 5 % EYE DROPS $20.00

SODIUM CHLORIDE 5 % EYE OINTMENT $15.00

SODIUM CHLORIDE 7 % FOR NEBULIZATION $5.00

SODIUM CHLORIDE-ALOE VERA NASAL GEL $13.00

SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION $15.00

SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET $5.00

SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS $157.00

SODIUM FLUORIDE 1.1 % DENTAL GEL $35.00

SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE $826.00

SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE $487.00

SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE $613.00

SODIUM HYALURONATE 12 MG/ML INTRAOCULAR SYRINGE $50.00

SODIUM HYALURONATE 30 MG/2 ML INTRA-ARTICULAR SYRINGE $862.00

SODIUM HYDROXIDE (BULK) 10 % SOLUTION $141.00

SODIUM HYPOCHLORITE 0.125 % SOLUTION $49.00

SODIUM HYPOCHLORITE 0.25 % SOLUTION $49.00

SODIUM HYPOCHLORITE 0.5 % SOLUTION $49.00

SODIUM NITRITE 30 MG/ML INTRAVENOUS SOLUTION $517.00

SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN $840.00

SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION $208.00

SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION $72.00

SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA $5.00

SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA $6.00

SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL SUSPENSION $45.00

SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP $87.00

SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 19.3 GRAM$45.00

SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION $340.00

SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION $50.00

SODIUM,FECAL, SO $74.00

SOL NACL 0.9% INJ 1000ML SLUSH 2B7231 $679.00

SOL TRANSFERRIN RECEPTOR, SO $230.00

SOLIFENACIN 10 MG TABLET $32.00

SOLIFENACIN 5 MG TABLET $64.00

SOLUTION 8/15.0 R LG STAT $13,716.00

SOLUTION R 9IN CALCAR LG STATURE BOWED $14,265.00

SONO GUIDE NEEDLE BIOPSY $508.00

SONO PELVIS LIMITED $434.00

SORBITOL 70 % SOLUTION $28.00

SOTALOL 120 MG TABLET $5.00

SOTALOL 80 MG TABLET $5.00

SPACE CAPSTONE 12DEG 16X27MM 4011627 $4,950.00

SPACE MOLD TIBIAL ARTICULATING LG $3,125.00

SPACE MOLD TIBIAL ARTICULATING SM $3,125.00

SPACER 18MM LARGE 24 DEG $10,575.00

SPACER 18MM X 24DEG SMALL $10,575.00

SPACER 37X27X14MM 12DEG $12,500.00

SPACER 37X27X16MM 12DEG $12,500.00

Page 423: DESCRIPTION Price - Fairview

SPACER 39MM X 12MM $1,225.00

SPACER 5MMX12MMX16MM 0DEG $3,325.00

SPACER 60MM SALVATION $170.00

SPACER ACF 10MM 017410 $2,688.00

SPACER ACF 5MM $2,688.00

SPACER ACF LORDOTIC 11MM 017411 $2,688.00

SPACER CAPSTONE 10X22MM $6,300.00

SPACER CAPSTONE 10X26MM $7,000.00

SPACER CAPSTONE 10X32MM $6,300.00

SPACER CAPSTONE 11X22MM $6,300.00

SPACER CAPSTONE 11X26MM $6,300.00

SPACER CAPSTONE 11X32MM 3993211 $6,300.00

SPACER CAPSTONE 12X22MM $6,300.00

SPACER CAPSTONE 12X26MM $6,300.00

SPACER CAPSTONE 12X32MM $6,300.00

SPACER CAPSTONE 13X22MM $6,300.00

SPACER CAPSTONE 13X26MM $6,300.00

SPACER CAPSTONE 14X22CM $6,300.00

SPACER CAPSTONE 14X26MM $6,300.00

SPACER CAPSTONE 32X13MM $6,300.00

SPACER CAPSTONE 6DEG 10X22MM $4,050.00

SPACER CAPSTONE 6DEG 12X27MM $4,950.00

SPACER CAPSTONE 6DEG 13X22MM $4,050.00

SPACER CAPSTONE 6DEG 13X27MM $4,950.00

SPACER CAPSTONE 6DEG 13X32MM $6,300.00

SPACER CAPSTONE 6DEG 14X32MM $6,300.00

SPACER CAPSTONE 8X26MM $6,300.00

SPACER CAPSTONE 9X22MM $6,300.00

SPACER CAPSTONE 9X26MM $6,300.00

SPACER CAPSTONE VS 15X22 12 DEG $4,050.00

SPACER CAPSTONE VS 26X14MM $4,950.00

SPACER CAPSTONE VS 8X26MM $4,950.00

SPACER CEMENT FEMORAL KNEE MOLD 70MM $4,365.00

SPACER CRESCENT 12X30MM $6,300.00

SPACER CRESENT 12X30MM $6,300.00

SPACER CRESENT 8X30MM $6,300.00

SPACER GRAFT 4MM $2,250.00

SPACER GRAFT 6MM $2,250.00

SPACER LARGE 18MM 12DEG $10,575.00

SPACER L-ARS 9X14X11MM $2,250.00

SPACER L-ARS 9X14X14MM $2,250.00

SPACER L-ASR 6X14X11MM $2,250.00

SPACER L-ASR 7 X 14 X 14MM $2,250.00

SPACER L-ASR 8 X 14 X 14MM 345844 $2,250.00

SPACER LATERAL PORTIS 8X14X11MM $2,025.00

SPACER MEDIUM 16MM 12DEG $10,575.00

SPACER MOLD FEMERAL ARTICULATING LG $4,000.00

Page 424: DESCRIPTION Price - Fairview

SPACER MOLD FEMORAL ARTICULATING MED $4,000.00

SPACER MOLD FEMORAL ARTICULATING SM $3,500.00

SPACER MOLD TIBIAL ARTICULATING MED $3,500.00

SPACER PEEK UNILIF PL 6X30X11MM 4DEG $7,676.00

SPACER PEEK UNILIF PL 8X30X11MM 4DEG $7,676.00

SPACER PERIMETER VBS LG 12DEG 16X30X24MM $6,750.00

SPACER PERIMETER VBS LG 12DEG 20MM $6,750.00

SPACER PERIMETER VBS LG 8DEG 12MM $6,750.00

SPACER PERIMETER VBS LG 8DEG 14MM $6,750.00

SPACER PERIMETER VBS LG 8DEG 16MM $6,750.00

SPACER PERIMETER VBS LG 8DEG 18MM $6,750.00

SPACER PERIMETER VBS LG 8DEG 20MM $6,750.00

SPACER PERIMETER VBS MD 8DEG 12MM $6,750.00

SPACER PERIMETER VBS MD 8DEG 14MM $6,750.00

SPACER PERIMETER VBS MD 8DEG 16X26X21MM $6,750.00

SPACER PERIMETER VBS MED 8DEG 10MM $6,750.00

SPACER PERIMETER VBS XL 8DEG 18MM $6,750.00

SPACER PERIMETER VBS XL 8DEG 20MM $6,750.00

SPACER PSR LATERAL PORS 10X14X11MM $2,025.00

SPACER PSR LATERAL PORS 10X14X14MM $2,025.00

SPACER PSR LATERAL PORS 11X14X11MM $2,025.00

SPACER PSR LATERAL PORS 12X14X11MM $2,025.00

SPACER PSR LATERAL PORS 5X14X14MM $2,100.00

SPACER PSR LATERAL PORS 6X14X11MM $2,025.00

SPACER PSR LATERAL PORS 7X14X11MM $2,025.00

SPACER SMALL 12MM 12DEG $10,575.00

SPACER SMALL 14MM 12DEG $10,575.00

SPACER TAPERED +10 $275.00

SPACER TAPERED +5 1363-12-000 $275.00

SPACER TAPERED ARTICUL/EZE +0 1363-10-000 $275.00

SPACER TAPERED ARTICUL/EZE -3 $275.00

SPACER TRANSCONT LLIF SM 17X22 $11,250.00

SPACER UNILIF WEDGE VERT 13X25X8MM 4DEG $6,650.00

SPACER UNIVERS REVERSE 39+9MM $1,225.00

SPACER UNIVERSAL REVERS 36+12MM $1,225.00

SPACER UNIVERSAL REVERS 36+6MM $1,225.00

SPACER UNIVERSAL REVERS 36+9MM $1,225.00

SPACER VERTEBRAL 16X22X30MM 12 DEG $15,091.00

SPEAKING VALVE $260.00

SPEAR BIO-SU TAK 3.7MM REUSE AR-1907 $1,125.00

SPEC ST 1/2 MICRO CRPL $235.00

SPEC ST 1/2 MICRO NONCRPL $235.00

SPEC ST 1/2 OTHER CRPL $197.00

SPEC ST 1/2 OTHER NONCRPL $197.00

SPEC ST 3/4 MICRO CRPL $235.00

SPEC ST 3/4 MICRO NONCRPL $235.00

SPEC ST 3/4 OTHER CRPL $197.00

Page 425: DESCRIPTION Price - Fairview

SPEC ST 3/4 OTHER NONCRPL $197.00

SPEC ST 5/6 OTHER CRPL $197.00

SPEC ST 5/6 OTHER NONCRPL $197.00

SPEC THER PORT PLAN $1,696.00

SPECIAL RADIATION DOSIMETRY $785.00

SPECIAL RADIATION TREATMENT $2,449.00

SPECIAL STAIN 1 & 2 MICRO $235.00

SPECIAL STAIN 1&2 OTHER $197.00

SPECIAL STAIN 3 & 4 OTHER $197.00

SPECIAL STAIN 3&4 MICRO $235.00

SPECIAL TYPING X1-UNIT $326.00

SPECIFIC GRAVITY BF $55.00

SPECIFIC GRAVITY UR $43.00

SPECIMEN TRAP VACUUM SUCTION 003984-901 $308.00

SPEECH SOUND LANG COMPREHEN $730.00

SPEECH/HEARING THERAPY, INDIVIDUAL $383.00

SPEED COMPRESSION IMPLANT KIT 13X08X08MM $2,698.00

SPEED COMPRESSION IMPLANT KIT 15X12X12MM $3,735.00

SPEEDBRG IMP SYS W/BIO-COMP SWVLK & NDL $4,775.00

SPEEDBRG IMP SYS W/BIOCOMPOSITE SHOULDER SWVLK W/4.75MM $4,350.00

SPEEDBRG IMP SYS W/BIOSWVLK SP4.75X MM $4,000.00

SPHERE GLENOID 38MM STANDARD COBALT CHROMIUM SHOULDER RE $3,000.00

SPHERE GLENOID ECCENTRIC 42MM COBALT CHROMIUM MOLYBDENUM $3,000.00

SPHINCTEROTOME BILIARY NDL KNIFE 5MM 5FR TL 4584 $577.00

SPHINCTEROTOME DREAMTOME W/DREAMWIRE 035X260CM ST $1,387.00

SPHINCTEROTOMY $4,650.00

SPINAL ANGIOGRAM EA VESSEL $10,441.00

SPINAL PUNCTURE LUMBAR DIAGNOS $1,502.00

SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC $1,502.00

SPIRONOLACTONE 100 MG TABLET $5.00

SPIRONOLACTONE 25 MG TABLET $5.00

SPIRONOLACTONE 50 MG TABLET $5.00

SPLINT AIRWAY DOYLE SOFT STERILE SP79300 $73.00

SPLINT MOLDED/FOAM $47.00

SPLIT & FILTER FOR PEDS UNIT $244.00

SPONGE BONE WICK FEMORAL W/SUCTION ATTACHMENT 0206-714-000 $563.00

SPONGE HEMOSTASIS SURGIFOAM 8X3CM $287.00

SPONGE SURGIFOAM 100 1974 $272.00

SPOTTED FEVER AB EACH $181.00

SPOTTED FEVER ABY,EACH, SO $126.00

SPUTUM TRAP $42.00

S-ROM NOILES ROTATING HINGE FEMORAL ROTATING HINGE CEMENTED $18,197.00

SRS LINEAR BASED 1 SESSION $18,520.00

SSK 360 FEMORAL 60MM KNEE SYSTEM RT $16,305.00

SSK 360 FEMORAL 65MM RT $16,305.00

SSK 360 FEMORAL 75MM KNEE SYSTEM $16,305.00

SSK 360 FEMORAL 76.5MM RT $16,305.00

Page 426: DESCRIPTION Price - Fairview

ST INTRO CATH ANL0 8FR 45CML S $146.00

ST LOUIS ABY, CSF $38.00

ST LOUIS ABY, SO $38.00

STAB PHLEB VEINS XTR 10-20 $6,574.00

STABILIZER HEART URCHIN HP3500 $1,250.00

STABILIZER OCTOPUS EVO TS2000 $2,550.00

STANDARDIZED COGNITIVE PERFORMANCE TESTING $602.00

STAPEL SINGLE MEDIUM $1,250.00

STAPHYLOCOCCUS AUREUS METHICILLIN RESIST PCR $232.00

STAPHYLOCOCCUS AUREUS SUSCEPTIBILITY PCR $209.00

STAPLE CAUDAL TI $2,295.00

STAPLE CAUDAL TI 9330004 $2,295.00

STAPLE INTERNAL 10MMWX11MML NITINOL F/FIXATION W/INSTR $3,738.00

STAPLE ROSTRAL TI $2,295.00

STAPLE ROSTRAL TI 9330003 $2,295.00

STAPLE SOFT TISSUE 8MMX20MM COBALT CHROM LIG DB PIGTAIL STER $198.00

STAPLE W/SPIKE MEDIUM 128724 $481.00

STAPLE W/SPIKE SHORT LARGE 128726 $481.00

STAPLER CIRCULAR CURVED 25MM $1,649.00

STAPLER CIRCULAR CURVED 29MM $1,649.00

STAPLER CIRCULAR CURVED 33MM $550.00

STAPLER FIXATION CAPSURE 30 TACK 0113230 $2,025.00

STAPLER FIXATION OPTIFIX 30TACKS $9,938.00

STAPLER FIXATION SECURESTRAP OPEN 5MM $7,655.00

STAPLER PROXIMATE LINEAR TL 90 $604.00

STAVUDINE 15 MG CAPSULE $7.00

STAVUDINE 20 MG CAPSULE $35.00

STEALTH TIP ASSEMBLY W/PASSVE CATH INTR 9731116 $6,473.00

STEM 50MM X 14MM $1,895.00

STEM ARCOS 15X150MM TAPER DISTAL $8,383.00

STEM ARCOS 16X150MM TAPER DISTAL $8,383.00

STEM ARCOS CONE BODY SZ A HI 50MM $16,265.00

STEM ARCOS CONE BODY SZ A STD 60MM $16,265.00

STEM ARCOS CONE BODY SZ A STD 70MM $16,265.00

STEM COATED SZ 10 AR-9501-10CPC $6,213.00

STEM COATED SZ 11 $6,213.00

STEM COATED SZ 6 $6,213.00

STEM COATED SZ 7 $6,213.00

STEM COATED SZ 8 $6,213.00

STEM COATED SZ 9 $6,213.00

STEM CORAIL REVISION STD SZ 10 $14,445.00

STEM CORAIL REVISION STD SZ 11 $14,445.00

STEM CORAIL REVISION STD SZ 12 $14,445.00

STEM CORAIL REVISION STD SZ 13 $14,445.00

STEM CORAIL REVISION STD SZ 14 $14,445.00

STEM CORAIL REVISION STD SZ 15 $14,445.00

STEM CORAIL REVISION STD SZ 16 $14,445.00

Page 427: DESCRIPTION Price - Fairview

STEM CORAIL REVISION STD SZ 18 $14,445.00

STEM CORAIL REVISION STD SZ 20 $14,445.00

STEM DISTAL RADIO-ULNAR 1CM $5,918.00

STEM DISTAL RADIO-ULNAR 1CM 5.0MM $5,918.00

STEM DISTAL TAPERED RECLAIM 17X190MM $6,900.00

STEM EXTENSION 9MM 127MML TIBIAL KNEE REVISION MODULAR W $6,207.00

STEM EXTENSION CEMENTED 11MM 200MML 20MMH COLLAR COBALT $10,361.00

STEM EXTENSION CEMENTED 18MM UNIV 75MML COBALT CHRO $2,688.00

STEM EXTENSION CEMENTED 22MM UNIV 75MML COBALT CHRO $2,688.00

STEM FEMORAL 14X8X130MM $2,750.00

STEM FEMORAL 14X9X130MM NECK 30MM $2,750.00

STEM FEMORAL 30MM +4 14X9X130MM LAT NECK $2,750.00

STEM FEMORAL 30MM +4 16X11X150MM LAT NK $2,750.00

STEM FEMORAL 30MM +4 18X13X160MM LAT NK $2,750.00

STEM FEMORAL ACCOLADE CS 132 NECK $2,213.00

STEM FEMORAL BASIC CEMENTED SZ 2 42MM 96MML 35MML NECK COB $1,338.00

STEM FEMORAL CALC SZ 3 145MM $9,720.00

STEM FEMORAL CALC SZ 3 200MM 1521-62-000 $9,720.00

STEM FEMORAL CEMENTED 13X150MM $10,361.00

STEM FEMORAL CEMENTED SZ 6 42MM 127MML 36MML NECK COBALT C $6,250.00

STEM FEMORAL CEMENTED SZ 7 44MM 155MML 43MML NECK COBALT C $4,250.00

STEM FEMORAL CEMENTLESS 10.5MM 8INL COBALT CHROMIUM PORO $13,716.00

STEM FEMORAL CEMENTLESS 13MM/18MM DIST/PROXIMAL 160MML $2,750.00

STEM FEMORAL CEMENTLESS 18MM 190MML DIST TAPERED REVIS $6,900.00

STEM FEMORAL CEMENTLESS SZ 0 28MM 93MML 27MML NECK TITANIU $4,625.00

STEM FEMORAL CEMENTLESS SZ 1 97MML 27MML COLLAR MATRIX COM $4,250.00

STEM FEMORAL CEMENTLESS SZ 1 97MML 31MML COLLAR MATRIX COM $4,250.00

STEM FEMORAL CEMENTLESS SZ 13 16MM DIST TIP 52.9MM O $4,625.00

STEM FEMORAL CEMENTLESS SZ 2 99MML 28MML COLLAR MATRIX COM $4,250.00

STEM FEMORAL CEMENTLESS SZ 4 103MML 30MML COLLAR MATRIX CO $4,250.00

STEM FEMORAL CEMENTLESS SZ 4 38MM 105MML 35MML NECK TITANI $4,625.00

STEM FEMORAL CEMENTLESS SZ 5 105MML 30MML COLLAR MATRIX CO $4,250.00

STEM FEMORAL CEMENTLESS SZ 5 105MML 35MML COLLAR MATRIX CO $4,250.00

STEM FEMORAL CITATION # 2 6265-5102 $5,000.00

STEM FEMORAL CITATION # 2 6265-5112 $5,000.00

STEM FEMORAL CITATION # 3 6265-5103 $5,000.00

STEM FEMORAL CITATION # 3 6265-5113 $5,000.00

STEM FEMORAL CITATION # 4 6265-5104 $5,000.00

STEM FEMORAL CITATION # 4 6265-5114 $5,000.00

STEM FEMORAL CITATION # 5 6265-5105 $5,000.00

STEM FEMORAL CITATION # 5 6265-5115 $5,000.00

STEM FEMORAL CITATION # 6 $5,750.00

STEM FEMORAL CITATION # 6 6265-5116 $5,000.00

STEM FEMORAL CITATION # 7 $5,750.00

STEM FEMORAL COLLARED HIGH SZ 7 HIGH OFFSET $4,250.00

STEM FEMORAL CORAIL REVISION HO 10 $14,445.00

STEM FEMORAL CORAIL REVISION HO 12 $14,445.00

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STEM FEMORAL CORAIL STD COLLARED SZ 10 $4,250.00

STEM FEMORAL CORAIL STD COLLARED SZ 11 $4,250.00

STEM FEMORAL CORAIL STD COLLARED SZ 12 $4,250.00

STEM FEMORAL CORAIL STD COLLARED SZ 14 $4,250.00

STEM FEMORAL CORAIL STD COLLARED SZ 15 $4,250.00

STEM FEMORAL CORAIL STD COLLARED SZ 16 $4,250.00

STEM FEMORAL CORAIL STD COLLARED SZ 17 $4,250.00

STEM FEMORAL CORAIL STD COLLARED SZ 18 $4,250.00

STEM FEMORAL CORAIL STD COLLARED SZ 8 $4,250.00

STEM FEMORAL CORAIL STD COLLARED SZ 9 $4,250.00

STEM FEMORAL CORAIL STD COLLARLESS SZ 10 $4,250.00

STEM FEMORAL CORAIL STD COLLARLESS SZ 11 $4,250.00

STEM FEMORAL CORAIL STD COLLARLESS SZ 13 $4,250.00

STEM FEMORAL CORAIL STD COLLARLESS SZ 14 $4,250.00

STEM FEMORAL CORAIL STD COLLARLESS SZ 15 $4,250.00

STEM FEMORAL CORAIL STD COLLARLESS SZ 16 $4,250.00

STEM FEMORAL CORAIL STD COLLARLESS SZ 18 $4,250.00

STEM FEMORAL CORAIL STD COLLARLESS SZ 21 $4,250.00

STEM FEMORAL CORAIL STD COLLARLESS SZ 9 $4,250.00

STEM FEMORAL COXA VARA COLLARED SZ 10 $4,250.00

STEM FEMORAL COXA VARA COLLARED SZ 11 $4,250.00

STEM FEMORAL COXA VARA COLLARED SZ 12 $4,250.00

STEM FEMORAL COXA VARA COLLARED SZ 13 $4,250.00

STEM FEMORAL COXA VARA COLLARED SZ 14 $4,250.00

STEM FEMORAL COXA VARA COLLARED SZ 15 $4,250.00

STEM FEMORAL COXA VARA COLLARED SZ 16 $4,250.00

STEM FEMORAL COXA VARA COLLARED SZ 18 $4,250.00

STEM FEMORAL COXA VARA COLLARED SZ 9 $4,250.00

STEM FEMORAL HA REVISION 11X155MM STR $14,523.00

STEM FEMORAL HEAD/NECK CEMENT 30MM #5 6050-0530 $7,279.00

STEM FEMORAL HEAD/NECK CEMENT 35MM #7 6050-0735 $7,279.00

STEM FEMORAL HEAD/NECK CEMENT 35MM #9 $7,062.00

STEM FEMORAL HEAD/NECK CEMENT 45MM #7 6050-0745 $7,279.00

STEM FEMORAL HO COLLARLESS SZ 10 $4,250.00

STEM FEMORAL HO COLLARLESS SZ 11 $4,250.00

STEM FEMORAL HO COLLARLESS SZ 12 $4,250.00

STEM FEMORAL HO COLLARLESS SZ 13 $4,250.00

STEM FEMORAL HO COLLARLESS SZ 14 $4,250.00

STEM FEMORAL HO COLLARLESS SZ 15 $4,250.00

STEM FEMORAL HO COLLARLESS SZ 16 $4,250.00

STEM FEMORAL HO COLLARLESS SZ 18 $4,250.00

STEM FEMORAL HO COLLARLESS SZ 20 $4,250.00

STEM FEMORAL HO COLLARLESS SZ 6 $4,250.00

STEM FEMORAL HO COLLARLESS SZ 9 $4,250.00

STEM FEMORAL LPS CEM 11X150MM BOW $10,361.00

STEM FEMORAL LPS CEM 12X150MM BOW $10,361.00

STEM FEMORAL LPS CEM 14X150MM BOW $10,361.00

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STEM FEMORAL LPS CEM 15X200MM BOW $10,361.00

STEM FEMORAL MAX SZ 12 127DEG $4,625.00

STEM FEMORAL PROSTALAC $6,343.00

STEM FEMORAL PROSTALAC HIGH 105MM SZ 1 $12,161.00

STEM FEMORAL PROSTALAC L 200MM SZ 3 $6,343.00

STEM FEMORAL PROSTALAC LT 240MM SZ 3 $6,343.00

STEM FEMORAL PROSTALAC R 200MM SZ 3 $6,343.00

STEM FEMORAL PROSTALAC R 240MM SZ 3 $6,343.00

STEM FEMORAL PROSTALAC STD 105MM SZ 1 $6,343.00

STEM FEMORAL REDAPT 240MM SZ 20HO $20,577.00

STEM FEMORAL SECUR-FIT 34/148MM SZ10 132 $4,625.00

STEM FEMORAL SECUR-FIT HA SZ 12 127DEG $5,750.00

STEM FEMORAL SOLUTION 8/15 SMSTATURE $13,716.00

STEM FEMORAL STEM SZ 3 240MM $8,500.00

STEM FEMORAL SUMMIT FEMORAL STEM HI OFFS $1,663.00

STEM FEMORAL SUMMIT HI OFFSET CEMENT SZ3 $1,663.00

STEM FEMORAL SUMMIT HO CEMENT SZ 4 $1,663.00

STEM FEMORAL SUMMIT HO CEMENT SZ 5 $1,663.00

STEM FEMORAL SUMMIT HO CEMENT SZ 6 $1,663.00

STEM FEMORAL SUMMIT HO SZ8 $1,663.00

STEM FEMORAL SUMMIT STD CEMENTED SZ 2 1570-03-080 $1,663.00

STEM FEMORAL SUMMIT STD CEMENTED SZ 3 $1,663.00

STEM FEMORAL SUMMIT STD CEMENTED SZ 4 1570-03-100 $1,663.00

STEM FEMORAL SUMMIT STD CEMENTED SZ 5 1570-03-110 $1,663.00

STEM FEMORAL SUMMIT STD CEMENTED SZ 6 157003120 $1,663.00

STEM FEMORAL SUMMIT STD CEMENTED SZ 7 $1,663.00

STEM FEMORAL SUMMIT STD CEMENTED SZ 8 $1,663.00

STEM FEMORAL SZ 2 180MM $8,500.00

STEM FEMORAL SZ 3 190MM 1521-22-000 $8,500.00

STEM FEMORAL SZ 4 200MM $8,500.00

STEM FEMORAL SZ 4 250MM $8,500.00

STEM FEMORAL SZ 4MM W/STANDARD COLLAR TAPER CEMENTLESS ACT $4,250.00

STEM FEMORAL W/FLUTES SLOT 16X11X205MM $8,732.00

STEM FEMUR TRI-LOCK BPS SZ 0 STD OFFSET $4,250.00

STEM FEMUR TRI-LOCK BPS SZ 1 S0 $4,250.00

STEM FEMUR TRI-LOCK BPS SZ 10 HI OFFSET $4,250.00

STEM FEMUR TRI-LOCK BPS SZ 2 99MM $4,250.00

STEM FEMUR TRI-LOCK BPS SZ 3 HI $4,250.00

STEM FEMUR TRI-LOCK BPS SZ 3 STD $4,250.00

STEM FEMUR TRI-LOCK BPS SZ 4 HO $4,250.00

STEM FEMUR TRI-LOCK BPS SZ 6 HI OFFSET $4,250.00

STEM FEMUR TRI-LOCK BPS SZ 7 HO $4,250.00

STEM FEMUR TRI-LOCK BPS SZ 8 HO $4,250.00

STEM FEMUR TRI-LOCK BPS SZ 9 $4,250.00

STEM FEMUR TRI-LOCK BPS SZ0 HL 95MM $4,250.00

STEM FEMUR TRI-LOCK BPS SZ6 SO $4,250.00

STEM FEMUR TRI-LOCK BPS SZ7 SO $4,250.00

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STEM FEMUR TRI-LOCK SZ 8 STD OFFSET $4,250.00

STEM FLUTED TRAITHLONG TS TI 19X100MM $2,872.00

STEM FLUTED TRIATHLON TS TI 10X100MM $2,872.00

STEM FLUTED TRIATHLON TS TI 11X100MM $2,872.00

STEM FLUTED TRIATHLON TS TI 12X150MM $3,112.00

STEM FLUTED TRIATHLON TS TI 17X150MM $3,112.00

STEM FLUTED TRIATHLON TS TI 18X100MM $2,872.00

STEM FLUTED TRIATHLON TS TI 19X150MM $3,112.00

STEM FLUTED TRIATHLON TS TI 20X100MM $2,872.00

STEM FLUTED TRIATHLON TS TI 20X150MM $3,112.00

STEM FLUTED TRIATHLON TS TI 22X150MM $3,112.00

STEM FLUTED TRIATHLON TS TI 23X150MM $3,112.00

STEM GLOBAL ADVANTAGE 10 MM 113710000 $5,000.00

STEM GLOBAL ADVANTAGE 12 MM 113712000 $5,000.00

STEM GLOBAL ADVANTAGE 14 MM 113714000 $5,000.00

STEM GLOBAL ADVANTAGE 16 MM $5,000.00

STEM GLOBAL ADVANTAGE 6 MM $5,000.00

STEM GLOBAL FRACTURE 8X130MM 1128-08-000 $5,000.00

STEM GLOBAL FX 6MM $5,000.00

STEM GLOBAL FX PC 10MM $5,000.00

STEM GLOBAL FX PC 12MM $5,000.00

STEM GLOBAL FX PC 6MM $5,000.00

STEM GLOBAL FX PC 8MM $5,000.00

STEM GLOBAL UNITE STD SZ 12X120MM $3,000.00

STEM GLOBAL UNITE STD SZ 6 $3,000.00

STEM GLOBAL UNITE STD SZ 8 $3,000.00

STEM HIP SECUR-FIT MAX #12 132DEG $4,625.00

STEM HIP SECUR-FIT MAX #5 132DEG $4,625.00

STEM HIP SECUR-FIT MAX #6 132DEG $4,625.00

STEM HIP SECUR-FIT MAX #9 132DEG $4,625.00

STEM HIP SECUR-FIT MAX 127DEG $4,625.00

STEM HIP SECUR-FIT MAX 127DEG $4,625.00

STEM HUMERAL 48 DEG 11X130MM $8,500.00

STEM HUMERAL 48 DEG 13X130MM $8,500.00

STEM HUMERAL 6X115MM $4,750.00

STEM HUMERAL 8X143MM $4,750.00

STEM HUMERAL ADVANTAGE 8MM 1137-08-000 $5,000.00

STEM HUMERAL ADVANTAGE PC 10MM 1137-10-050 $5,000.00

STEM HUMERAL ADVANTAGE PC 12MM 1137-12-050 $5,000.00

STEM HUMERAL ADVANTAGE PC 16MM 1137-16-050 $5,000.00

STEM HUMERAL ADVANTAGE PC 6MM $5,000.00

STEM HUMERAL ADVANTAGE PC 8MM 1137-08-050 $5,000.00

STEM HUMERAL ANATOMIC STD PTC 1B $6,000.00

STEM HUMERAL ANATOMIC STD PTC 2A $6,000.00

STEM HUMERAL ANATOMIC STD PTC 2B $6,000.00

STEM HUMERAL ANATOMIC STD PTC 2C $6,000.00

STEM HUMERAL ANATOMIC STD PTC 3A $6,000.00

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STEM HUMERAL ANATOMIC STD PTC 3B $6,000.00

STEM HUMERAL ANATOMIC STD PTC 3C $6,000.00

STEM HUMERAL ANATOMIC STD PTC 4A $6,000.00

STEM HUMERAL ANATOMIC STD PTC 4B $6,000.00

STEM HUMERAL ANATOMIC STD PTC 4C $6,000.00

STEM HUMERAL ANATOMIC STD PTC 5A $6,000.00

STEM HUMERAL ANATOMIC STD PTC 5B $6,000.00

STEM HUMERAL ANATOMIC STD PTC 5C $6,000.00

STEM HUMERAL ANATOMIC STD PTC 6B $6,000.00

STEM HUMERAL ANATOMIC STD PTC 7B $6,000.00

STEM HUMERAL ANATOMIC STD PTC 7C $6,000.00

STEM HUMERAL APEX UNIVERS 10MM $10,438.00

STEM HUMERAL APEX UNIVERS 6MM $10,438.00

STEM HUMERAL APEX UNIVERS 7MM $10,438.00

STEM HUMERAL APEX UNIVERS 8MM $10,438.00

STEM HUMERAL APEX UNIVERS 9MM $10,438.00

STEM HUMERAL CEMENTED 13MM MICRO 55MML COBALT CHROMIUM P $4,995.00

STEM HUMERAL CEMENTLESS SZ 0 12MM STANDARD TITANIUM HY $3,733.00

STEM HUMERAL CEMENTLESS SZ 0 14MM STANDARD TITANIUM HY $3,733.00

STEM HUMERAL FRACTURE 14MM $10,000.00

STEM HUMERAL FRACTURE PPS 10MM $10,000.00

STEM HUMERAL FRACTURE PPS 12MM $10,000.00

STEM HUMERAL FRACTURE PPS 8MM $10,000.00

STEM HUMERAL GLOBAL FRACTURE 10X140MM 1128-10-000 $5,000.00

STEM HUMERAL GLOBAL FRACTURE 12X150MM 1128-12-000 $5,000.00

STEM HUMERAL NUCLEUS SZ 3 $7,500.00

STEM HUMERAL POROCOAT 12MM $4,625.00

STEM HUMERAL POROCOAT COATED 8MM $4,625.00

STEM HUMERAL PTC LNG 6B $10,646.00

STEM HUMERAL PTC LONG 1B $10,646.00

STEM HUMERAL PTC LONG 2B $10,646.00

STEM HUMERAL PTC LONG 3B $10,646.00

STEM HUMERAL PTC LONG 4B $6,000.00

STEM HUMERAL PTC LONG 5B DWF615B $6,000.00

STEM HUMERAL UNIV REVERSE SZ 6 $4,659.00

STEM HUMERAL UNIVERSAL 12MM $10,438.00

STEM IMPL W/SCR 7X26MM $3,653.00

STEM KNEE CEMENTED 10X100MM STR $10,160.00

STEM KNEE CEMENTED 12X100MM STR $10,160.00

STEM KNEE CEMENTED TAPERED EXT 14X30MM $3,375.00

STEM KNEE CEMENTED12X125MM STR $10,160.00

STEM KNEE OFFSET 14X145MM $3,920.00

STEM KNEE SMOOTH 18X40MM $3,423.00

STEM KNEE SPLINED V2 24X120MM $4,030.00

STEM KNEE TAPER CEM 13X90MM $1,706.00

STEM LEGION CEMENT 12X120MM STR $3,754.00

STEM LEGION CEMENT 16X120MM STR $3,754.00

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STEM LEGION PRESSFIT 14X20MM $3,596.00

STEM MODULAR HUMERAL MEDIUM $11,125.00

STEM MODULAR HUMERAL SM $11,125.00

STEM MONO SLVLS 190MM SZ 20 HO $18,739.00

STEM MONOBLOCK SZ 5 135DEG $9,188.00

STEM MP 160MM X 14MM XS $6,750.00

STEM PRESSFIT 16X120MM $3,596.00

STEM PRESSFIT 18X120MM $3,596.00

STEM PRIMARY 10MM STD $4,995.00

STEM PRIMARY 8X194MM REV $12,170.00

STEM PRIMARY9MM STD $4,995.00

STEM RADIAL 6X24MM $4,846.00

STEM RADIAL 7X26MM $4,846.00

STEM RADIAL 8X28MM STRL04.402.008S $4,846.00

STEM REDIAL 10X32MM STRL 04.402.010S $4,846.00

STEM SMOOTH KNEE 14MM X 40 $3,423.00

STEM SPLINED KEE V2 20X80MM $4,030.00

STEM SPLINED KNEE 120MM $4,030.00

STEM SPLINED KNEE V2 12X80MM W SCREW $4,030.00

STEM SPLINED KNEE V2 14X120MM $4,030.00

STEM SPLINED KNEE V2 15X120MM $4,030.00

STEM SPLINED KNEE V2 16X120MM $4,030.00

STEM STANDARD SZ 10 $3,000.00

STEM SUMMIT BASIC PRESS FIT SZ 6 $1,338.00

STEM TAPER CEM 13X120MM $1,706.00

STEM TAPER CEM 13X150MM $1,706.00

STEM TAPER CEM 15X90MM $1,706.00

STEM TIBIAL WITHOUT BODY 11X127MM $6,207.00

STEM ULNAR EXT 6.0MM $5,918.00

STEM UNIVERSAL 115X12MM FLUTED $2,688.00

STEM UNIVERSAL 115X14MM FLUTED $2,688.00

STEM UNIVERSAL 115X16MM FLUTED $2,688.00

STEM UNIVERSAL 115X18MM FLUTED $2,688.00

STEM UNIVERSAL 115X20MM FLUTED $2,688.00

STEM UNIVERSAL 150X10MM FLUTED $2,688.00

STEM UNIVERSAL 75X10MM FLUTED $2,688.00

STEM UNIVERSAL 75X14MM FLUTED $2,688.00

STEM UNIVERSAL 75X16MM FLUTED $2,688.00

STEM UNIVERSAL 75X18MM FLUTED $2,688.00

STEM UNIVERSAL 75X20MM FLUTED $2,688.00

STEM UNIVERSAL 75X22MM FLUTED $2,688.00

STEM UNVERSAL 150MMX16MM FLUTED $2,688.00

STEM WEDGE ACCOLADE II SZ 0 127DEG NECK $4,625.00

STEM WEDGE ACCOLADE II SZ 1 127DEG NECK $4,625.00

STEM WEDGE ACCOLADE II SZ 10 127DEG NECK $4,625.00

STEM WEDGE ACCOLADE II SZ 11 127DEG NECK $4,625.00

STEM WEDGE ACCOLADE II SZ 11 132DEG NECK $4,625.00

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STEM WEDGE ACCOLADE II SZ 9 127DEG NECK $4,625.00

STENT BILIARY ADVANIX PRELOAD 8FR $577.00

STENT BILIARY ADVANIX W/NAVIFLEX 10X5CM $577.00

STENT BILIARY ADVANIX W/NAVIFLEX 10X9CM $577.00

STENT BILIARY WALLFLEX COVERED 10X40MM M00570360 $7,570.00

STENT BILIARY WALLFLEX COVERED 10X60MM M00570370 $7,570.00

STENT BILIARY WALLFLEX COVERED 10X80MM M00570380 $7,570.00

STENT BILIARY WALLFLEX UNCOVER 10X60MM $5,376.00

STENT CORONARY RESOLUTE INTEGRITY RX 2.25X18MM RSINT22518UX $3,750.00

STENT COTTON LEUNG (AMSTERDAM) BIL 08.5FRX07CM CLSO-8.5-7 $120.00

STENT COTTON LEUNG (AMSTERDAM) BIL 10FRX05CM CLSO-10-5 $120.00

STENT COTTON LEUNG (AMSTERDAM) BIL 10FRX07CM CLSO-10-7 $120.00

STENT DBL PIGTAIL ZSO-8-5 $120.00

STENT DES RX XIENCE SIERRA 3.5X12 $3,375.00

STENT DES RX XIENCE SIERRA 3.5X15 $3,375.00

STENT DES RX XIENCE SIERRA 3.5X18 $3,375.00

STENT DES RX XIENCE SIERRA 3.5X28 $3,375.00

STENT DES RX XIENCE SIERRA 3.5X33 $3,375.00

STENT DES RX XIENCE SIERRA 3.5X38 $3,375.00

STENT DES RX XIENCE SIERRA 3.5X8 $3,375.00

STENT DES RX XIENCE SIERRA 4X12 $3,375.00

STENT DES RX XIENCE SIERRA 4X15 $3,375.00

STENT DES RX XIENCE SIERRA 4X18 $3,375.00

STENT DES RX XIENCE SIERRA 4X23 $3,375.00

STENT DES RX XIENCE SIERRA 4X28 $3,375.00

STENT DES RX XIENCE SIERRA 4X33 $3,375.00

STENT DES RX XIENCE SIERRA 4X38 $3,375.00

STENT DES RX XIENCE SIERRA 4X8 $3,375.00

STENT DUODENAL EVOLUTION 12CM22X27MM EVO-22-27-12-D $5,235.00

STENT DUODENAL EVOLUTION 9CM22X27MM EVO-22-27-9-D $5,235.00

STENT EA ADDL BRANCH $22,650.00

STENT ENDOPROS BILIARY GORE VIABIL W/HL 8X60MM VH0806200 $5,145.00

STENT ENDOPROS BILIARY GORE VIABIL W/HL 8X80MM VH0808200 $5,145.00

STENT ENDOPROS BILIARY GORE VIABIL W/O HL 8X60MM VN0806200 $5,145.00

STENT ENDOPROS BILIARY GORE VIABIL W/O HL 8X80MM VN0808200 $5,145.00

STENT ENDOPROSTH PTFE ICAST 7FR 10X38MMX120CM 85424 $5,610.00

STENT ENDOPYELOTOMY RETROMAX PLUS 7/14FRX24CM M0061451480 $442.00

STENT ENDOPYELOTOMY RETROMAX PLUS 7/14FRX26CM M0061451490 $442.00

STENT ENDOPYELOTOMY RETROMAX PLUS 7/14FRX28CM M0061451500 $442.00

STENT ESOPH EVOLUTION FULLY COV 10CM20X25MM G52227 $3,625.00

STENT ESOPH EVOLUTION FULLY COV 12CM20X25MM G52226 $3,875.00

STENT ESOPHAGEAL EVOL FULLCV 10CM 18DIA EVO-FC-18-23-10-E $3,875.00

STENT ESOPHAGEAL EVOL ULFLX PARTCOV 10CM $4,140.00

STENT ESOPHAGEAL EVOL ULFLX UNCOV 8CM $4,140.00

STENT ESOPHAGEAL WALLFLEX 18X123MM $7,301.00

STENT ESOPHAGEAL WALLFLEX 18X125MM $7,301.00

STENT ESOPHAGEAL WALLFLEX 23X125MM $7,301.00

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STENT ESOPHAGEAL WALLFLEX 23X155MM $7,301.00

STENT ESU AXIOS W/DEL SYS 21X10MM 10.8FR 138CM M00553640 $14,663.00

STENT ESU AXIOS W/DEL SYS 21X15MM 10.8FR 138CM M00553650 $14,663.00

STENT EVENFLEX 7MMX30MMX80CM $2,388.00

STENT EVENFLEX SE 8X20X80CM PRB35-08-020-080 $2,388.00

STENT EVERFLEX ENTRUST 5FR.035 6X150X150 $3,836.00

STENT EXTRACRANIAL $9,251.00

STENT GEENEN PANCREA 5FRX3CM G22107 GPSO-5-3 $125.00

STENT GEENEN PANCREA SOF-FLEX 5FRX3CM G49668 GPSOS-SF-5-3 $150.00

STENT ILIAC INITIAL $26,283.00

STENT MAJ COR VESSEL/BRANCH $28,471.00

STENT NITINOL .035 S-E 12MMX40MMX80CM SERB65-12-40-80 $2,388.00

STENT PALMAZ BLUE 5X18 $1,875.00

STENT PANCREATIC GEENEN 7FR 11CM $163.00

STENT PANCREATIC GEENEN 7FR 4CM $150.00

STENT PANCREATIC GEENEN 7FR 5CM $120.00

STENT PANCREATIC GEENEN 7FR 9CM GPSO-7-9 $120.00

STENT PANCREATIC GEENEN GPSO-7-7 $120.00

STENT PERCUFLEX PLUS 4.8X24 175-252 $304.00

STENT PERCUFLEX PLUS 4.8X26 175-253 $304.00

STENT PERCUFLEX PLUS 4.8X28 175-254 $304.00

STENT PERCUFLEX PLUS 6 X 20 175-260 $256.00

STENT PERCUFLEX PLUS 6X22 175-261 $256.00

STENT PERCUFLEX PLUS 6X24 175-262 $256.00

STENT PERCUFLEX PLUS 6X26 175-263 $256.00

STENT PERCUFLEX PLUS 6X28 175-264 $256.00

STENT PERCUFLEX PLUS 6X30 175-265 $256.00

STENT PERCUFLEX PLUS 7X22 175-271 $256.00

STENT PERCUFLEX PLUS 7X24 175-272 $256.00

STENT PERCUFLEX PLUS 7X26 175-273 $256.00

STENT PERCUFLEX PLUS 7X28 175-274 $256.00

STENT PERCUFLEX PLUS 7X30 175-275 $256.00

STENT PERCUFLEX PLUS 8X24 175-282 $256.00

STENT PERCUFLEX PLUS 8X26 175-283 $256.00

STENT PERCUFLEX PLUS 8X28 175-284 $256.00

STENT PERCUFLEX PLUS 8X30 175-285 $256.00

STENT PROTEGE GPS .035 9MMX40MMX120CM $2,388.00

STENT PROTEGE SE 6MMX120MMX120CM $3,279.00

STENT PROTEGE SE 7MMX120MMX120CM $3,279.00

STENT PROTEGE SE 8MMX120MMX120CM $3,279.00

STENT PROTEGE SE 8MMX80MMX120CM PRB35-08-080-120 $2,388.00

STENT SYNERGY DRUG ELUTING 2.25X08MM H7493926008220 $2,250.00

STENT SYNERGY DRUG ELUTING 2.25X12MM H7493926012220 $2,250.00

STENT SYNERGY DRUG ELUTING 2.25X24MM H7493926024220 $2,250.00

STENT SYNERGY DRUG ELUTING 2.50X08MM H7493926008250 $2,250.00

STENT SYNERGY DRUG ELUTING 2.50X12MM H7493926012250 $2,250.00

STENT SYNERGY DRUG ELUTING 2.50X16MM H7493926016250 $2,250.00

Page 435: DESCRIPTION Price - Fairview

STENT SYNERGY DRUG ELUTING 2.50X20MM H7493926020250 $2,250.00

STENT SYNERGY DRUG ELUTING 2.50X24MM H7493926024250 $2,250.00

STENT SYNERGY DRUG ELUTING 2.75X08MM H7493926008270 $2,250.00

STENT SYNERGY DRUG ELUTING 2.75X12MM H7493926012270 $2,250.00

STENT SYNERGY DRUG ELUTING 2.75X16MM H7493926016270 $2,250.00

STENT SYNERGY DRUG ELUTING 2.75X20MM H7493926020270 $2,250.00

STENT SYNERGY DRUG ELUTING 2.75X24MM H7493926024270 $2,250.00

STENT SYNERGY DRUG ELUTING 3.00X08MM H7493926008300 $2,250.00

STENT SYNERGY DRUG ELUTING 3.00X12MM H7493926012300 $2,250.00

STENT SYNERGY DRUG ELUTING 3.00X16MM H7493926016300 $2,250.00

STENT SYNERGY DRUG ELUTING 3.00X20MM H7493926020300 $2,250.00

STENT SYNERGY DRUG ELUTING 3.50X08MM H7493926008350 $2,250.00

STENT SYNERGY DRUG ELUTING 3.50X12MM H7493926012350 $2,250.00

STENT SYNERGY DRUG ELUTING 3.50X16MM H7493926016350 $2,250.00

STENT SYNERGY DRUG ELUTING 3.50X20MM H7493926020350 $2,250.00

STENT SYNERGY DRUG ELUTING 4.00X08MM H7493926008400 $2,250.00

STENT SYNERGY DRUG ELUTING 4.00X12MM H7493926012400 $2,250.00

STENT SYNERGY DRUG ELUTING 4.00X16MM H7493926016400 $2,250.00

STENT SYNERGY DRUG ELUTING 4.00X20MM H7493926020400 $2,250.00

STENT UNIV FIRM 7.0 22-32 CM UFH-700-R $269.00

STENT URETERAL DBL PIGTAIL RES 6FRX24CM RMS-060024-R $2,791.00

STENT URETERAL DBL PIGTAIL RES 6FRX26CM RMS-060026-R $2,791.00

STENT URETERAL DBL PIGTAIL RES 6FRX28CM RMS-060028-R $2,791.00

STENT URETERAL FIRM 6FRX18CM W/O GW G23401 $124.00

STENT URETERAL FIRM 6FRX20CM W/O GW G23402 $124.00

STENT URETERAL PERCUFLEX PLUS 4.8FRX22CM M0061752510 $256.00

STENT URETERAL PERCUFLEX PLUS 6FRX26CM M0061752630 $256.00

STENT URETERAL SET 4.7FRX16CM PEDS $291.00

STENT URETERAL SET 6FR X 18CM $294.00

STENT URINARY DIV CLOSED TIP 7FRX80CM $436.00

STENT URINARY DIVERSION 7FRX80CM 160-210 $436.00

STENT VEIN EA ADD $14,710.00

STENT VEIN INITIAL $30,751.00

STENT VIABAHN 12FR 13MMX5.0CM W/ MARKER $7,508.00

STENT VIABAHN 6FR 5MMX10CM W/ MARKER $8,460.00

STENT VIABAHN 6FR 5MMX15CM W/ MARKER $9,428.00

STENT VIABAHN 6FR 5MMX5CM W/ MARKER $7,733.00

STENT VIABAHN FEM/ILIAC ART W/HEP 6MM 10CMX120CM VBJR061002A $8,460.00

STENT VIABAHN FEM/ILIAC ART W/HEP 6MM 15CMX120CM VBJR061502A $9,428.00

STENT VIABAHN FEM/ILIAC ART W/HEP 6MM 5CMX120CM VBJR060502A $7,733.00

STENT VIABAHN FEM/ILIAC ART W/HEP 7MM 15CMX120CM VBJR071502A $9,428.00

STENT VISC/UP EXT ARTERY INIT $30,751.00

STENT VISC/UP EXT EA ADD $12,999.00

STENT VISIPRO EXPANDABLE 5MMX37MMX80CM PXB35-05-37-080 $2,351.00

STENT VISIPRO EXPANDABLE 6MMX27MMX80CM PXB35-06-27-080 $2,351.00

STENT W ATH FEM-POP $39,676.00

STENT WALLFLEX 10X40 PART COV M00570720 $7,241.00

Page 436: DESCRIPTION Price - Fairview

STENT WALLFLEX 10X60 PART COV M00570730 $7,241.00

STENT WALLFLEX 10X80 PART COV M00570740 $7,241.00

STENT WALLFLEX 23-25MM 10CM FULL $7,301.00

STENT ZIMMON BILIARY 07FRX04CM DBL PIGTAIL ZSO-7-4 $125.00

STENT ZIMMON BILIARY 07FRX05CM DBL PIGTAIL ZSO-7-5 $125.00

STENT/CAROTID W/O PROTECTION $6,333.00

STENT/CAROTID W/PROTECTION $8,212.00

STENT/EXTRACRANIAL $9,251.00

STEP LPS STRAIGHT 14MM Z 125MM CTR $10,160.00

STEPTECH APG 44MM+3MM L $12,448.00

STER. CORT. SCREW-4MM DIAM X46MM LONG $589.00

STER. TI SCREW AND LOCK SCREW-3.5MMX18MM $739.00

STER.TI SCREW AND LOCK SCREW-3.5MMX20MM $739.00

STER.TI SCREW AND LOCK SCREW-3.5MMX32MM $739.00

STER.TI SCREW AND LOCK SCREW-3.5MMX36MM $739.00

STERILE TALC 4 GRAM INTRAPLEURAL AEROSOL POWDER $494.00

STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION $609.00

STERILE TALC 5 GRAM INTRAPLEURAL SUSPENSION $465.00

STERNAL ZIPFIX WITH NEEDLE STERILE / 5 PACK $1,088.00

STERNOCLAVICULAR JTS 3+ VIEWS $397.00

STERNUM 2+ VIEWS $467.00

STIMULATOR BONE GROWTH $14,363.00

STIMULATOR CHARGER NEUROSTIM INTELLIS 97755 $2,238.00

STIMULATOR CHARGER NEUROSTIM RESTORE 37752 $4,375.00

STIMULATOR NERVE VARI-STIM III 8562010 $1,577.00

STIMULATOR NEURO EXTERNAL VERIFY ENS $980.00

STIMULATOR NEURO INTER-STIM II 3058 $29,200.00

STIMULATOR NEURO SURESCAN 97713 $33,750.00

STOCKING CMPR 15-20 SHEER&SOFT 42655 $58.00

STOCKINGS TED KNEE $60.00

STOMACH PROCEDURE UNLISTED $284.00

STONE BASKET 1.9FR ZERO TIP NITINOL $484.00

STONE BASKET HELICAL 1.9X120 $364.00

STPL CIRCULAR 29MM CVD CDH29A $1,649.00

STPL CIRCULAR DST 28MM W/TILT TIP EEA28 $2,090.00

STPL CIRCULAR ENDOPATH 25MM CVD ECS25A $1,853.00

STPL CIRCULAR ENDOPATH 29MM CVD ECS29A $1,853.00

STPL ENDO ARTICULATING LINEAR CUT ECHELON 45MM EC45A $2,030.00

STPL ENDO ARTICULATING LINEAR CUT ECHELON 60MMX34CM EC60A $2,292.00

STPL ENDO LINEAR CUT ECHELON FLEX GST 45MM STD PSEE45A $722.00

STPL ENDO LINEAR CUT ECHELON FLEX GST 60MM LONG PLEE60A $2,600.00

STPL ENDO LINEAR CUT ECHELON GST 45MM COMPACT PCEE45A $722.00

STPL ENDO LINEAR CUT ECHELON GST 60MM COMPACT PCEE60A $2,600.00

STPL ENDO LINEAR CUT ECHELON PWRD PLUS 60MMX34CM PSEE60A $2,600.00

STPL ENDO RELOAD 45MM MEDIUM THICK PURPLE EGIA45AMT $1,185.00

STPL ENDO RELOAD 45X2.5MM VASC TR45W $3,096.00

STPL ENDO RELOAD 45X2.5MM VASC TR45W $3,096.00

Page 437: DESCRIPTION Price - Fairview

STPL ENDO RELOAD 45X3.5MM 6R45B $3,096.00

STPL ENDO RELOAD 45X4.1MM GREEN TR45G $3,096.00

STPL ENDO RELOAD 60MM MEDIUM THICK PURPLE EGIA60AMT $1,290.00

STPL ENDO RELOAD SIG GIA CVD TIP PURPLE 60MM MED SIG60CTAMT $1,535.00

STPL ENDO RELOAD SIG GIA CVD TIP TAN 30MM MED SIG30CTAVM $1,325.00

STPL ENDO RELOAD SIG GIA CVD TIP TAN 45MM MED SIG45CTAVM $8,427.00

STPL ENDO RELOAD SIG GIA PURPLE 30MM MED SIG30AMT $1,156.00

STPL ENDO RELOAD SIG GIA REINFORCED 60MM X-TRA SIGTRS60AXT $12,819.00

STPL ENDO RELOAD SIG GIA TAN 30MM MED SIG30AVM $1,018.00

STPL HEMORRHOIDAL CIRCULAR 33MM PPH03 $2,981.00

STPL LINEAR 30X2.5MM VASC TX30V $586.00

STPL LINEAR 90X4.8MM TA9048S $2,825.00

STPL LINEAR CUT 100MM TLC10 $1,253.00

STPL LINEAR CUT 30X3.5MM TX30B $541.00

STPL LINEAR CUT 55MM TLC55 $550.00

STPL LINEAR CUT 60X3.5MM TX60B $548.00

STPL LINEAR CUT 75MM TLC75 $820.00

STPL LINEAR CUT CVD BLUE CS40B $3,374.00

STPL LINEAR CUT CVD GREEN CS40G $3,374.00

STPL PURSTRING 020242 $1,501.00

STPL RELOAD LINEAR 30X2.5MM VASC XR30V $87.00

STPL RELOAD LINEAR 30X3.5MM XR30B $85.00

STPL RELOAD LINEAR 60X3.5MM XR60B $91.00

STPL RELOAD LINEAR 60X4.8MM XR60G $1,097.00

STPL RELOAD LINEAR 90 X 3.5MM TA9035L $2,522.00

STPL RELOAD LINEAR CUT 100X3.8MM TCR10 $2,663.00

STPL RELOAD LINEAR CUT 100X4.5MM TRT10 $2,637.00

STPL RELOAD LINEAR CUT 55MM TCR55 $1,178.00

STPL RELOAD LINEAR CUT 75MM TCR75 $1,750.00

STPL RELOAD LINEAR CUT 75MM THICK TRT75 $1,784.00

STPL RELOAD LINEAR CUT ECHELON 60X3.6MM BLUE GST60B $413.00

STPL RELOAD LINEAR CUT ECHELON 60X3.8MM GOLD GST60D $4,953.00

STPL RELOAD LINEAR CUT ECHELON 60X4.1MM GREEN GST60G $4,953.00

STPL RELOAD LINEAR CUT ENDOPATH ECHELON 60MM BLK GST60T $413.00

STPL RELOAD LINEAR CUT ENDOPATH ECHELON 60MM BLK GST60T $4,953.00

STPL RELOAD LINEAR CUT STD CR40B $3,797.00

STPL RELOAD LINEAR CUT THICK CR40G $3,797.00

STPL RELOAD VASC ECHELON 2.5X35MM 4 ROW VASECR35 $4,768.00

STPL RELOAD VASC REG/THK TISSUE ECHELON 45X3.8MM GOLD GST45D $4,581.00

STPL RELOAD VASC THIN TISSUE ECHELON 45X2.6MM WHITE GST45W $4,581.00

STPL RELOAD VASC THIN TISSUE ECHELON 45X3.6MM BLUE GST45B $4,581.00

STPL RELOAD VASC THIN TISSUE ECHELON 45X4.1MM GREEN GST45G $4,581.00

STPL RELOAD VASC THIN TISSUE ECHELON 60X2.6MM WHITE GST60W $4,953.00

STPL SKIN SUBCUTICULAR INSORB 2030 $650.00

STPL TACKER ENDO 5MM OMS-TTS $4,659.00

STPL TACKER ENDO PROTACK 5MM 174006 $9,671.00

STPL VASC POWERED ECHELON FLEX 35MM 4 ROW PVE35A $722.00

Page 438: DESCRIPTION Price - Fairview

STRAP ANKLE OR FOOT $391.00

STRAP APPLICATION UNNA BOOT $587.00

STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION $50.00

STRIATED MUSCLE ABY, SO $114.00

STRIATIONAL (STRIATED MUSCLE) AB $114.00

STRIATIONAL (STRIATED MUSCLE) AB $181.00

STRIP BONE 3DEMIN 50X15MM $3,185.00

STRIP BONE 3DEMIN 50X25MM $3,185.00

STRIP BONE FENFLEX 150MM $3,400.00

STRIP BONE FENFLEX 50MM $1,238.00

STRIP BONE PUTTY GRAFTON 1X20CM T42280 $4,838.00

STRIP BONE PUTTY GRAFTON 2.5X10CM T4220 $5,155.00

STRIP BONE PUTTY GRAFTON 2.5X5CM T42210 $3,202.00

STRIP BONE SUB VITOSS 25X100X4MM 10CC $3,520.00

STRIP BONE SUB VITOSS 25X50X8MM 10CC $3,520.00

STRIPPER VEIN 36" 634031 $758.00

STROMA, SINGLE SET $212.00

STROMA, TRIPLE SET SET $212.00

STRONGYLOIDES IGG ABY, SO $343.00

STRUT CORTICAL HALF 450481 $3,943.00

STRUT EXTERNAL FIXATION LONG 60MML CARBON HOLEX5 F/FOOT & AN $189.00

STRUT STATIC MEDIUM 40MM $171.00

STRUT TELES MED 138-201MM BLUE $3,793.00

SU ANCHOR ARTHREX ARTHROSCOPIC REPAIR FIBERTAK AR-3638 $1,050.00

SU ANCHOR DX FIBERTAK W/ST & NDLS AR-8990ST $1,163.00

SU CAPIO SLIM TRANSVAGINAL OPEN ACCESS DEVICE 831-825 $1,421.00

SU CHROMIC 0 BP-1 27" 47T $497.00

SU CHROMIC 6-0 G-1 18" 790G $371.00

SU CLIP LAPRA TY XC200 $918.00

SU COBRAID ULTRABRAID 2 38" 7210915 $533.00

SU ENDO QUICK RELOAD MONOGLIDE 2-0 021030 $960.00

SU ENDO STITCH POLYSORB 2-0 ES-9 48" 170053 $1,890.00

SU ENDO STITCH SURGIDAC 2-0 ES-9 48" 173023 $1,890.00

SU ENDO STITCH SURGIDAC 2-0 ES-9 7" TRIPLE STITCH 170041 $1,260.00

SU ENDO STITCH SURGIDAC 2-0 ES-9 TAPER 48" 170044 $1,260.00

SU ENDO STITICH SURGIDAC 0 ES-9 48" 173024 $1,890.00

SU ENDO TIE KNOT DEVICE 5MM 030404 $2,925.00

SU ENDO TIE KNOT PLACEMENT RELOAD 030510 $1,260.00

SU ETHIBOND 0 MO-7 CR 8X18" CX41D $319.00

SU ETHIBOND 1 CTX 18" CX30D $268.00

SU ETHIBOND 2 V-37 4X30" MX69G $369.00

SU ETHIBOND 2-0 MO-7 CR 8X18" CX42D $317.00

SU ETHIBOND 2-0 V-5DA 10X30" PXX52 $1,768.00

SU ETHIBOND 2-0 V-5SA 10X30" SXP52 $1,786.00

SU ETHIBOND 2-0 V-5SA SXP77 $1,786.00

SU ETHIBOND 5 V-37 4X30" MB66G $372.00

SU ETHILON 10-0 BV75-4 5" 2850G $629.00

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SU ETHILON 10-0 BV75-4 5" 2850G $629.00

SU ETHILON 8-0 BV130-4 5" 2815G $376.00

SU ETHILON 9-0 BV100-4 5" 2829G $538.00

SU FIBERLINK #2 BRAIDED PB BLUE W/1.5" CLSD LOOP AR-7235 $1,650.00

SU FIBERLINK 0 24" AR-7258 $163.00

SU FIBERLOOP 4-0 T-13 20" AR-7229-20 $1,500.00

SU FIBERTAPE 2MM AR-7237-7 $125.00

SU FIBERWIRE #2 FIBERSTICK 50" AR-7209 $125.00

SU FIBERWIRE 0 38" BLUE 22.2MM W/TAPER NDL AR-7250 $55.00

SU FIBERWIRE 2 38" AR-7200 $660.00

SU FIBERWIRE 2 38" 2 STRAND AR-7201 $88.00

SU FIBERWIRE 2 38" 2-STRAND WHITE&BLUE W/O NDL AR-7240 $1,050.00

SU FIBERWIRE 2 38" T-8 NDL AR-7206 $55.00

SU FIBERWIRE 2-0 TAPER CUT AR-7220 $660.00

SU FIBERWIRE 4-0 T-13 18" AR-7230-01 $660.00

SU FIBERWIRE 5 38" AR-7210 $95.00

SU FIBERWIRE 5 CCS-1 BLUE AR-7211 $100.00

SU FIBERWIRE NDL 2-0 MENIS SM AR-7223SM $1,800.00

SU GORE-TEX 0 THX-36 0N07A $565.00

SU GORE-TEX CV-3 TH-18DA 36" 3N04A $695.00

SU GORE-TEX CV-4 TH-18DA 36" 4N02A $775.00

SU GORE-TEX CV-5 THC-13 DA 30" 5M12A $813.00

SU GORE-TEX CV-6 THC-13DA 30" 6M12A $835.00

SU GORE-TEX CV-6 TTC-9DPDA 30" 6M02A $843.00

SU LOOP #2 FIBERLOOP AR-7234 $1,500.00

SU MAXON 0 GS-25 60" GMM634L $702.00

SU MONODEK CAPIO 0 48" 833-137 $1,235.00

SU MONOSOF 9-0 MV135-4 N2546 $835.00

SU MYOSTERNAL WIRE 046-267 $5,060.00

SU NUROLON 4-0 TF CR 8X18" C584D $361.00

SU NUROLON 4-0 TF CR 8X18" C584D $361.00

SU PDO 1 STRATAFIX 36X36CM CTX TAPERPOINT SXPD2B405 $595.00

SU PROLENE 3-0 MH 36" 8842H $414.00

SU PROLENE 3-0 SHDA 54" D5526 $4,358.00

SU PROLENE 5-0 24" BV-1 9702H $1,740.00

SU PROLENE 5-0 C-1DA 18" 8717 $1,072.00

SU PROLENE 6-0 BV-1 18" 8806H $1,252.00

SU PROLENE 6-0 BV-1 DA 24" 8805H $1,281.00

SU PROLENE 6-0 BV-1DA 18" 8709H $1,281.00

SU PROLENE 6-0 C-1DA 18" M8718 $1,509.00

SU PROLENE 6-0 C-1DA 30" M8706 $1,509.00

SU PROLENE 7-0 BV175-6 24' M8737 $1,227.00

SU PROLENE 7-0 BV-1DA 18" 8701H $1,294.00

SU PROLENE 7-0 BV-1DA 24" 8702H $1,326.00

SU PROLENE 7-0 BV-1DA 30" 8703H $1,326.00

SU PROLENE 7-0 BV-1DA 4X18" M8701 $1,665.00

SU PROLENE 7-0 BV-1DA 4X24" M8702 $1,707.00

Page 440: DESCRIPTION Price - Fairview

SU PROLENE 7-0 BV-1DA 4X30" M8703 $1,707.00

SU PROLENE 7-0 C-1 18" M8800 $1,514.00

SU PROLENE 8-0 BV130-5DA 24" 8732H $1,865.00

SU SHUTTLE ARTHREX W/NDL PUNCH AR-7224 $98.00

SU SILK 4-0 RB-1 CR 8X18" C054D $269.00

SU SILK 4-0 TF CR 8X18" C084D $286.00

SU STERNAL WIRE SINGLE # 6 046-082 $533.00

SU STERNAL WIRE SINGLE #6 046-032 $533.00

SU STRATAFIX MONOCRYL 2-0 SPIRAL CT-1 30CM SXPP1B412 $785.00

SU STRATAFIX MONOCRYL 3-0 SPIRAL PS-2 30CM SXMP1B106 $701.00

SU STRATAFIX PDS PLUS 0 CT 45CM SXPP1A406 $596.00

SU STRATAFIX PDS PLUS 0 CT-1 18" SXPP1A401 $609.00

SU STRATAFIX PDS PLUS 0 CT-1 30CM SXPP1B450 $790.00

SU STRATAFIX PDS PLUS 0 CT-1 30CM SXPP1B540 $790.00

SU STRATAFIX PDS PLUS 1 CT-1 18" SXPP1A404 $639.00

SU STRATAFIX PDS PLUS 2-0 SPIRAL CT-1 30CM SXPP1B410 $585.00

SU STRATAFIX PDS PLUS CT-1 15CM SXPP1A420 $895.00

SU STRATAFIX PDS PLUS CT-1 30CM SXPP1A435 $895.00

SU STRATAFIX┬ÁPDO 2-0 SPIRAL 14CMX14CM FS SXPD2B418 $522.00

SU SUTURE GUIDE GABAY-FRATER GFS-10A $515.00

SU TIGERSTICK #2 TIGERWIRE 50" STIFF END 12" AR-7209T $125.00

SU TIGERTAPE 2MMX7" AR-7237-7T $125.00

SU VICRYL 0 CT-2 18" ANTIBACTERIAL VCP727H $311.00

SU VICRYL 2 TP-1 4X27" J649G $28.00

SU VICRYL 6-0 S-14DA 18" UND J670G $336.00

SU VICRYL 7-0 TG140-8DA 18" J546G $322.00

SU VICRYL 8-0 BV130-5 5" J401G $384.00

SU WND CLOSURE RELOAD VLOC 180 ABS 0 GREEN 8" VLOCA008L $1,733.00

SU WND CLOSURE VLOC 180 ABS 2-0 8" VLOCA208L $1,733.00

SUB INHAL RX, AIRWAY OBST/DX SPUTUM INDUCT $325.00

SUB INHAL RX, AIRWAY OBST/DX SPUTUM INDUCT $325.00

SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE $109.00

SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION $50.00

SUCRALFATE 1 GRAM TABLET $19.00

SUCRALFATE 100 MG/ML ORAL SUSPENSION $46.00

SUCTION ANTICOAGULATION ASSEMBLY BT725 $335.00

SUCTION ASSEMBLY FILTER 54298 $145.00

SUCTION DRY CHEST DRAIN OASIS 3600-100 $457.00

SUCTION IRR SYSTEM W/O TIP INTERPULSE HANDPIECE 0210-100-000 $351.00

SUCTION IRRIGATOR ENDOWRIST DAVINCI XI $3,975.00

SUCTION KIWI VAC VAC-6000M $300.00

SUCTION MANIFOLD NEPTUNE 2 SYS 1 PORT 702-025-000 $535.00

SUCTION MANIFOLD NEPTUNE 2 SYS 4 PORT 702-200-000 $928.00

SUCTION MINISQUAIR SMOKE EVAC CAPTURE DEVICE SQ20012-01 $975.00

SUCTION MITY VAC MUSHROOM CUP 10007LP $858.00

SUCTION UNIT CHEST 2000ML 2050-000 $481.00

SUCTION VACUUM ADAPTER 14MM 003696 $20.00

Page 441: DESCRIPTION Price - Fairview

SUCTION YANKAUER VITAL VUE USSC 8280-06 $3,330.00

SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION $434.00

SULFACETAMIDE 10 %-PREDNISOLONE 0.2 % EYE DROPS,SUSPENSION $1,265.00

SULFACETAMIDE SODIUM (ACNE) 10 % LOTION (SUSPENSION) $389.00

SULFACETAMIDE SODIUM 10 % EYE DROPS $241.00

SULFACETAMIDE-PREDNISOLONE 10 %-0.2 % EYE OINTMENT $632.00

SULFACETAMIDE-PREDNISOLONE 10 %-0.23 % (0.25 %) EYE DROPS $74.00

SULFADIAZINE 500 MG TABLET $20.00

SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION $9.00

SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET $5.00

SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION $50.00

SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET $5.00

SULFANILAMIDE 15 % VAGINAL CREAM $1,118.00

SULFASALAZINE 500 MG TABLET $5.00

SULFASALAZINE 500 MG TABLET,DELAYED RELEASE $5.00

SULFATE $32.00

SULFATE, 24 HOUR, URINE SO $32.00

SULINDAC 150 MG TABLET $5.00

SULINDAC 200 MG TABLET $5.00

SUMATRIPTAN 12.5 MG ORAL HALF-TAB $9.00

SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY $214.00

SUMATRIPTAN 25 MG TABLET $5.00

SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY $354.00

SUMATRIPTAN 50 MG TABLET $5.00

SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION $828.00

SUP REV CODE 278 A4648 $140.00

SUP REV CODE 636 Q4132 $1,151.00

SUP REV CODE 636 Q4133 $1,151.00

SUPERVISED FES/NMES WITH EXERCISE OR ACTIVITY - EACH 15 MIN $129.00

SUPERVISED, MANUAL, ELECTRICAL STIM, EACH 15 MIN $149.00

SUPRAPUBIC TUBE CHANGE SIMPLE $646.00

SUPRAVALVULAR AORTOGRAPHY $571.00

SURFACTANT ADMIN THRU TUBE $318.00

SURG ABSCESS DRAIN HIP - DEEP $7,008.00

SURG AMNIOCENTESIS $1,503.00

SURG BIOPSY BONE-NEEDLE DEEP $4,138.00

SURG BIOPSY BONE-NEEDLE SUPER $2,667.00

SURG BIOPSY LIVER-NEEDLE INIT $3,242.00

SURG CTR 30 MIN MINOR ANES 15 MINS $877.00

SURG CTR 30 MIN MINOR ANES BASE $271.00

SURG CTR MAC ANES 15 MINS $664.00

SURG INJ CYSTOGRAM $712.00

SURG INJ HYSTEROSALPINGOGRAM $714.00

SURG INJ RETRO URETHROCYSTO $532.00

SURG INJ SHOULDER ARTHROGRAM $1,007.00

SURG INJ WRIST ARTHROGRAM (PER $654.00

SURG LMBR PNCTR FOR MYELOGRAM $699.00

Page 442: DESCRIPTION Price - Fairview

SURG MESH PARIETENE DS 30X20CM X1 PPDS3020 $3,170.00

SURG MESH PARIETENE DS RND 12CM X1 PPDS12 $996.00

SURG MESH PARIETENE DS RND 15CM X1 PPDS15 $1,304.00

SURG MESH PERIETENE DS 25X20CMX1 PPDS2520 $2,319.00

SURG NB CELIAC PLEXUS $3,716.00

SURG/BIOPSY LIVER (SEP PROCEDU $3,242.00

SURG/BIOPSY TRANSCATHETER $9,943.00

SURG/CHEST TUBE INSERTION $2,182.00

SURG/EMBOLIZATION (EXTRACRANIA $27,915.00

SURG/EMBOLIZATION (INTRACRANIA $3,552.00

SURG/ESI TRNSFRAMNL LB EA ADDL $1,066.00

SURG/EXCHANGE ABSCESS CATHETER $3,533.00

SURG/FALLOPIAN TUBE CATH $5,564.00

SURG/TRANS-CATHETER RETREIVAL $8,654.00

SURG/URETEROSTOMY CATH EXCH. $4,151.00

SURGERY CTR PACU LAVEL A $355.00

SURGERY CTR PACU LEVEL B $759.00

SURGERY CTR PACU LEVEL C $996.00

SURGERY CTR PACU LEVEL D $1,315.00

SURGERY CTR PACU LEVEL E $2,305.00

SURGERY CTR PACU/ADD'L 15 MIN $139.00

SURGERY LEVEL 1 L & D PER MIN $126.00

SURGERY LEVEL 1 PER MIN $110.00

SURGERY LEVEL 2 L & D PER MIN $135.00

SURGERY LEVEL 2 PER MIN $167.00

SURGERY LEVEL 3 L & D PER MIN $144.00

SURGERY LEVEL 3 PER MIN $180.00

SURGERY LEVEL 4 PER MIN $192.00

SURGERY LEVEL 5 PER MIN $208.00

SURGERY LEVEL 6 PER MIN $250.00

SURGERY LEVEL 7 PER MIN $266.00

SURGERY LEVEL P1 PER MIN $53.00

SURGERY LEVEL P2 PER MIN $76.00

SURGERY LEVEL P3 PER MIN $103.00

SURGICAL SPECIMEN $1,175.00

SURGICEL ABSORBABLE HEMOSTAT SNOW 2"X4" 2082 $5,112.00

SURGICEL ABSORBABLE HEMOSTAT SNOW 4"X4" 2083 $75.00

SURGICEL FIBRILLAR HEMOSTAT 1"X2" 1961 $3,066.00

SURGICEL HEMOSTAT 3X4" NUKNIT 1943 $8,656.00

SURGICEL HEMOSTAT 4X8" 1952 $2,190.00

SUSCEPTIBILITY,MIC,AEROBC $85.00

SUSPEND FACIA LATA 2 X 12CM $2,113.00

SUSPEND FASCIA LATA 4 X 7CM(TUTOPLAST) 937201 $2,288.00

SUSPEND FASCIA LATA 6 X 8CM TUTOPLAST $3,688.00

SUTR ANCH BIO-COMP P-LCK 2.4X11.3 $1,000.00

SUTURE ANCHOR FIBERTAK $4,063.00

SUTURE ANCHOR HIP BIO 2.9X12.5MM $1,050.00

Page 443: DESCRIPTION Price - Fairview

SUTURE ANCHOR MINI BC PUSHLOCK $1,063.00

SUTURE CARTRIDGE WITH NEEDLE $840.00

SUTURE DEKNATEL 0 ROUND NEEDLE 7-535 $255.00

SUTURE DELIVERY DEVICE DIGITEX $3,210.00

SUTURE ENDO STITCH 0 POLYSORB 7IN 170050 $1,890.00

SUTURE ENDO STITCH 48IN SOFT SILK 170003 $1,890.00

SUTURE ENDO SURGITIE 21 POLYSORB EL23LN $692.00

SUTURE ETHIBOND 2 D7481 $2,458.00

SUTURE ETHIBOND 2-0 V-7V-7 10X66 $1,262.00

SUTURE GORTEX 2N02A $858.00

SUTURE LASSO S 25 DEG TIGHT CRV LT $350.00

SUTURE LASSO S 25 DEG TIGHT CRV RT $350.00

SUTURE LASSO SD 27 DEG TIGHT CURVE R STL $350.00

SUTURE MANAGER SLINGSHOT 45 CAT02589 $785.00

SUTURE NUROLON 2-0 CP C572D $322.00

SUTURE PACK $58.00

SUTURE PASSOR W/GUIDE RSG-14F-4-WG $424.00

SUTURE RETRIVER HOFFEE $650.00

SUTURE STRATAFIX PDS 1 CTX 45CM $615.00

SUTURE STRATAFIX PDS 3-0 SH 15CM $923.00

SUTURE STRATAFIX TAPER 3-0 16CM X 16CM $836.00

SUTURE TENSIONER/CUTTER FOR KNEES $438.00

SUTURE VICRYL 0 8-18 CT1/CR + UND VCP840D $313.00

SUTURE VICRYL 1 18 CT/CR + VLT VCP753D $309.00

SUTURE VICRYL 2-0 18 CT1/CR+VLT VCP839D $305.00

SUTURE VICRYL 2-0 8-18 CT2/CR + VLT VCP $303.00

SUTURE VICRYL 3-0 18 SH/CR + UND VCP864 $314.00

SUTURETAPE 1.3MM W/TAILS WHITE/BLUE $88.00

SVT/ACC PTHWY ABL W/ EP STUDY $46,301.00

SWABSTICK ALCOHOL 3/PK 1204 $12.00

SWAN GANZ INSERTION $4,966.00

SWIVELOCK DX 3.5X13.5MM $1,063.00

SYNCAGE EVOLUTION SPACER-LG 13.5MM HEIGHT/10DEG-STERILE $6,000.00

SYNCAGE EVOLUTION SPACER-LG 17MM HEIGHT/10DEG-STERILE $6,000.00

SYNCAGE EVOLUTION SPACER-LG 9MM HEIGHT/6DEG-STERILE $6,000.00

SYNCAGE EVOLUTION SPACER-MED 13.5MM HEIGHT/14DEG-STERILE $9,750.00

SYNCAGE EVOLUTION SPACER-SM 10.5MM HEIGHT/10DEG-STERILE $9,750.00

SYNCAGE EVOLUTION SPACER-SM 12MM HEIGHT/10DEG-STERILE $6,000.00

SYNCAGE EVOLUTION SPACER-SM 12MM HEIGHT/14DEG-STERILE $9,750.00

SYNCAGE EVOLUTION SPACER-SM 13.5MM HEIGHT/6DEG-STERILE $9,750.00

SYNCHRONY VEST $917.00

SYNFIX EVOLUTION SPACER MED 12 MM HEIGHT 10┬░ $13,250.00

SYNFIX EVOLUTION SPACER MED 13.5 MM HEIGHT 10┬░ $35,293.00

SYNPOR SMOOTH TI REINFORCED FAN PLATE 1.5MM THICK-STERILE $349.00

SYPHILIS SCREEN CASCADE $147.00

SYPHILIS SCREEN,CSF, SO $41.00

SYPHILLIS SCREEN $54.00

Page 444: DESCRIPTION Price - Fairview

SYR BIOGLUE PREFILLED 5ML BG3515-5-US $9,813.00

SYRINGE BULK AGENT COAPTITE 1ML 890-300 $971.00

SYRINGE COAPTITE 1ML $953.00

SYRINGE RADIESSE 1CC W/NEEDLE TRANSORAL $1,438.00

SYS ARTHR INSTR PROX TENODESIS W/3.2MM DRILL PIN #2 $1,688.00

SYS ARTHRO FIX DEL IMP BICEP DOG BONE W/AC 18IN NITINOL SUT $2,750.00

SYSTEM ACCESS WATCHMAN ANTERIOR CURVE $2,500.00

SYSTEM ACCESS WATCHMAN DOUBLE CURVE $2,500.00

SYSTEM ACCESS WATCHMAN LAA PROCEDURE BUN $2,500.00

SYSTEM ACCESS WATCHMAN SINGLE CURVE $2,500.00

SYSTEM ALEXIS CES BLUNT TIP 14CM $413.00

SYSTEM ALEXIS CES W/GELPOINT $1,763.00

SYSTEM ALEXIS CES W/GELPOINT MINI $1,763.00

SYSTEM ANCHORING INJEX 97791 $375.00

SYSTEM CARDIOMEMS PA SENSOR AND DELIVERY $58,750.00

SYSTEM CHARGING EXT PATIENT MEDT 97754 $3,688.00

SYSTEM CHARGING PRODIGY 3730 $2,500.00

SYSTEM CLEARIFY VISUALIZATION 21-345 $1,463.00

SYSTEM EXTERNAL FIXATION FULL RING 150MMW ALUMINIUM $4,795.00

SYSTEM FAT GRAFTING REVOLVE DISP $1,145.00

SYSTEM FAT PROCESSING RESOLVE RV0001 $1,145.00

SYSTEM FIXATION BACKUP F/STRENGTH/STABILITY $1,500.00

SYSTEM IMPLANT LATERAL ANKLE RECONSTRUCT $4,375.00

SYSTEM KNEE SZ-4 BEARING TIBIAL BASE $5,900.00

SYSTEM KYPHX BONE CEMENT FILLER DEVICE 3 F04B $183.00

SYSTEM LOADING ENVEOR 34MM $975.00

SYSTEM LOADING EVOLUT PRO 23MM $975.00

SYSTEM NASAL IMPLANT LATERA ABSORBABLE $3,313.00

SYSTEM SMOKE EVAC PLUMEPORT PP010CS $367.00

SYSTEM SPEEDBRIDGE W/BIO-SWIVELOCK $4,450.00

SYSTEM SWIVELLOCK 6.25X19.1MM $6,788.00

T CELLS;CD3 $243.00

T PALLIDUM BY TP-PA, SO $101.00

T PALLIDUM,CONFIRMATORY, SO $106.00

T WHIPPLEI DNA BY PCR $444.00

T2 F/T LOCKING SCR 5MMX45MM $595.00

T3 FREE $109.00

T3 TOTAL $94.00

T3; REVERSE $104.00

T4 FREE $72.00

T4 TOTAL $48.00

TACROLIMUS $127.00

TACROLIMUS 0.03 % TOPICAL OINTMENT $1,262.00

TACROLIMUS 0.1 % TOPICAL OINTMENT $1,262.00

TACROLIMUS 0.5 MG CAPSULE $7.00

TACROLIMUS 1 MG CAPSULE $6.00

TACROLIMUS 5 MG CAPSULE $5.00

Page 445: DESCRIPTION Price - Fairview

TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION $904.00

TACROLIMUS ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR $19.00

TADALAFIL 20 MG TABLET $76.00

TADALAFIL 20 MG TABLET,TADALAFIL 20 MG TABLET (ANTIHYPERTENSIVE) $66.00

TADALAFIL 5 MG TABLET $25.00

TAFLUPROST (PF) 0.0015 % EYE DROPS IN A DROPPERETTE $6.00

TAK ARTHRO FIX SUT ANCHOR 0.045MM THREADED BB-TAK LF $213.00

TALAR COMPONENT SZ5 $11,663.00

TAMOXIFEN 10 MG TABLET $12.00

TAMOXIFEN 10 MG/5 ML ORAL SOLUTION $104.00

TAMOXIFEN 20 MG TABLET $12.00

TAMP BONE REDUCTION 64-00011 $278.00

TAMPON SUCTION FEMORAL CANAL 110037 $3,930.00

TAMSULOSIN 0.4 MG CAPSULE $5.00

TANGNTL BX SKIN SINGLE LES $543.00

TAP 6MM BN BIO INTFR SCR INS AR-1386 $920.00

TAP DEPUY EASY OUT DISP 14620 $901.00

TAP SCR BONE SYN CAN 4.0X174MM 311.63 $956.00

TAPE MEASURE VASCULAR 30CM GLOW N TELL 1100-01 $2,993.00

TAPE TVO ARIS 93-4400 $1,835.00

TAPENTADOL 50 MG TABLET $31.00

TAPENTADOL AND METABOLITE, UR $120.00

TARGETED OPIOID SCREEN, URINE $52.00

TAZAROTENE 0.1 % TOPICAL GEL $2,093.00

TB BY QUANTIFERON $132.00

TC02 MONITORING 1 LEG $590.00

TC02 MONITORING 2 LEG $590.00

TC99M SULFUR COLLOID FLTRD $313.00

TC99M SULFUR COLLOID UNFLTRD $199.00

TCAT INSERT OR REPLACE PERM LEADLESS PACEMAKER RV W/ IMG $49,400.00

TCAT MITRAL VALVE REPAIR ADDITIONAL PROSTHESIS $18,229.00

TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS $33,443.00

TCAT PLMT IV STENT CTR DIALYSIS SEG W/IMG S&I $15,481.00

TCO4 (PER MCI) $1.40

TEGADURM AG $30.00

TELETHERAPY ISODOSE PLACE, COMPLEX $490.00

TELETHERAPY ISODOSE PLACE, SIMPLE $433.00

TELMISARTAN 20 MG TABLET $36.00

TELMISARTAN 40 MG TABLET $18.00

TEMAZEPAM 15 MG CAPSULE $5.00

TEMAZEPAM 30 MG CAPSULE $12.00

TEMAZEPAM 7.5 MG CAPSULE $16.00

TEMOZOLOMIDE 100 MG CAPSULE $147.00

TEMOZOLOMIDE 100 MG INTRAVENOUS SOLUTION $3,833.00

TEMOZOLOMIDE 20 MG CAPSULE $80.00

TEMPORARY PACER SINGLE $18,044.00

TEMPORARY TRANSCUTANEOUS PACIN $914.00

Page 446: DESCRIPTION Price - Fairview

TEMPOROMANDIBULAR BILATERAL $369.00

TEMPUS 2-LEVEL ACP 30MM $2,375.00

TEMPUS 2-LEVEL ACP 32MM $2,375.00

TEMPUS 3-LEVEL ACP 48MM $2,375.00

TEMPUS 4-LEVEL ACP 72MM $2,250.00

TEMPUS 4-LEVEL ACP 76MM $2,250.00

TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN $6,762.00

TENDON 9X70MM $5,595.00

TENDON GRAFT PRE SUTURED FPSST $3,257.00

TENDON INJECTION $832.00

TENDON SEMITENDINOSUS >230MM FR $3,310.00

TENDON TIBIALIS ANTERIOR P30815 $3,277.00

TENDON TIBIALIS ANTERIOR T30815 $3,277.00

TENECTEPLASE 50 MG INTRAVENOUS KIT $16,150.00

TENECTEPLASE 50 MG INTRAVENOUS SOLUTION $16,150.00

TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET $9.00

TENOTOMY TOE SINGLE TENDON $5,181.00

TERAZOSIN 1 MG CAPSULE $5.00

TERAZOSIN 2 MG CAPSULE $5.00

TERAZOSIN 5 MG CAPSULE $5.00

TERBINAFINE HCL 1 % TOPICAL CREAM $32.00

TERBINAFINE HCL 1 % TOPICAL SPRAY $37.00

TERBINAFINE HCL 250 MG TABLET $5.00

TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION $89.00

TERBUTALINE 2.5 MG TABLET $22.00

TERBUTALINE 5 MG TABLET $13.00

TERCONAZOLE 0.4 % VAGINAL CREAM $162.00

TERIPARATIDE 20 MCG/DOSE (600 MCG/2.4 ML) SUBCUTANEOUS PEN INJECTOR $436.00

TEST SKIN REACTION GUIDES 100/ $56.00

TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET $42.00

TESTOSTERONE 4 MG/24 HR TRANSDERMAL 24 HOUR PATCH $89.00

TESTOSTERONE 50 MG/5 GRAM (1 %) TRANSDERMAL GEL $98.00

TESTOSTERONE CYPIONATE 100 MG/ML INTRAMUSCULAR OIL $7.00

TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL $50.00

TESTOSTERONE ENANTHATE 200 MG/ML INTRAMUSCULAR OIL $50.00

TESTOSTERONE, SO $191.00

TESTOSTERONE,TOTAL $191.00

TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE $32.00

TETANUS IMMUNE GLOBULIN (PF) 250 UNIT INTRAMUSCULAR SYRINGE $2,303.00

TETANUS TOXOID ABY $133.00

TETANUS,DIPHTHERIA TOXOID PED (PF) 5 LF UNIT-25 LF UNIT/0.5 ML IM SUSP $96.00

TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION $45.00

TETRACAINE 0.5 % EYE DROPS $42.00

TETRACAINE 2 % TOPICAL SOLUTION $78.00

TETRACAINE HCL (PF) 0.5 % EYE DROPS $51.00

TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION $330.00

TETRACYCLINE 250 MG CAPSULE $16.00

Page 447: DESCRIPTION Price - Fairview

TETRAHYDROZOLINE 0.05 % EYE DROPS $7.00

TFNA HELICAL BLADE 100MM $2,044.00

TFNA SCR 100MM $1,940.00

TFNA SCR 105MM $1,940.00

TFNA SCR 125MM $1,940.00

TFNA SCR 80MM $1,940.00

TFNA SCR 85MM $1,940.00

TFNA SCR 95MM $1,940.00

THC, REFLEX $101.00

THEOPHYLLINE $94.00

THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION $369.00

THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR $11.00

THEOPHYLLINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR $5.00

THEOPHYLLINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR $5.00

THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR $20.00

THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR $6.00

THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR $6.00

THER APHERESIS,PLASMA PHERESIS $3,856.00

THER APHERESIS,WHITE BLOOD CELLS $3,719.00

THER SRVC(S),NON-SPEECH GEN DEV, W/PROG $406.00

THER SRVC,SPEECH GEN DEV USE, W/PROG $517.00

THER/PROPH/DIAG INJ SAME DRUG $209.00

THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN $152.00

THERAPEUTIC MULTIVITAMIN TABLET,MULTIVIT WITH FOLIC ACID 400 MG $5.00

THERAPEUTIC PX TO INC STRENGTH AND ENDURANCE, EACH 15 MIN $189.00

THEREPEUTIC ACTIVITY DIRECT PT CONTACT EACH 15 MIN $152.00

THIAMINE (VITAMIN B1) $148.00

THIAMINE HCL (VITAMIN B1) 100 MG TABLET $5.00

THIAMINE HCL (VITAMIN B1) 100 MG TABLET,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET $5.00

THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION $50.00

THIAMINE HCL (VITAMIN B1) 50 MG TABLET $5.00

THIOCYANATE $102.00

THIOPURINE METABOLITE, SO $382.00

THIOPURINE METHYLTRANSFERASE $143.00

THIORIDAZINE 10 MG TABLET $5.00

THIORIDAZINE 25 MG TABLET $5.00

THIORIDAZINE 50 MG TABLET $5.00

THIOTEPA 15 MG SOLUTION FOR INJECTION $1,739.00

THIOTHIXENE 1 MG CAPSULE $5.00

THIOTHIXENE 10 MG CAPSULE $5.00

THIOTHIXENE 2 MG CAPSULE $5.00

THIOTHIXENE 5 MG CAPSULE $5.00

THOR 1 LEVEL NON COMPRESSION PLATE 22MM $6,773.00

THORACENTESIS W/ IMAGING $1,897.00

THORACENTESIS W/O IMAGING $2,120.00

THORACENTESIS/NEEDLE/ASP $1,897.00

THORACIC SPINE 2 VIEWS $475.00

Page 448: DESCRIPTION Price - Fairview

THORACIC SPINE 3 VIEWS $397.00

THORACOLUMBAR SPINE 2 VIEWS $317.00

THORACOSTOMY ABSCESS/HEMO/EMPY $1,875.00

THORACOTOMY W/ CARDIAC MASSAGE $2,118.00

THRMBLYTC ART/VEN THER ADL DAY $7,751.00

THRMBLYTC THER FINAL DAY/REMOV $7,751.00

THROMBIN (BOVINE) 20,000 UNIT TOPICAL SOLUTION $1,230.00

THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY SYRINGE $1,292.00

THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION,THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION $312.00

THROMBIN (BOVINE) 5,000 UNIT TOPICAL SPRAY SYRINGE $318.00

THROMBIN (HUMAN)-FIBRINOGEN-APROTININ-CALCIUM 10 ML TOPICAL SYRINGE $2,396.00

THROMBIN TIME $96.00

THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 10 ML TOPICAL SYRINGE $2,670.00

THROMBOLYSIS CEREBRAL BY IV $786.00

THROMBOLYTIC ART THERAPY INIT $6,400.00

THROMBOLYTIC VENOUS THER INIT $3,823.00

THROMBOLYTICS $559.00

THYROGLOBULIN ABY $104.00

THYROGLOBULIN, REFLEX CIA $218.00

THYROGLOBULIN, REFLEX LC-MS/MS $218.00

THYROID (PORK) 15 MG TABLET $5.00

THYROID (PORK) 30 MG TABLET $5.00

THYROID MET UPTAKE $643.00

THYROID PEROXIDASE ABY $98.00

THYROID UPTAKE AND SCAN $1,068.00

THYROTROPIN ALFA 1.1 MG (0.9 MG/ML FINAL CONC.) INTRAMUSCULAR SOLUTION $2,930.00

THYROTROPIN RECEPTOR ABY, SO $104.00

TI ANTEGRA(TM) PLATE ONE LEVEL LUMBAR/37MM $7,500.00

TI ANTEGRA(TM) PLATE ONE LEVEL LUMBAR/39MM $7,500.00

TI ANTEGRA(TM) PLATE ONE LEVEL SACRAL/37MM $7,500.00

TI ANTEGRA(TM) PLATE ONE LEVEL SACRAL/39MM $7,500.00

TI ANTEGRA(TM) PLATE ONE LEVEL SACRAL/41MM $7,500.00

TI ANTEGRA(TM) PLATE ONE LEVEL SACRAL/43MM $7,500.00

TI CAN TIBIAL NAILS EX WITH PROXIMAL BEND STER $3,051.00

TI CERVICAL SPINE LOCKING PLATE/SM STATURE 34MM(26MM) $2,375.00

TI LAG SCR 10.5X105MM $1,635.00

TI LOCKING RECONSTRUCTION PLATE/12 HOLES/96MM $2,338.00

TI MATRIX 90 DEG L-PL/2X2 H LONG/REVERSIBLE/0.8MM THICK $669.00

TI MATRIX 90 DEG L-PL/2X2 H MED/REVERSIBLE/0.8MM THICK $669.00

TI MATRIXMIDFACE BOX PLATE 4 HOLES/10MMX10MM/0.7MM THICK $769.00

TI MATRIXMIDFACE BOX PLATE 4 HOLES/5MMX10MM/0.5MM THICK $806.00

TI MATRIXMIDFACE EMERGENCY SCR 10MM $223.00

TI MATRIXMIDFACE EMERGENCY SCR 12MM $223.00

TI MATRIXMIDFACE EMERGENCY SCR 6MM $232.00

TI MATRIXMIDFACE OBLIQUE L-PL 2X3 HOLES-LEFT/0.8MM THICK $769.00

TI MATRIXMIDFACE OBLIQUE L-PL 2X3 HOLES-RIGHT/0.8MM THICK $769.00

TI MATRIXMIDFACE OBLIQUE L-PL 3X4 HOLES-RIGHT/0.8MM THICK $838.00

Page 449: DESCRIPTION Price - Fairview

TI MATRIXMIDFACE OBLIQUE L-PL 4X6 HOLES-LEFT/0.8MM THICK $850.00

TI MATRIXMIDFACE ORBITAL RIM PLATE/12 HOLES/0.5MM THICK $998.00

TI MATRIXMIDFACE ORBITAL RIM PLATE/12 HOLES/0.7MM THICK $939.00

TI MATRIXMIDFACE SCR SELF-DRILLING 4MM $236.00

TI MATRIXMIDFACE SCR SELF-DRILLING 6MM $235.00

TI MATRIXMIDFACE SCR SELF-DRILLING 8MM $232.00

TI MATRIXMIDFACE SCR SELF-TAPPING 10MM $215.00

TI MATRIXMIDFACE SCR SELF-TAPPING 12MM $215.00

TI MATRIXMIDFACE SCR SELF-TAPPING 8MM $223.00

TI MATRIXMIDFACE T-PLATE 3X4 HOLES/0.7MM THICK $686.00

TI MATRIXMIDFACE X-PLATE 4 HOLES/0.7MM THICK $759.00

TI MATRIXNEURO CONTOUR MESH 100MM X 100MM/0.4MM MALLEABLE $6,041.00

TI MATRIXNEURO PREFORMED MESH 109MM X 78MM FRONTAL-STERILE $12,038.00

TI MATRIXNEURO RECON MESH 200MM X 200MM/GOLD-STERILE $13,133.00

TI MATRIXNEURO ULP 12MM STRAIGHT PLATE $87.00

TI MATRIXNEURO ULP BURR HOLE COVER 17MM $247.00

TI MATRIXNEURO ULP BURR HOLE COVER 24MM $708.00

TI MATRIXRIB PRE-CONTOURED PLATE 15 HOLES FOR LEFT RIB 3 $3,885.00

TI MATRIXRIB PRE-CONTOURED PLATE 17 HOLES FOR LEFT RIBS 6&7 $3,885.00

TI MATRIXRIB PRE-CONTOURED PLATE 18 HOLES FOR LEFT RIBS 8&9 $3,885.00

TI MATRIXRIB UNIVERSAL PLATE 8 HOLES $2,648.00

TI STERNAL LOCKING X PLATE WIDE/10 HOLES $2,119.00

TI TOMOFIX MEDIAL HIGH TIBIA PLATE-4 HOLES/SM $3,030.00

TI TOMOFIX MEL DISTAL FEMUR PLATE - 4 HOLES/LEFT $3,720.00

TI USS LOW PROFILE FRACTURE CLAMP $3,985.00

TI VECTRA(TM) PLATE 1 LEVEL/26MM $2,438.00

TI VECTRA(TM) PLATE 3 LEVEL/45MM $2,875.00

TIAGABINE 2 MG TABLET $46.00

TIAGABINE, SO $116.00

TIBIA ALL POLY SZ 2 10MM $2,250.00

TIBIA ALL POLY SZ 2 12.5MM 96-2622 $2,250.00

TIBIA ALL POLY SZ 2 8MM $2,250.00

TIBIA ALL POLY SZ 2.5 10MM $2,250.00

TIBIA ALL POLY SZ 2.5 12.5MM $2,250.00

TIBIA ALL POLY SZ 2.5 15MM $2,250.00

TIBIA ALL POLY SZ 2.5 8MM $2,250.00

TIBIA ALL POLY SZ 3 10MM $2,250.00

TIBIA ALL POLY SZ 3 12.5MM $2,250.00

TIBIA ALL POLY SZ 3 15MM $2,250.00

TIBIA ALL POLY SZ 3 8MM $2,250.00

TIBIA ALL POLY SZ 4 10MM $2,250.00

TIBIA ALL POLY SZ 4 12.5MM $2,250.00

TIBIA ALL POLY SZ 4 15MM $2,250.00

TIBIA ALL POLY SZ 4 8MM $2,250.00

TIBIA ALL POLY SZ 5 10MM $2,250.00

TIBIA ALL POLY SZ 5 12.5MM $2,250.00

TIBIA ALL POLY SZ 5 8MM $2,250.00

Page 450: DESCRIPTION Price - Fairview

TIBIA BASE FIX BEAR CEMENT SZ 2 $2,250.00

TIBIA BASE SZ 5 R $7,779.00

TIBIA BASE ZS 6 R $7,779.00

TIBIA COMPONENT ALL POLY CS SZ 4 9MM $4,250.00

TIBIA COMPONENT ALL POLY CS SZ7 13MM $4,250.00

TIBIA EVOLUTION MP SZ 6 STD $2,500.00

TIBIA JOURNEY UNI AP SZ 3 $2,250.00

TIBIA JOURNEY UNI AP SZ 5 $2,250.00

TIBIA JOURNEY UNI BASE RM/LL SZ $2,250.00

TIBIA KNEE COMPONENT CURV CR 10MM SZ 2 $2,250.00

TIBIA KNEE COMPONENT CURV CR 10MM SZ 2.5 $2,250.00

TIBIA KNEE COMPONENT CURV CR 10MM SZ 3 $2,250.00

TIBIA KNEE COMPONENT CURV CR 10MM SZ 4 $2,250.00

TIBIA KNEE COMPONENT CURV CR 10MM SZ 5 $2,250.00

TIBIA KNEE COMPONENT CURV CR 12.5MM SZ 3 $2,250.00

TIBIA KNEE COMPONENT CURV CR 12.5MM SZ 4 $2,250.00

TIBIA KNEE COMPONENT CURV CR 8MM SZ 2 $2,250.00

TIBIA KNEE COMPONENT CURV CR 8MM SZ 2.5 $2,250.00

TIBIA KNEE COMPONENT CURV CR 8MM SZ 3 $2,250.00

TIBIA KNEE COMPONENT CURV CR 8MM SZ 4 $2,250.00

TIBIA KNEE COMPONENT CURV CR 8MM SZ 5 $2,250.00

TIBIA PLATEAU CEMENTED T1 AS VEGAS PS $2,174.00

TIBIA UNI GCK ALL POLY SZ 2 8MM RM/LL $4,250.00

TIBIA UNI GCK ALL POLY SZ 3 8MM LM/RL $4,250.00

TIBIA UNI GCK ALL POLY SZ 3 8MM RM/LL $4,250.00

TIBIA UNI GCK ALL POLY SZ 3 9MM LM/RL $4,250.00

TIBIA UNI GCK ALL POLY SZ 4 8MM RM/LL $4,250.00

TIBIA UNI GCK ALL POLY SZ 4 9MM LM/RL $4,250.00

TIBIA UNI INSERT UNICONDYLAR SZ4 8MM LM $4,250.00

TIBIA UNI SIGMA HP AP SZ 1 8MM LM/RL $4,250.00

TIBIA UNI SIGMA HP AP SZ 2 8MM LM/RL $4,250.00

TIBIA UNI SIGMA HP AP SZ 5 8MM LM/RL $4,250.00

TIBIA UNI SIGMA HP AP SZ 5 8MM RM/LL $4,250.00

TIBIA UNI SIGMA HP AP SZ 6 8MM LM/RL $4,250.00

TIBIA UNI SIGMA HP AP SZ 6 8MM RM/LL $4,250.00

TIBIA UNI SIGMA HP AP SZ2 10MM LMRL $4,250.00

TIBIA UNI SIGMA HP AP SZ2 9MM LMRL $4,250.00

TIBIA UNI SIGMA HP AP SZ2 9MM RM/LL $4,250.00

TIBIA UNI SIGMA HP SZ 4 10MM LM/RL $4,250.00

TIBIA VG 360 LG CRUCIATE $1,793.00

TIBIA VG 360 SM CRUCIATE $1,793.00

TIBIAL BASE COMPONENT SZ5 $8,970.00

TIBIAL BASE FIXED BEARING SZ 7 $5,900.00

TIBIAL BASE SZ 4 $5,900.00

TIBIAL BASE SZ 5 $5,900.00

TIBIAL BASE SZ 6 $5,900.00

TIBIAL CONE ASYMMETRIC AUGMENT SZ C $13,123.00

Page 451: DESCRIPTION Price - Fairview

TIBIAL CONE SYMMETRIC AUGMENT SZ B $12,271.00

TIBIAL CONE SYMMETRIC AUGMENT SZ B $13,123.00

TIBIAL CONE SYMMETRIC AUGMENT SZ E $12,271.00

TIBIAL CONE SYMMETRIC SZ A $12,271.00

TIBIAL INSERT COMPONENT ZS5 +0 $4,488.00

TIBIAL INSERT UNICONDYLAR SZ3 8MM RM/LL $1,625.00

TIBIAL INSERT UNICONDYLAR SZ4 9MM RM/LL $1,625.00

TIBIAXIS ANTERIOR PLATE-RIGHT MEDIAL $2,995.00

TICAGRELOR 60 MG TABLET $31.00

TICAGRELOR 90 MG TABLET $31.00

TIGECYCLINE 50 MG INTRAVENOUS SOLUTION $680.00

TIGERLINK 0 WHITE/BLACK $163.00

TIGERLINK 1/5 METRIC $138.00

TIGERWIRE #2 38 INCH STERILE $58.00

TIGHTROPE ABS BUTTON ROUND 14MM CONCAVE $560.00

TIMOLOL 0.25 % EYE DROPS $555.00

TIMOLOL 5 MG TABLET $5.00

TIMOLOL MALEATE 0.25 % EYE DROPS $13.00

TIMOLOL MALEATE 0.25 % EYE GEL FORMING SOLUTION $689.00

TIMOLOL MALEATE 0.5 % EYE DROPS $24.00

TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION $495.00

TIOTROPIUM 2.5 MCG-OLODATEROL 2.5 MCG/ACTUATION MIST FOR INHALATION $1,728.00

TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE $71.00

TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST FOR INHALATION $1,867.00

TIP GRASPER ATRAUMATIC 3622 $1,378.00

TIP NAVIGATOR STR MICRO SONOPET BARRACUDA 25KHZ 5450800309 $7,657.00

TIP NAVIGATOR STR SONOPET BARRACUDA 25KHZ 5450800307 $7,657.00

TIP RUMI MANIPULATOR GREEN 6.7MM X 10CM $574.00

TIP RUMI MANIPULATOR YELLOW 5.1MMX3.75MM $598.00

TIPS $3,506.00

TIPS REVISION $23,905.00

TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS $1,223.00

TISSUE AMNIOFIX 4X6 $4,501.00

TISSUE AMNIOFIX WRAP 2X4CM $3,239.00

TISSUE AMNIOFIX XL 2X12CM $2,486.00

TISSUE AMNION MATRIX THIN 4X4 ABS-4100-044 $5,563.00

TISSUE AMNION PATCH 1 X 1 CAP010100 $1,025.00

TISSUE AMNION PATCH 16MM $750.00

TISSUE AMNION PATCH 2 X 2 CAP020200 $1,400.00

TISSUE AMNION PATCH 2 X 3 CAP020300 $1,750.00

TISSUE AMNION PATCH 2X2 E BEAM CAP020200 $1,400.00

TISSUE AMNION PATCH 2X3 E BEAM CAP020300 $1,750.00

TISSUE AMNION PATCH 4 X 4 CAP040400 $3,250.00

TISSUE AMNION PATCH 4X4 E BEAM CAP040400 $3,250.00

TISSUE AMNION PATCH SOLO 2X3 $1,350.00

TISSUE ATHROCELL 5CC $8,750.00

TISSUE CULT AMNIOTIC $237.00

Page 452: DESCRIPTION Price - Fairview

TISSUE CULTURE SKIN OR TISSUE $920.00

TISSUE CYGNUS MAX THICK 2X2CM $1,750.00

TISSUE CYGNUS MAX THICK 2X3CM $2,750.00

TISSUE CYGNUS MAX THICK 2X4CM $2,438.00

TISSUE CYGNUS MAX THICK 2X4CM E BEAM $2,438.00

TISSUE CYGNUS MAX THICK 3X4CM $4,063.00

TISSUE EXPANDER 250CC LOW HEIGHT $3,800.00

TISSUE EXPANDER 350CC LOW HEIGHT $3,800.00

TISSUE EXPANDER CONTOUR MED PROFILE 9200 350ML 354-9212 $3,750.00

TISSUE EXPANDER CONTOUR MED PROFILE 9200 450ML 354-9213 $3,750.00

TISSUE EXPANDER CONTOUR MED PROFILE 9200 550ML 354-9214 $3,750.00

TISSUE EXTRACTOR SYSTEM ALEXIS 14CM GTG14 $1,688.00

TISSUE EXTRACTOR SYSTEM ALEXIS GTK17 $413.00

TISSUE FLEXHD PERFORATED 8X20 RK1208 $22,648.00

TISSUE FLEXHD PLIABLE 8X20CM BILATERAL $22,648.00

TISSUE MARKER IMPLANT EA $27.00

TISSUE MARKER IMPLANTABLE $561.00

TISSUE MATRIX MATRISTEM PORCINE 10X15CM $11,104.00

TISSUE MATRIX PELVIC PORCINE 5X5CM $1,852.00

TISSUE MATRIX PELVIC PORCINE 9X12CM $5,076.00

TISSUE PATCH TISSUEMEND 3X3CM 6495-9-006 $3,102.00

TISSUE PATCH TISSUEMEND 6X10CM $7,892.00

TISSUE PRO-STEM CORE DECOMPRESSION 15CC $9,980.00

TISSUE SHAPED STRIP 100MMX25MM 20CC $4,750.00

TISSUE SHAPED STRIP 50MMX25MM 10CC $2,500.00

TISSUE STRATTICE 6X8CM PLIABLE $2,838.00

TISSUE-GROSS ONLY-LEVEL I $85.00

TISSUE-GROSS&MICRO-CELL BLOCK $266.00

TISSUE-GROSS&MICRO-LEVEL II $155.00

TISSUE-GROSS&MICRO-LEVEL III $158.00

TISSUE-GROSS&MICRO-LEVEL IV $266.00

TISSUE-GROSS&MICRO-LEVEL V $642.00

TISSUE-GROSS&MICRO-LEVEL VI $1,163.00

TIZANIDINE 2 MG TABLET $5.00

TIZANIDINE 4 MG TABLET $5.00

TL-201 (PER MCI) $37.00

TMETABOLITE URINE, QUANT $94.00

TMETABOLITE, UMBILICAL TISSUE, QAUL. $144.00

TMT DISLOC ELBOW W/O ANES $954.00

TMT NURSEMD ELBOW W/MANI $663.00

TMT ANKL DISLOC W/O ANES $1,349.00

TMT BIMALL ANKL FX W/MAN $825.00

TMT CARPAL BONE FX W/MANIP $1,988.00

TMT CARPOMETACARPL FX THUMB $918.00

TMT CONDYLAR FX W/MANIPULA $2,643.00

TMT CONDYLAR FX W/O MANIPUL $956.00

TMT DIST FEMUR FX W/MANIP $2,604.00

Page 453: DESCRIPTION Price - Fairview

TMT DIST FEMUR FX W/MANIP $2,604.00

TMT DIST PHALANG FX W/O MAN $503.00

TMT DISTAL PHALANG FX W/MAN $763.00

TMT DISTAL RAD FX W/MANIP $2,476.00

TMT DISTL FIBULR FX W/MAN $1,080.00

TMT DISTL FIBULR FX W/O MAN $861.00

TMT DISTL RAD FX W/O MANIP $747.00

TMT EPICONDYLAR FX W/MANIP $1,930.00

TMT EPICONDYLR FX W/MANIPUL $889.00

TMT HUMERL SHFT FX W/MANIP $2,105.00

TMT HUMERL SHFT FX W/O MANI $880.00

TMT IP JT DIS W/MANI W/ANES $2,876.00

TMT MCP DISL W/MANI W/O ANE $815.00

TMT MCP DISL W/MANIP W/ANES $3,599.00

TMT MEDIAL MALL FX W/MAN $3,305.00

TMT MEDIAL MALL FX W/O MAN $840.00

TMT METACARPAL FX W/O MANI $682.00

TMT PATELLR DISL W/O ANES $1,101.00

TMT PATELLR DISLOC W/ANES $2,190.00

TMT PHALANG SHFT FX W/O MAN $561.00

TMT POST HIP DISL W/O ANES $1,080.00

TMT POST HIP DISLOC W/ANES $3,895.00

TMT RAD/INTRCARPL DIS W/MAN $666.00

TMT RAD/ULNR SHFT FX W/MANI $3,057.00

TMT RAD/ULNR SHFT FX WO MAN $750.00

TMT RADIAL HD/NK FX W/MANIP $1,874.00

TMT RADIAL HE/NK FX W/O MAN $682.00

TMT RADIAL SHFT FX W/MANIP $2,227.00

TMT RADIL SHFT FX W/O MANIP $660.00

TMT RADIOULNR DISLOC W/MAN $1,080.00

TMT SUPRCONDYLR FX W/MANIPU $2,840.00

TMT SUPRCONDYLR FX W/O MANI $1,094.00

TMT TARSAL BONE FX W/O MANI $663.00

TMT TIBIA FX W/O MANIP $963.00

TMT TIBIAL SHFT FX W/MANI $888.00

TMT TIBIAL SHFT FX W/MANI $3,305.00

TMT TRIMALL ANKLE FX W/O MA $790.00

TMT ULNAR SHAFT FX W/MANIP $1,172.00

TMT ULNAR SHFT FX W/O MANIP $727.00

TOBRAMYCIN 0.3 % EYE DROPS $57.00

TOBRAMYCIN 0.3 % EYE OINTMENT $932.00

TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION $506.00

TOBRAMYCIN 1 $106.00

TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION $363.00

TOBRAMYCIN 40 MG/ML INJECTION SOLUTION $17.00

TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT $992.00

TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION $4,865.00

Page 454: DESCRIPTION Price - Fairview

TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION $9,731.00

TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION $1,946.00

TOE GREAT PHALANGEAL TOTAL SZ 20 $5,079.00

TOE SMART II 16MM $1,688.00

TOILET TONGS - LONG $12.00

TOLNAFTATE 1 % TOPICAL CREAM $10.00

TOLNAFTATE 1 % TOPICAL POWDER $11.00

TOLTERODINE 1 MG TABLET $35.00

TOLTERODINE 2 MG TABLET $18.00

TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR $32.00

TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR $30.00

TOLVAPTAN 15 MG TABLET $1,959.00

TOOL 1.1MM 6MM DEPTH TWIST DRILL 8TD116 $172.00

TOOL DISSECTION 3.0MM DIAMOND T12MH30D $250.00

TOOL TUNNELING LONG SC-4254 $500.00

TOPIRAMATE $56.00

TOPIRAMATE 100 MG TABLET $5.00

TOPIRAMATE 15 MG SPRINKLE CAPSULE $5.00

TOPIRAMATE 25 MG SPRINKLE CAPSULE $5.00

TOPIRAMATE 25 MG TABLET $30.00

TOPIRAMATE 50 MG TABLET $5.00

TOPOTECAN 4 MG INTRAVENOUS SOLUTION $1,021.00

TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION $465.00

TORSEMIDE 10 MG TABLET $5.00

TORSEMIDE 100 MG TABLET $5.00

TORSEMIDE 20 MG TABLET $5.00

TORSEMIDE 5 MG TABLET $5.00

TOTAL CONTACT CAST, FIBERGLASS $217.00

TOUCH PREP ADDITIONAL $172.00

TOUCH PREP INTEROPERATIVE CONS $717.00

TOXOMPLASMA ABY, IGM $148.00

TOXOPLASMA ABY, IGG $148.00

TOXOPLASMA IGG ABY $114.00

TOXOPLASMA IGM ABY $111.00

TOXOPLASMA PANEL $148.00

TPMT,RBC, SO $143.00

TQUANT, SO $124.00

TRABECTEDIN 1 MG INTRAVENOUS SOLUTION $11,376.00

TRACE ELEMENTS CR-CU-MN-SE-ZN 10 MCG-1 MG-0.5 MG-60 MCG-5MG/ML IV SOLN $110.00

TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS $51.00

TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG-0.5 MG-5 MG/ML INTRAVENOUS SOLN $212.00

TRACH BUTTON $407.00

TRACH INNER CANNULAS $134.00

TRACH PUNCT PERC W TT ASP OR INJECTION $6,912.00

TRACH TUBE $311.00

TRACHEOBRONCH THRU OLD INCISN $3,787.00

TRACHEOSTOMY CRICOTHYROIDMEMB $1,922.00

Page 455: DESCRIPTION Price - Fairview

TRACHEOSTOMY EMERG TRANSTRACH $1,930.00

TRACHEOSTOMY PLANNED $5,956.00

TRACHEOTOMY TUBE CHANGE $833.00

TRACKER ENT OTS INSTRUMENT FUSION 9733533 $338.00

TRACKER PATIENT NON-INVASIVE AXIEM 9734887XOM $525.00

TRAMADOL 37.5 MG-ACETAMINOPHEN 325 MG TABLET $5.00

TRAMADOL 50 MG TABLET $5.00

TRAMADOL, REFLEX $117.00

TRAMADOL, SO $132.00

TRAMADOL, URINE, SO $172.00

TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION $148.00

TRANEXAMIC ACID 1,000 MG/10 ML INTRANASAL SOLUTION $74.00

TRANEXAMIC ACID 650 MG TABLET $41.00

TRANSABDOMINAL AMNIOINFUSION W US GUIDE $1,360.00

TRANSCATH AORTIC VALVE REPLCMT, TRANSCAVAL $35,016.00

TRANSCATH CLOSURE OF VSD $43,477.00

TRANSCATH IMPLANT WRLS P-ART PRS SNR L-T HEMODYN MNTR $69,429.00

TRANSCATHETER STENT PLACEMENT ANTEGRADE CAROTID/INNOMINATE ARTERY $11,882.00

TRANSCATHETHER TRICUSPID VALVE IN VALVE REPLACEMENT $35,016.00

TRANSCRANIAL DOPPLER $726.00

TRANSFER BELT - 54" & 72" $7.00

TRANSFERRIN $84.00

TRANSFUSION FETAL,INTRAUTER $1,288.00

TRANSGLUTAMINASE ABY,EACH $94.00

TRANSTRACH PERC INTRO OF NEEDLE WIRE TUBE FOR O2 THERAPY $2,883.00

TRANYLCYPROMINE 10 MG TABLET $13.00

TRAP FINGER GRASP DEVICE LG 9903 $707.00

TRAP FINGER GRASP DEVICE SM 9906 $35.00

TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION $5,955.00

TRASTUZUMAB 440 MG INTRAVENOUS SOLUTION $17,469.00

TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION $5,046.00

TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION $14,128.00

TRAUMA RESPONS W/HOSP CRITI $3,347.00

TRAVEL PER MILEAGE TRIP. $0.99

TRAVOPROST 0.004 % EYE DROPS $799.00

TRAY ARTERIAL LINE W/20G CATH HENRY FORD $1,325.00

TRAY ARTHROGRAM 403 $181.00

TRAY BIOPSY $57.00

TRAY KYPHO PACK INFLATABLE BONE TAMP 15/3 KPT1505 $7,253.00

TRAY KYPHOPAK XPANDER 15/3 KPT1504 $4,793.00

TRAY MANOMETER CVP 55ML W/3WAY STOPCOCK $477.00

TRAY REVERSE +6 $2,500.00

TRAY REVERSE CENTERED +0 $2,500.00

TRAY REVERSE HIGH OFFSET +0 DWF520 $2,500.00

TRAY REVERSE HIGH OFFSET +6 $2,500.00

TRAY REVERSE LOW OFFSET +0 DWF510 $2,500.00

TRAY THORACENTESIS PLEURAL-SEAL KIT 8FRX12CM LATEX AK-01000 $1,475.00

Page 456: DESCRIPTION Price - Fairview

TRAY TIBIA MBT CEMENTED KEEL SZ 2 $8,541.00

TRAY TIBIA MBT CEMENTED KEEL SZ 4 1294-35-140 $8,541.00

TRAY TIBIA MBT REVISION 4 25MM $14,277.00

TRAY TIBIA MBT REVISION SZ 2 15MM $14,277.00

TRAY TIBIA MBT REVISION SZ 4 15MM $14,277.00

TRAY TIBIA MBT REVISION ZS 3 15MM $14,277.00

TRAY TIBIA UNI SIGMA HP SZ 1 LM/RL $2,625.00

TRAY TIBIA UNI SIGMA HP SZ 2 LM/RL $2,625.00

TRAY TIBIA UNI SIGMA HP SZ 2 RM/LL $2,625.00

TRAY TIBIA UNI SIGMA HP SZ 3 RM/LL $2,625.00

TRAY TIBIA UNI SIGMA HP SZ 4 LM/RL $2,625.00

TRAY TIBIA UNI SIGMA HP SZ 4 RM/LL $2,625.00

TRAY TIBIA UNI SIGMA HP SZ 5 LM/RL $2,625.00

TRAY TIBIA UNI SIGMA HP SZ 5 RM/LL $2,625.00

TRAY TIBIA UNI SIGMA HP SZ 6 LM/RL $2,625.00

TRAY TIBIA UNI SIGMA HP SZ3 LM/RL $2,625.00

TRAY TIBIAL SSK 360 71MM $6,360.00

TRAY TIBIAL SSK 67MM $6,360.00

TRAY TIBIAL TI LOCKING BAR & SCREW 75MM $6,360.00

TRAY TIBIAL VANG 360 79MM $6,360.00

TRAZADONE $124.00

TRAZODONE 100 MG TABLET $5.00

TRAZODONE 150 MG TABLET $5.00

TRAZODONE 50 MG TABLET $5.00

TRAZODONE, SO $124.00

TREAT DISLOCATION/FRACTURE $1,851.00

TREAT ELBOW FRACTURE $3,305.00

TREAT FINGER DISLOCATION $680.00

TREAT FINGER FRACTURE EACH $6,181.00

TREATED CELLS, CHEMICAL - REF LAB $268.00

TREATED CELLS, ENZYME - REF LAB $225.00

TREATMENT OF ANKLE FRACTURE $12,166.00

TREATMENT OF DENTAL FRACTURE $5,384.00

TREATMENT OF STERNUM FRACTURE $503.00

TRENGUARD 450 PROCEDURAL PACK 111404 $2,484.00

TRETINOIN (CHEMOTHERAPY) 10 MG CAPSULE $117.00

TRETINOIN 0.01 % TOPICAL GEL $329.00

TRETINOIN 0.025 % TOPICAL CREAM $414.00

TRETINOIN 0.05 % TOPICAL CREAM $870.00

TRETINOIN 0.1 % TOPICAL CREAM $542.00

TRIAL COBRA CORONARY STENT SYSTEM $0.01

TRIAL VALVE CED/IDE TAVR $0.01

TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION $65.00

TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM $18.00

TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE $319.00

TRIAMCINOLONE ACETONIDE 0.1 % LOTION $356.00

TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM $23.00

Page 457: DESCRIPTION Price - Fairview

TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT $23.00

TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM $46.00

TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL OINTMENT $35.00

TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION $50.00

TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION $50.00

TRIAMCINOLONE HEXACETONIDE 20 MG/ML SUSPENSION FOR INJECTION $169.00

TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE $11.00

TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET $5.00

TRIAMTERENE 50 MG CAPSULE $55.00

TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET $5.00

TRIATHLON ASYMMETRIC PATELLA $438.00

TRIAZOLAM 0.125 MG TABLET $12.00

TRICHLOROACETIC ACID 80 % TOPICAL POWDER FOR SOLUTION $48.00

TRICYCLIC ANTIDEPRESSANTS, QUANTITATIVE, URINE $112.00

TRIDENT II TRITANIUM CLUSTERHOLE 42A $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 44B $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 46C $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 48D $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 50D $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 52E $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 54E $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 56F $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 58F $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 60G $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 62G $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 64H $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE 66H $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE SHELL 48MM $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE SHELL 50MM $2,000.00

TRIDENT II TRITANIUM CLUSTERHOLE SHELL 52MM $2,000.00

TRIFLUOPERAZINE 1 MG TABLET $5.00

TRIFLUOPERAZINE 2 MG TABLET $5.00

TRIFLUOPERAZINE 5 MG TABLET $5.00

TRIFLURIDINE 1 % EYE DROPS $639.00

TRIGEMINAL NERVE BLOCK $618.00

TRIGGER POINT INJECTION $755.00

TRIGGER POINT INJECTION $755.00

TRIGLYCERIDES $42.00

TRIHEXYPHENIDYL 0.4 MG/ML ORAL ELIXIR $5.00

TRIHEXYPHENIDYL 2 MG TABLET $5.00

TRIHEXYPHENIDYL 5 MG TABLET $5.00

TRIM NAILS $260.00

TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION $191.00

TRIMETHOBENZAMIDE 300 MG CAPSULE $5.00

TRIMETHOPRIM 100 MG TABLET $5.00

TRIPTORELIN PAMOATE 3.75 MG INTRAMUSCULAR SUSPENSION $3,535.00

TRITANIUM C CAGE 6MM X 14MM X 17MM X 10 $5,475.00

Page 458: DESCRIPTION Price - Fairview

TRITANIUM C CAGE 6MM X 14MM X 17MM X 6 $9,625.00

TRITANIUM C CAGE 8MM X 14MM X 17MM X 10 $9,625.00

TRITANIUM C CAGE 8MM X 14MM X 17MM X 6 $8,950.00

TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART $11,882.00

TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART $10,735.00

TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN $11,882.00

TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN $9,334.00

TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I $15,481.00

TRLUML PERIP ATHRC BRCHIOCPH $27,051.00

TRM CLAVICULAR FX W/MANI $3,305.00

TRMNT CLAVICULAR FX W/O MAN $755.00

TRMT DISLOC ELBOW W/ANES $3,895.00

TRMT AC DISLOC W/MANIPUL $1,055.00

TRMT CARPOMETACARPAL FX DIS $832.00

TRMT COCCYGEAL FRACTURE $503.00

TRMT DISLOC JAW INIT/SUBSEQ $498.00

TRMT FOOT DISLOC W/O ANES $663.00

TRMT FX GREAT TOE W/MANIPUL $535.00

TRMT FX GREAT TOE W/O MANIP $503.00

TRMT FX TOES W/MANIPULATION $679.00

TRMT FX TOES W/O MANIP $503.00

TRMT HIP DISLOC W/O ANES $1,242.00

TRMT HUMER/TUBEROS W/O MANI $693.00

TRMT HUMERAL FX W/MANI $4,258.00

TRMT HUMERAL FX W/O MANI $826.00

TRMT IP JT DISLOC W/O ANES $503.00

TRMT MANDIBULAR FX W/O MANIPU $1,303.00

TRMT METACARPAL FX W/MAN $815.00

TRMT METACARPAL FX W/INT FIXAT $7,711.00

TRMT METATARSAL FX W/MANIP $732.00

TRMT MTP JT DISLOC W/O ANES $535.00

TRMT NASAL FX W/O MANIPULATION $472.00

TRMT PHALANG SHAFT FRACTURE $6,705.00

TRMT PHALANG SHAFT FX W/MANIPU $870.00

TRMT SCAPULAR FX W/MANIPUL $2,840.00

TRMT SCAPULAR FX W/O MANI $648.00

TRMT SHLDR DISL W/MANI ANES $3,895.00

TRMT SHOULDER DISLOC W/MANI $762.00

TRMT SUPERFICL WOUND SIMP CLOS $1,379.00

TRMT SUPERFICL WOUND WITH PACK $1,112.00

TRMT TALUS FX W/MANIPULAT $3,305.00

TRMT TALUS FX W/O MANIP $596.00

TRMT TIBIA FX W/MANIPUL $3,894.00

TRMT ULNAR FX W/MANIPUL $1,851.00

TRMT ULNAR FX W/O MANIPUL $715.00

TRMT VERTEBRAL PRCESS FRACTURE $1,055.00

TROCAR ACCESS SYSTEM 5X100MM CTR03 $270.00

Page 459: DESCRIPTION Price - Fairview

TROCAR ADV FIXATION NONBLADED 11X100MM $315.00

TROCAR ADV FIXATION NONBLADED 5X100MM $255.00

TROCAR NON BLADED FIOS HANDLE 11MMX100MM CTF34 $315.00

TROCAR PORT BLADELESS 12X100MM $1,273.00

TROCAR PORT BLADELESS 5X100MM $1,224.00

TROCAR TIP PLAIN GUIDE WIRES 2.0X150MM $94.00

TROCAR TIP THREADED GUIDE WIRES 3.2X230M $178.00

TROCAR XCEL BLADELESS 12MM X 150MM $2,749.00

TROLAMINE SALICYLATE 10 % TOPICAL CREAM $18.00

TROLAMINE SALICYLATE-ALOE VERA 10 % TOPICAL CREAM $20.00

TROPICAMIDE 0.5 % EYE DROPS $106.00

TROPICAMIDE 1 % EYE DROPS $42.00

TROPONIN I $97.00

TROSPIUM 20 MG TABLET $11.00

TROSPIUM ER 60 MG CAPSULE,EXTENDED RELEASE 24 HR $27.00

TRUMATCH ORTHOGNATHICS KIT BASIC MAXILLARY $22,000.00

TRUMATCH ORTHOGNATHICS KIT FULL MAXILLARY $16,500.00

TRUMATCH ORTHOGNATHICS KIT FULL MAXILLARY/ W/O PLAN $22,000.00

TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE $276.00

TRYPTASE, SO $45.00

TSCREEN,UR $119.00

TSH $111.00

TSH $111.00

TSH NEONATE, SO $110.00

TUBE CNTRFG PS 15ML CNCL DISP 8514 $165.00

TUBE COLON 32FR 30IN LNG 080074200 $706.00

TUBE EAR PAPARELLA TYPE 1 1.02MM 70241044 $231.00

TUBE EAR VENT T TUOMA 1066012 $385.00

TUBE ENDOTRACHEAL NIM EMG 6.0MM 8229306 $988.00

TUBE ENDOTRACHEAL NIM EMG 7.0MM 8229307 $988.00

TUBE ENDOTRACHEAL NIM EMG 8.0MM 8229308 $988.00

TUBE FEEDING JEJUNAL 20FR $319.00

TUBE FEEDING MIC-KEY 16FRX2.3X45CMX7-10 $824.00

TUBE GASTRO-ENTERIC FEEDING 16FRX57.9CM 0210-16 $418.00

TUBE GASTRO-ENTERIC FEEDING ENFIT 16FR 8210-16 $418.00

TUBE GASTROSTOMY LOW-PROFILE 18FR 5.0CM 0120-18-5.0 $226.00

TUBE GASTROSTOMY MIC 16FR 10016LV $75.00

TUBE GASTROSTOMY MIC 18FR 0100-18 $75.00

TUBE GASTROSTOMY MIC 20FR SIL 0100-20 $75.00

TUBE GASTROSTOMY MIC 24FR SIL 0100-24 $75.00

TUBE GASTROSTOMY MIC BUTTON 0120-18-2.7 $226.00

TUBE GASTROSTOMY MIC ENFIT 18FR 8100-18 $75.00

TUBE GASTROSTOMY MIC ENFIT 20FR 8100-20 $75.00

TUBE GASTROSTOMY MIC ENFIT 22FR 8100-22 $75.00

TUBE GASTROSTOMY MIC ENFIT 24FR 8100-24 $75.00

TUBE GASTROSTOMY MIC LOW VOL ENFIT 14FR SIL 8100-14LV $75.00

TUBE GASTROSTOMY MIC-KEY 18FR 2.0CM SIL 0120-18-2.0 $226.00

Page 460: DESCRIPTION Price - Fairview

TUBE GASTROSTOMY MIC-KEY 18FR 4.0CM SIL 0120-18-4.0 $226.00

TUBE GASTROSTOMY MIC-KEY 20FR 2.0CM SIL 0120-20-2.0 $226.00

TUBE GASTROSTOMY MIC-KEY EXT ENFIT 18FR 2.0CM 8140-18-2.0 $226.00

TUBE GASTROSTOMY MIC-KEY EXT ENFIT 18FR 2.7CM 8140-18-2.7 $226.00

TUBE GASTROSTOMY MIC-KEY EXT ENFIT 18FR 3.0CM 8140-18-3.0 $226.00

TUBE GASTROSTOMY MIC-KEY EXT ENFIT 18FR 4.0CM 8140-18-4.0 $226.00

TUBE GASTROSTOMY MIC-KEY EXT ENFIT 18FR 5.0CM 8140-18-5.0 $226.00

TUBE GASTROSTOMY MIC-KEY EXT ENFIT 20FR 2.0CM 8140-20-2.0 $226.00

TUBE GASTROSTOMY PONSKY PULL DELUXE 20FR 000792 $431.00

TUBE HII MRI COMPRESSION DISTRACTION $1,477.00

TUBE JEJUNOSTOMY 14FR 0200-14 $319.00

TUBE JEJUNOSTOMY 14FR SIL 0301-14 $446.00

TUBE JEJUNOSTOMY 16FR 0200-16 $319.00

TUBE JEJUNOSTOMY 18FR 0200-18 $319.00

TUBE JEJUNOSTOMY ENFIT 14FR 8200-14 $319.00

TUBE JEJUNOSTOMY ENFIT 16FR 8200-16 $319.00

TUBE JEJUNOSTOMY ENFIT 18FR 8200-18 $319.00

TUBE JEJUNOSTOMY ENFIT 20FR 8200-20 $319.00

TUBE JEJUNOSTOMY MIC-KEY 18FR 3.0CM SIL 0230-18-3.0 $418.00

TUBE JEJUNOSTOMY MIC-KEY 18FR 4.0CM SIL 0230-18-4.0 $418.00

TUBE JEJUNOSTOMY MIC-KEY ENFIT 18FR 3.0CM 8230-18-3.0 $418.00

TUBE JEJUNOSTOMY MIC-KEY ENFIT 18FR 4.0CM 8230-18-4.0 $418.00

TUBE KAIRISON DISPOSABLE $3,559.00

TUBE MEDULLARY POSITIONING SYN 355.006 $162.00

TUBE NASOGASTRIC 18FRX42" 4 LUMEN LATEX 092220 $1,219.00

TUBE P E VENT TRIUNE 1.35 X 5MM 510-121 $206.00

TUBE P E VENTED 1.4 ARMSTRONG R 520-191 $159.00

TUBE SAFE-T MONTGOMERY STD 12MM 420012 $463.00

TUBE SAFE-T MONTGOMERY STD 14MM 420014 $463.00

TUBE SAFE-T MONTGOMERY STD 15MM 420015 $400.00

TUBE SALIVARY BYPASS MONTGOMERY 08MM 322080 $495.00

TUBE SALIVARY BYPASS MONTGOMERY 10MM 322100 $495.00

TUBE SALIVARY BYPASS MONTGOMERY 12MM 322120 $495.00

TUBE SEDIPLAST ESR SYST WESTER $162.00

TUBE SET SMARKABLATE IRRIGATION $178.00

TUBE SUCT FRZR 10FR 7IN ANG 285-454 $46.00

TUBE SUCT FRZR 7FR 7IN ANG 285-451 $46.00

TUBE THORACOSTOMY W/WATERSEAL $1,875.00

TUBE TRACH BIVONA CUFF 6.0 SIL 670160 $182.00

TUBE TRACH BIVONA CUFF 7.0 SIL 670170 $182.00

TUBE TRACH BIVONA CUFF 8.0 SIL 670180 $182.00

TUBE TRACH BLUE RHINO DUAL CANNULA $1,120.00

TUBE TRACH SHILEY CUFFED PROXIMAL 7.0MM XLT 70XLTCP $160.00

TUBE TRACH SHILEY CUFFED DISTAL 6.0MM XLT 60XLTCD $160.00

TUBE TRACH SHILEY CUFFED FEN LOW PRESSURE CAN SZ 6 6DFEN $95.00

TUBE TRACH SHILEY CUFFED LOW PRESSURE SZ4 4DCT $90.00

TUBE TRACH SHILEY CUFFED LOW PRESSURE SZ6 6DCT $90.00

Page 461: DESCRIPTION Price - Fairview

TUBE TRACH SHILEY CUFFED LOW PRESSURE SZ8 8DCT $90.00

TUBE TRACH SHILEY CUFFED PROXIMAL 6.0MM XLT 60XLTCP $160.00

TUBE TRACH SHILEY CUFFED PROXIMAL 8.0MM XLT 80XLTCD $160.00

TUBE TRACH SHILEY UNCUFFED SZ 4 4CFS $98.00

TUBE TRACH SHILEY UNCUFFED SZ 6 6CFS $98.00

TUBE TRACH SHILEY UNCUFFED SZ 8 8CFS $98.00

TUBE TRANS GASTROJEJUNOSTOMY 18FRX45CM 0250-18 $548.00

TUBE TRANS GASTROJEJUNOSTOMY 22FRX45CM 0250-22 $548.00

TUBE TRANS GASTROJEJUNOSTOMY ENFIT 18FRX45CM $548.00

TUBE TRANS GASTROJEJUNOSTOMY ENFIT 22FRX45CM $548.00

TUBE TRANS GASTROJEJUNOSTOMY MIC-KEY 18FR 2.5CMX45CM $823.00

TUBE TRANS GASTROJEJUNOSTOMY MIC-KEY 18FR 3.5CMX45CM $824.00

TUBE TRANS GASTROJEJUNOSTOMY MIC-KEY ENFIT 16FR 2.3CMX45CM $824.00

TUBE TRANS GASTROJEJUNOSTOMY MIC-KEY ENFIT 18FR 2.0CMX45CM $824.00

TUBE TRANS GASTROJEJUNOSTOMY MIC-KEY ENFIT 18FR 2.5CMX45CM $824.00

TUBE TRANS GASTROJEJUNOSTOMY MIC-KEY ENFIT 18FR 3.0CMX45CM $824.00

TUBE TRANS GASTROJEJUNOSTOMY MIC-KEY ENFIT 18FR 3.5CMX45CM $824.00

TUBE TRANSGASTRIC JEJUNAL 22FR 3.5CM LP $824.00

TUBE TRANSGASTRIC JEJUNAL MKEY 18FR 3.0CMX45CM 0270-18-3.0-4 $824.00

TUBE TRANSGASTRIC JEJUNAL MKEY18FR 2.0CMX45CM 0270-18-2.0-45 $824.00

TUBE ULTRASIL RICHARDS T-TUBE $317.00

TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION $7.00

TUBING ARTHRO SM JOINT SET 9350 $108.00

TUBING ASPIRATING BYRON 3/8"X12' PT-5588 $325.00

TUBING ASPIRATION PENUMBRA MAX IST3 $1,100.00

TUBING C02 INSUFFLATION LAP FILTER HEATER 6198 $2,588.00

TUBING FILTER TRI-LUMEN AIRSEAL ASC-EVAC1 $1,313.00

TUBING HYDRO-SURG PLUS LAP IRRIGATOR SUCTION 0026870 $2,077.00

TUBING INTUBATION CRAW LACHRYMAL 280185 $210.00

TUBING IRRIG TUR Y TYPE 96" LF 6543-01 $664.00

TUBING IRRIG/BIPOLAR SET 80-9102 $1,818.00

TUBING IRRIGATION LIPOSUCTION 13' MRI COMP CG-INF-T $250.00

TUBING IRRIGATOR STRAIGHTSHOT XPS 1895522 $463.00

TUBING LAP SUCT/IRRIG STRYKER 250070500 $629.00

TUBING LAP/SUCT IRRIG DAVOL 0026880 $884.00

TUBING PRESSURE MONITOR INTRA-COMPARTMENTAL 29500200 $1,700.00

TUBING SET ARTHREX DUALWAVE OUTFLOW AR-6430 $100.00

TUBING SET ASPIRATION W/EXT SONOPET BARACUDA LF 5450-850-003 $4,547.00

TUBING SET EXPAND IBD TL 905103 $1,875.00

TUBING SET POST LUMBAR ACCULIF EXPAND 900301 $1,875.00

TUBING SET THERMEDX UROLOGY SGL USE LL0006 $3,050.00

TUBING SMOKE EVAC FILTER BUFFALO $1,557.00

TUBING STRYKER IRRIGATION CASSETTE 5400-050-001 $1,114.00

TUBING SUCTION MINISQUAIR SMOKE EVAC DEV SQNS2001801 $563.00

TUBING SYS AQUILEX BLUE INFLOW AQL-110 $2,500.00

TUBING SYS AQUILEX YELLOW OUTFLOW AQL-111 $250.00

TUBING SYSTEM ARTHREX PATIENT REDEUCE AR-6421 $61.00

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TUBING SYSTEM ARTHREX PUMP REDEUCE AR-6411 $137.00

TUBING TRIVEX ILLUMINATION SET 7209513 $1,620.00

TUBING VACUUM COLLECTION 6FT 23116 $169.00

TUBING VACUUM COLLECTION 6FT 23116 $1,781.00

TUBING VACUUM COLLECTION SET LG 1/2"X6' BKT-506 $500.00

TUBING VINYL CONNECTING 14FR 30CM G02278 $37.00

TUBING VITAL VUE IRR TIP 8886828006 $2,784.00

TUMOR NECROSIS FACTOR, SO $321.00

TUMOR SPECT ONLY $2,396.00

TUMOR WB SCAN; MULTI DAYS $3,120.00

TUNNELED PERITONEAL CATH REMOVAL $6,102.00

TUNNELED PERITONEAL CATH $7,127.00

TUNNELER 11GAX8 SHEATH DISP T11X8 $371.00

TWIST DRILL, 1.9MM DIA X 50MM, W/NOTCH, SINGLE USE ONLY, QTY $318.00

TWIST DRILL, 1.9MM DIA X 70MM, 40MM STOP, FOR 50-800-01-07, $348.00

TX GASTRO INTUB W/ASP $643.00

TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE $82.00

TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION $125.00

TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE $181.00

TZANCK SCRAPING $281.00

UA MICROSCOPIC $47.00

UGI W AIR WO KUB $536.00

UGI WO KUB $534.00

UGT1A1 FULL GENE SEQUENCING $1,258.00

UGT1A1 GENOTYPE, SO $927.00

ULIPRISTAL 30 MG TABLET $155.00

ULNAR COMP PLASMA SPRAYED SZ 4 75MM RT $13,750.00

ULNAR COMP PLASMA SPRAYED ZS 4 115MM LFT $13,750.00

ULTRADRIVE DRILL EXTENDER TIP 120MM 423838 $1,138.00

ULTRADRIVE HOE 5MM 423864 $1,138.00

ULTRADRIVE PLUG PULLER 6MM 423868 $1,138.00

ULTRADRIVE TUBING IRR ASSEMBLY 423834 $263.00

ULTRATAG/TC (PER DOSE) $330.00

UMBIL CATH NB FOR DX OR TX $482.00

UMBILICAL CORD BLOOD DRUG SCREEN 12 $355.00

UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION $50.00

UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION $487.00

UNI KNEE FEMORAL ZS F LM/R LA $4,000.00

UNIT AGN TYPING/REF LAB $326.00

UNIT ANTIGEN SCREEN PER ANTIGEN - REF LAB $283.00

UNIT ANTIGEN TYPING - REF LAB $326.00

UNIT COLLECT VENIPUNCTURE $52.00

UNIT SCREEN - REF LAB $926.00

UNIVERS REVERS GLENO 39 +2.5 INF $3,938.00

UNIVERS REVERS HUMERAL STEM SZ 11 $4,659.00

UNIVERS REVERS HUMERAL STEM SZ 9 $4,659.00

UNIVERS REVERS SUTURE CUP 39 (+2 RIGHT) $3,347.00

Page 463: DESCRIPTION Price - Fairview

UNIVERS REVERS SUTURE CUP 39 (NEUTRAL) $3,347.00

UNLISTED DENTAL PROCEDURE $3,656.00

UNNA BOOT APPLICATION $587.00

UPPER GI ENDOSCOPY W/REMOV FB $2,918.00

UR VOL MEASUREMENT $57.00

UREA 10 % LOTION $34.00

UREA 20 % TOPICAL CREAM $50.00

UREA 40 % TOPICAL CREAM $282.00

UREA NITROGEN UR $44.00

UREAPLASMA PCR $321.00

UREAPLASMA PCR $321.00

URETER DILATION $4,239.00

URETER DILATION $4,239.00

URETERAL EMBOLIZATION OR OCCLUSION $3,480.00

URETERAL STENT EXCHANGE/PERC $6,312.00

URETERAL STENT REMOVAL/PERC $4,407.00

URETERAL STENT/EXCH/TRANSURETH $6,312.00

URETERAL/INT/EXT/EST/STENT EXCH $4,151.00

URETEROSCOPE FLEX SLG USE STD 7.7FR LITHOVUE M0067913500 $3,750.00

URETHROCYSTOGRAPHY RETRO $1,073.00

URIC ACID BLOOD $41.00

URIC ACID OTHER SOURCE $38.00

UROLOGY SURGERY PROCEDURE UNLISTED $2,143.00

UROVYSION FOR BLADDER CANCER $805.00

URSODIOL 250 MG TABLET $11.00

URSODIOL 300 MG CAPSULE $25.00

US GUIDANCE VASCULAR ACCESS $371.00

US ABCESS DRAINAGE $1,174.00

US ABDL AORTA SCREEN AAA $393.00

US ANKLE BRACHIAL INDICES PRE AND POST EXERCISE $724.00

US BIO PROFILE W NONSTRES $2,028.00

US BREAST DRAINAGE $4,466.00

US BREAST UNILATERAL REAL TIME WITH IMAGE COMPLETE $339.00

US BREAST UNILATERAL REAL TIME WITH IMAGE LIMITED $339.00

US BREAST UNILATERAL REAL TIME WITH IMG LIMITED $339.00

US DOPPLER FETAL MIDCEREBRAL A $518.00

US DOPPLER FETAL UMBILICAL ART $518.00

US EXTREMITY NON VASC LTD $436.00

US FETAL BIOPHYS PROF W/O NST $857.00

US GUIDE FOR AMNIOCENTESIS $808.00

US GUIDE FOR CHORIONIC VILLUS SAMPLING $968.00

US GUIDE FOR FETAL TRANSFUSION/CORDOCENTESIS (PUBS) $1,073.00

US GUIDE FOR NEEDLE PLACEMENT $508.00

US GUIDE, VASCULAR ACCESS $371.00

US INFANT HIPS W MANIPULATION $436.00

US INFANT HIPS WO MANIPULATION $436.00

US INTRAOPERATIVE $828.00

Page 464: DESCRIPTION Price - Fairview

US IVT (NON OB) $434.00

US IVT (OB) $513.00

US KIDNEY TRANSPLANT W DUPLEX $586.00

US NECK LTD $436.00

US OB BIOPHYSICAL W/O NON STRE $857.00

US OB F/U, PER FETUS $910.00

US OB MATERNAL W/DET FETAL EXAM, EA ADDTL GESTATION $946.00

US OB MATERNAL W/DET FETAL EXAM, SINGLE GESTATION $1,009.00

US OB NUCHAL TRANSL MEAS, EA ADDTL GESTATION $1,019.00

US OB NUCHAL TRANSL MEAS, SINGLE GESTATION $1,002.00

US PARENCHYMAL TISSUE ABLATION $759.00

US PELVIS (NON OB) $441.00

US PELVIS COMPLETE $441.00

US SOFT TISSUE PENIS $456.00

US SONOHYSTEROGRAM $879.00

US SPINE $436.00

US TRANSRECTAL $612.00

US TRANSVAGINAL NON-OB $434.00

US TRANSVAGINAL OB $513.00

US XTR NON-VASC LMTD $436.00

US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE $716.00

US, ABDOMEN LIMITED $443.00

US, CHEST,REAL TIME $436.00

US, HEAD, REAL TIME $437.00

US, HEAD/NECK TISSUES,REAL TIME $436.00

US, OB < 14 WKS, ADD'L FETUS $768.00

US, OB < 14 WKS, SINGLE FETUS $499.00

US, OB >/= 14 WKS, ADDL FETUS $991.00

US, OB >/= 14 WKS, SNGL FETUS $590.00

US, RETROPERITNL ABD, LTD $436.00

US,EXTREMITY,NONVASCULAR,REAL-TIME IMAGE,COMPLETE $441.00

US,EXTREMITY,NONVASCULAR,REAL-TIME IMAGE,LIMITED $436.00

US,PREGNANT UTERUS,F/U,TRANSABD APP $910.00

US,PREGNANT UTERUS,LIMITED, 1/> FETUSES $452.00

US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE $448.00

UTERINE MANIPULATOR HUMI KRONER 6003 $636.00

UTERINE MANIPULATOR RUMI 5.1MMX6CM UML516 $598.00

UTERINE MANIPULATOR RUMI 6.7MMX10CM $598.00

UTERINE MANIPULATOR RUMI 6.7MMX6CM UMW676 $598.00

UTERINE MANIPULATOR RUMI 6.7MMX8CM UMB678 $598.00

UTERINE MANIPULATOR RUMI TIP SACROCOLPOPEXY DST END SACRO-1C $568.00

UTERINE MANIPULATOR RUMI TIP SACROCOLPOPEXY LG SACRO-1 $568.00

UTERINE MANIPULATOR RUMI TIP SACROCOLPOPEXY SM SACRO-1S $568.00

V ZOSTER BY PCR SO $373.00

V ZOSTER BY PCR SO $307.00

V.A.C. CANNISTER $164.00

V.A.C. DRESSING $129.00

Page 465: DESCRIPTION Price - Fairview

VAC DRESSING PREVENA KIT 20CM $1,299.00

VAGINAL DELIVERY ONLY $6,238.00

VAGINAL DELIVERY ONLY $6,238.00

VALACYCLOVIR 1 GRAM TABLET $47.00

VALACYCLOVIR 500 MG TABLET $5.00

VALGANCICLOVIR 450 MG TABLET $102.00

VALGANCICLOVIR 50 MG/ML ORAL SOLUTION $541.00

VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION $85.00

VALPROIC ACID $90.00

VALPROIC ACID $90.00

VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION $5.00

VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION $5.00

VALPROIC ACID 250 MG CAPSULE $5.00

VALPROIC ACID FREE SO $106.00

VALPROIC ACID, FREE, SO $106.00

VALSARTAN 160 MG TABLET $10.00

VALSARTAN 40 MG TABLET $32.00

VALSARTAN 80 MG TABLET $19.00

VALVE AORTIC EVOLUT PRO TAVR 23MM EVOLUTPRO-23-US $75,000.00

VALVE AORTIC ASCENDING PROSTH ON-X W/VALSALVA GRAFT 19MM $17,500.00

VALVE AORTIC ASCENDING PROSTH ON-X W/VALSALVA GRAFT 21MM $17,500.00

VALVE AORTIC ASCENDING PROSTH ON-X W/VALSALVA GRAFT 23MM $17,500.00

VALVE AORTIC ASCENDING PROSTH ON-X W/VALSALVA GRAFT 25MM $17,500.00

VALVE AORTIC ASCENDING PROSTH ON-X W/VALSALVA GRAFT 27/29MM $17,500.00

VALVE AORTIC ATS 16MM MECH 505DA16 $8,248.00

VALVE AORTIC ATS 18MM MECH 505DA18 $8,248.00

VALVE AORTIC ATS 24MM MECH 505DA24 $8,248.00

VALVE AORTIC ATS STD MECH 21MM 500FA21 $8,625.00

VALVE AORTIC EPIC STENTED PORCINE 29MM E100-29A-00 $11,238.00

VALVE AORTIC EPIC SUPRA STENTED PORCINE 19MM ESP100-19-00 $11,238.00

VALVE AORTIC EPIC SUPRA STENTED PORCINE 21MM ESP100-21-00 $11,238.00

VALVE AORTIC EPIC SUPRA STENTED PORCINE 23MM ESP100-23-00 $11,238.00

VALVE AORTIC EPIC SUPRA STENTED PORCINE 25MM ESP100-25-00 $11,238.00

VALVE AORTIC EPIC SUPRA STENTED PORCINE 27MM ESP100-27-00 $11,238.00

VALVE AORTIC EVOLUTR TAVR BIOPROSTH 34MM EVOLUTR-34-US $75,000.00

VALVE AORTIC MASTERS HEMODYAMIC 29MM $9,988.00

VALVE AORTIC MASTERS ROTAT HP 17MM 17AHPJ-505 $9,988.00

VALVE AORTIC MASTERS ROTAT HP 21MM 21AHPJ-505 $9,988.00

VALVE AORTIC MASTERS ROTAT HP 23MM 23AHPJ-505 $9,988.00

VALVE AORTIC MASTERS ROTAT HP 25MM 25AHPJ-505 $9,988.00

VALVE AORTIC MODEL 1000 3F 23MM $15,125.00

VALVE AORTIC MOSAIC ULTRA 305 CINCH II 19MM 305U219 $13,500.00

VALVE AORTIC ON-X ANATOMIC RING 19MM ONXANE-19 $13,900.00

VALVE AORTIC ON-X ANATOMIC RING 21MM ONXANE-21 $13,900.00

VALVE AORTIC ON-X ANATOMIC RING 23MM ONXANE-23 $13,900.00

VALVE AORTIC ON-X ANATOMIC RING 25MM ONXANE-25 $13,900.00

VALVE AORTIC ON-X ANATOMIC RING 27/29MM ONXANE-27/29 $13,900.00

Page 466: DESCRIPTION Price - Fairview

VALVE AORTIC ON-X CONFORM-X RING 19MM ONXACE-19 $13,900.00

VALVE AORTIC ON-X CONFORMX RING 21MM $13,900.00

VALVE AORTIC ON-X CONFORM-X RING 23MM ONXACE-23 $13,900.00

VALVE AORTIC ON-X CONFORM-X RING 25MM ONXACE-25 $13,900.00

VALVE AORTIC ON-X CONFORM-X RING 27/29MM ONXACE-27/29 $13,900.00

VALVE AORTIC ON-X STANDARD RING 19MM ONXAE-19 $13,900.00

VALVE AORTIC ON-X STANDARD RING 21MM ONXAE-21 $13,900.00

VALVE AORTIC ON-X STANDARD RING 23MM ONXAE-23 $13,900.00

VALVE AORTIC ON-X STANDARD RING 27/29MM ONXAE-27/29 $13,900.00

VALVE AORTIC PERIMOUNT MAGNA-EASE BIOPROSTH 19MM 3300TFX19 $20,488.00

VALVE AORTIC PERIMOUNT MAGNA-EASE BIOPROSTH 21MM 3300TFX21 $20,488.00

VALVE AORTIC PERIMOUNT MAGNA-EASE BIOPROSTH 23MM 3300TFX23 $20,488.00

VALVE AORTIC PERIMOUNT MAGNA-EASE BIOPROSTH 25MM 3300TFX25 $20,488.00

VALVE AORTIC PERIMOUNT MAGNA-EASE BIOPROSTH 27MM 3300TFX27 $20,488.00

VALVE AORTIC PERIMOUNT MAGNA-EASE BIOPROSTH 29MM 3300TFX29 $20,488.00

VALVE AORTIC PERIMOUNT RSR 21MM 280021MM $9,625.00

VALVE AORTIC PERIMOUNT RSR 23MM 280023MM $9,625.00

VALVE AORTIC PERIMOUNT RSR 25MM 280025MM $9,625.00

VALVE AORTIC PERIMOUNT RSR 27MM 280027MM $9,625.00

VALVE AORTIC PERIMOUNT RSR 29MM 280029MM $9,625.00

VALVE AORTIC REGENT FLEX-CUFF 19MM 19AGFN-756 $9,988.00

VALVE AORTIC REGENT FLEX-CUFF 21MM 21AGFN-756 $9,988.00

VALVE AORTIC REGENT FLEX-CUFF 23MM 23AGFN-756 $9,988.00

VALVE AORTIC REGENT FLEX-CUFF 25MM 25AGFN-756 $9,988.00

VALVE AORTIC REGENT FLEX-CUFF 27MM 27AGFN-756 $9,988.00

VALVE AORTIC ST JUDE TRIFECTA GLIDE BIOPROSTH 19MM TFGT-19A $11,238.00

VALVE AORTIC ST JUDE TRIFECTA GLIDE BIOPROSTH 21MM TFGT-21A $11,238.00

VALVE AORTIC ST JUDE TRIFECTA GLIDE BIOPROSTH 23MM TFGT-23A $11,238.00

VALVE AORTIC ST JUDE TRIFECTA GLIDE BIOPROSTH 25MM TFGT-25A $11,238.00

VALVE AORTIC ST JUDE TRIFECTA GLIDE BIOPROSTH 27MM TFGT-27A $11,238.00

VALVE AORTIC ST JUDE TRIFECTA GLIDE BIOPROSTH 29MM TFGT-29A $11,238.00

VALVE AORTIC W/GRAFT SJM MASTERS VALSALVA 21MM 21VAVGJ-515 $12,500.00

VALVE AORTIC W/GRAFT SJM MASTERS VALSALVA 23MM 23VAVGJ-515 $12,500.00

VALVE AORTIC W/GRAFT SJM MASTERS VALSALVA 25MM 25VAVGJ-515 $12,500.00

VALVE AORTIC W/GRAFT SJM MASTERS VALSALVA 27MM 27VAVGJ-515 $12,500.00

VALVE AORTIC W/GRAFT SJM MASTERS VALSALVA 29MM 29CAVGJ-514 $13,750.00

VALVE AORTIC W/GRAFT SJM MASTERS VALSALVA 31MM 31CAVGJ-515 $12,500.00

VALVE CONTURED REG/MED PRESS IMP 42324 $2,066.00

VALVE HEART SAPIEN 3 TRANSCATHETER EDWARDS 20MM 9600CM20A $81,250.00

VALVE HEART SAPIEN XT W/ASCENDRA SYSTEM 26MM 9355ASP26A $81,250.00

VALVE INLINE W/SIPHON $12,085.00

VALVE INLINE W/SIPHON CERTAS 828804PL $12,487.00

VALVE KIT HT SAPIEN 3 TRANSCATHETER EDWARDS 29MM 9600CM29A $81,250.00

VALVE MITRAL 33MM STD 33MJ 501 $9,988.00

VALVE MITRAL EPIC STENTED PORCINE 25MM E100-25M-00 $11,238.00

VALVE MITRAL EPIC STENTED PORCINE 27MM E100-27M-00 $11,238.00

VALVE MITRAL EPIC STENTED PORCINE 29MM E100-29M-00 $11,238.00

Page 467: DESCRIPTION Price - Fairview

VALVE MITRAL EPIC STENTED PORCINE 31MM E100-31M-00 $11,238.00

VALVE MITRAL EPIC STENTED PORCINE 33MM E100-33M-00 $11,238.00

VALVE MITRAL MEDTRONIC MOSAIC 27MM 310F27 $14,750.00

VALVE MITRAL MEDTRONIC MOSAIC CINCH 29MM 310C29 $14,750.00

VALVE MITRAL MEDTRONIC MOSAIC CINCH 31MM 310C31 $14,750.00

VALVE MITRAL ON-X TOP HAT 25/33MM ONXMC-25/33 $13,900.00

VALVE MITRAL ON-X STANDARD RING 25MM ONXM-25 $13,900.00

VALVE MITRAL ON-X STANDARD RING 27/29MM ONXM-27/29 $13,900.00

VALVE MITRAL ON-X STD RING 31/33MM $13,900.00

VALVE MITRAL OPEN PIVOT AP 26MM 501DM26 $8,625.00

VALVE MITRAL OPEN PIVOT AP 28MM 501DM28 $8,625.00

VALVE MITRAL ST JUDE 23MM 23MJ-501 $9,988.00

VALVE MITRAL ST JUDE 25MM 25MJ-501 $9,988.00

VALVE MITRAL ST JUDE 27MM 27MJ-501 $9,988.00

VALVE MITRAL ST JUDE 29MM 29MJ-501 $9,988.00

VALVE MITRAL ST JUDE 31MM 31MJ-501 $9,988.00

VALVE TISSUE AORTIC W/ CONDUIT $13,900.00

VALVE TISSUE EPIC AORTIC SZ 23 E100-23A $11,238.00

VALVE TISSUE EPIC AORTIC SZ 25 E100-25A $11,238.00

VALVE VALSALVA AORTIC CARBOSEAL 23MM $10,815.00

VALVULOPLASTY-AORTIC VALVE $15,557.00

VALVULOPLASTY-MITRAL VALVE $20,002.00

VALVULOTOME CUT HEAD 4MM TIVH40 $663.00

VALVULOTOME KIT EZE-SIT TIVK2030 $1,998.00

VALVULOTOME LEMAITRE 1.5MMX98CM HYDRO 1009-00 $5,498.00

VANCOMYCIN 1 $90.00

VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION $50.00

VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION $924.00

VANCOMYCIN 125 MG CAPSULE $126.00

VANCOMYCIN 125 MG/2.5 ML ORAL (REPACK TO SYRINGE) $11.00

VANCOMYCIN 1500 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS $262.00

VANCOMYCIN 25 MG/ML ORAL SOLUTION $17.00

VANCOMYCIN 250 MG/5 ML ORAL (REPACK TO SYRINGE) $11.00

VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION $387.00

VANCOMYCIN 50 MG/ML ORAL SOLUTION $11.00

VANCOMYCIN 500 MG INTRAVENOUS SOLUTION $50.00

VANGRD SSK PSC TIBIA BEARTING 18X71/75MM $5,335.00

VARENICLINE 0.5 MG TABLET $37.00

VARENICLINE 1 MG TABLET $19.00

VARIABLE 4.0MM SELF DRILLING SCR 12MM $375.00

VARIABLE 4.0MM SELF DRILLING SCR 14MM $375.00

VARIAX COMPRESSION PLATE NARROW $1,089.00

VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP $243.00

VARICELLA ZOSTER IMMUNE STATUS $91.00

VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT $144.00

VARICELLA-ZOSTER IMMUNE GLOBULIN 125 UNIT SOLUTION $14,833.00

VASCULAR SURGERY PROCEDURE UNLIST $2,061.00

Page 468: DESCRIPTION Price - Fairview

VASOACTIVE INT. PEPTIDE $255.00

VASOPRESSIN $218.00

VASOPRESSIN 20 UNIT/ML INJECTION SOLUTION $781.00

VAULTLOCK GLENOID LARGE $3,150.00

VAULTLOCK GLENOID MEDIUM $3,150.00

VDRL TITER, CSF $135.00

VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION $50.00

VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION $24,720.00

VEGA PS FEMORAL COMP.CEMENT.F4NL $5,041.00

VEGA PS GLIDING SURFACE T1 14MM $1,666.00

VEIN / NONSELECTIVE $136.00

VEIN FEMORAL ARTERY ZORC 25CM $14,332.00

VEIN FEMORAL ARTERY ZORC 47CM FA>30 $15,892.00

VEIN SAPHENOUS 21-30CM CV21-30 $14,332.00

VEIN SAPHENOUS 31-45CM CV31-45 $15,787.00

VEIN SAPHENOUS 46-60CM CV46-60 $17,161.00

VEIN SAPHENOUS 61-70CM CV61-70 $18,616.00

VEIN SAPHENOUS 71-80CM CV71-80 $19,831.00

VEIN SAPHENOUS 80CM+ CV-80 $21,288.00

VENIPUNCTURE $52.00

VENIPUNCTURE $52.00

VENIPUNCTURE CUTDOWN <1YR $158.00

VENIPUNCTURE DIAGNOSTIC/THERAP $137.00

VENIPUNCTURE FEM/JUG VEIN $94.00

VENIPUNCTURE SCALP VEIN $123.00

VENLAFAXINE 100 MG TABLET $5.00

VENLAFAXINE 25 MG TABLET $5.00

VENLAFAXINE 37.5 MG TABLET $5.00

VENLAFAXINE 50 MG TABLET $5.00

VENLAFAXINE 75 MG TABLET $5.00

VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR $20.00

VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR $65.00

VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR $37.00

VENOGRAM EXTREM UNILAT $2,085.00

VENOGRAM INFER VENA CAVA $7,650.00

VENOGRAM SUPER VENA CAVA $2,085.00

VENOGRAM/HEPATIC/W/HEMODYNAMIC $8,696.00

VENOGRAM/SINUS OR JUGULAR $4,546.00

VENOUS /1ST ORDER $1,256.00

VENOUS /2ND OR 3RD ORDER $1,095.00

VENOUS 2ND/3RD ORDER-BILAT $1,095.00

VENOUS CATH/BLOOD SAMP/EA SIDE $642.00

VENOUS M-THROMBECTOMY ADD-ON $10,188.00

VENOUS PULMONARY 2ND ORDER-BIL $1,193.00

VENOUS/EXTREMITY/BILAT $2,229.00

VENOUS/IVC OR SVC $1,098.00

VENOUS/PULMONARY/2ND ORDER $1,193.00

Page 469: DESCRIPTION Price - Fairview

VENT MANAGEMENT, INPATIENT, INITIAL DAY $1,370.00

VENT MANAGEMENT, INPATIENT, SUBSEQ DAY $1,279.00

VENTRICULOSTOMY CATH INSERT $696.00

VENTRICULOSTOMY/BURR HOLE $7,315.00

VERAPAMIL 120 MG TABLET $5.00

VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION $81.00

VERAPAMIL 40 MG TABLET $5.00

VERAPAMIL 80 MG TABLET $5.00

VERAPAMIL ER (PM) 100 MG CAPSULE 24HR PELLET CT,EXT.RELEASE $8.00

VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE $5.00

VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE $5.00

VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE $5.00

VERAPAMIL ER (SR) 60 MG TABLET,EXTENDED RELEASE $5.00

VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE $7.00

VERAPAMIL ER 180 MG 24 HR CAPSULE,EXTENDED RELEASE $5.00

VERTEBROPLASTY CEMENT W/BONE MIXER C01B $229.00

VERTERAL FRACTURE ASSESSMENT VIA DXA $228.00

VESSEL MAPPING PREOPERATIVE $823.00

VEST DISPOSABLE $260.00

VEST THERAPY $457.00

VG350 UNIV PST FM AUG 72.5 X 5 $2,735.00

VGKC ANTIBODY, SO $763.00

VIAGRAFT 1.0CC $1,400.00

VIAGRAFT 2.5CC $4,250.00

VIAGRAFT 5CC $6,250.00

VILAZODONE 10 MG TABLET $45.00

VILAZODONE 20 MG TABLET $22.00

VILAZODONE 40 MG TABLET $11.00

VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION $213.00

VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION $155.00

VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION $155.00

VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION $155.00

VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION $217.00

VIPER PRIME X-TAB 6X40MM TI $10,760.00

VIPER PRIME X-TAB 7X40MM TI $2,625.00

VIPER PRIME X-TAB 7X45MM TI $2,625.00

VIPER PRIME X-TAB 7X50MM TI $10,760.00

VIPER2 1.45MM GUIDEWIRE BLUNT $296.00

VIPER2 LORDOTIC ROD-40MM $750.00

VIPER2 LORDOTIC ROD-45MM $1,000.00

VIPER2 LORDOTIC ROD-50MM $875.00

VIPER2 LORDOTIC ROD-60MM $2,535.00

VIRAL CULTURE RESPIRATORY $162.00

VISCERAL ANGIO-EACH-SELECTIVE $10,155.00

VISIONRT $451.00

VISIPAQUE $6.00

VIT A 5,000 UNIT-VIT C 60 MG-VIT E 30 UNIT-ZINC-SELENATE-COPPER TABLET $5.00

Page 470: DESCRIPTION Price - Fairview

VIT D, 1,25-DIHYDROXY $104.00

VIT E-GLYCERIN-DIMETHICONE LOTION $47.00

VITAMIN A $83.00

VITAMIN A 10,000 UNIT CAPSULE $5.00

VITAMIN A AND D TOPICAL CREAM $1.00

VITAMIN A-VITAMIN C-VIT E-MIN TABLET $5.00

VITAMIN B COMP NO.3-FOLIC ACID 1 MG-VIT C 60 MG-BIOTIN 300 MCG TABLET $5.00

VITAMIN B COMPLEX TABLET $5.00

VITAMIN B COMPLEX-FOLIC ACID 0.4 MG TABLET $5.00

VITAMIN B-12 $94.00

VITAMIN B6 $202.00

VITAMIN D 25-HYDROXY $174.00

VITAMIN D 1 25 DIHYDROXY $104.00

VITAMIN E $100.00

VITAMIN E (DL, ACETATE) 100 UNIT CAPSULE $5.00

VITAMIN E (DL, ACETATE) 400 UNIT CAPSULE $5.00

VITAMIN E 1,000 UNIT CAPSULE $5.00

VITAMIN E 100 UNIT CAPSULE $5.00

VITAMIN E 200 UNIT CAPSULE $5.00

VITAMIN K1 $235.00

VITAMINS A,C,E-ZINC-COPPER 7,160 UNIT-113 MG-100 UNIT TABLET $5.00

VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT $13.00

VMA URINE $168.00

VMA URINE $168.00

VNGD TIBIA PS SSK 16X79/83 $5,335.00

VOID CYSTOGRAM $1,086.00

VOIDING CYSTO RADIONUC $2,401.00

VOLUME REDUCTION/SPLIT $244.00

VON WILLEBRAND ANTIGEN $158.00

VON WILLEBRAND FACTOR ACTIVITY CASCADE $166.00

VORICONAZOLE 200 MG INTRAVENOUS SOLUTION $261.00

VORICONAZOLE 200 MG TABLET $82.00

VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION $4,174.00

VORICONAZOLE 50 MG TABLET $93.00

VORTIOXETINE 10 MG TABLET $32.00

VORTIOXETINE 20 MG TABLET $16.00

VORTIOXETINE 5 MG TABLET $63.00

VSP CUTTING AND MARKING GUIDES $3,300.00

VSP ORTHOGNATHIC BUNDLE $3,104.00

VT ABLATION W/ EP STUDY $46,301.00

WARFARIN 1 MG TABLET $5.00

WARFARIN 10 MG TABLET $5.00

WARFARIN 2 MG TABLET $5.00

WARFARIN 2.5 MG TABLET $5.00

WARFARIN 3 MG TABLET $5.00

WARFARIN 4 MG TABLET $5.00

WARFARIN 5 MG TABLET $5.00

Page 471: DESCRIPTION Price - Fairview

WARFARIN 6 MG TABLET $5.00

WARFARIN 7.5 MG TABLET $5.00

WASHED PRE LEUK FILTERED CELLS $1,084.00

WASHER 2.5 MM $143.00

WASHER AS 3 TI FOR 4MM SCREW $75.00

WASHER ASNIS MICRO 2MM $225.00

WASHER D SALVATION $63.00

WASHER FOR CANNULATED SCREW $83.00

WASHER FOR CANNULATED SCREW $101.00

WASHER ORTH ARTHROSCOPIC TI CAN F/3.75 MM SCR $125.00

WASHER ORTHOPEDIC 4MM 1MM THK SS ROUND COUN $76.00

WASHER ORTHOPEDIC 4MM YELLOW HOFFMANN II PVC-FREE $104.00

WASHER RED 7MM $104.00

WASHER SLOTTED $130.00

WASHER TI 10.0MM 419.91 $63.00

WASHER VARIAX FOOT FOR 3.5MM SCREW $208.00

WASHER WIRE $65.00

WATER (BULK) LIQUID $1.00

WATER FOR INJECT BACT PARABENS INJECTION SOLUTION $50.00

WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION $50.00

WATER FOR INJECTION, STERILE INJECTION SOLUTION $6.00

WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION $50.00

WATER FOR IRRIGATION, STERILE SOLUTION $70.00

WATER TRAP D-FEND DARK STEEL BLUE M1182629 $195.00

WAVEGUIDE ILLUMINATOR INVUITY EIGR WIDE/FLAT 104008 $688.00

WBC $297.00

WBC-AUTOMATED $32.00

WECK EFX CONES AND SUTURE PASSER EFXCT1 $888.00

WEDGE ACETABULAR AUGMENT 54X20MM $5,371.00

WEDGE ALLOGRAFT EVANS 10X22X20MM $4,180.00

WEDGE ALLOGRAFT EVANS 12X22X20MM $4,180.00

WEDGE ALLOGRAFT EVANS 8X22X20MM $4,180.00

WEDGE BONE GRAFT VOID FILLER 35MMWX25MMLX7MMH TRICALCIUM $2,117.00

WEDGE CHRONOS BETA TCP 13DEG CIRCLE 13 $2,220.00

WEDGE EXC NAIL FOLD $460.00

WEDGE EXC NAIL FOLD $460.00

WEDGE FEMORAL 7MMW X 18MML KNEE HMRS SINGLE-USE $1,390.00

WEDGE FEMORAL AUGMENT 65X5MM $2,735.00

WEDGE FEMORAL AUGUMENT 67.5X5MM $2,735.00

WEDGE FEMORAL MBT STEP SZ 3 10MM $3,313.00

WEDGE FEMORAL SZ5 5MM $3,658.00

WEDGE HEM STP TIB 3-4 10MM LL/RM $4,095.00

WEDGE KNEE PCT AUG BLOCK POST 10MM SZ F 00599003602 $2,700.00

WEDGE MBT STEP SZ 2 10MM $3,313.00

WEDGE MBT STEP SZ 2 5MM $3,313.00

WEDGE MBT STEP SZ 2.5 10MM $3,313.00

WEDGE MBT STEP SZ 2.5 15MM $3,313.00

Page 472: DESCRIPTION Price - Fairview

WEDGE MBT STEP SZ 5 10MM $3,313.00

WEDGE MST STEP SZ3 15MM $3,313.00

WEDGE TIBIAL INSERT ANTIBIOTIC MED $1,875.00

WEST NILE ABY $82.00

WEST NILE ABY, CSF $135.00

WEST NILE ABY, IGM $82.00

WEST NILE ABY, IGM, CSF $192.00

WEST NILE IGG ABY $82.00

WEST NILE IGM ABY $82.00

WEST NILE VIRUS BY PCR, SO $973.00

WESTERN EQUINE ABY, CSF $38.00

WESTERN EQUINE ABY, SO $38.00

WET PREP VAGINAL $161.00

WHEELCHAIR MGMT TRAINING OT $149.00

WHITE PETROLATUM 41 % TOPICAL OINTMENT $17.00

WHITE PETROLATUM 42 % TOPICAL OINTMENT $61.00

WHITE PETROLATUM TOPICAL JELLY $5.00

WHITE PETROLATUM TOPICAL OINTMENT $99.00

WHITE PETROLATUM-MINERAL OIL 56.8 %-42.5 % EYE OINTMENT $48.00

WHITE PETROLATUM-MINERAL OIL 80 %-20 % EYE OINTMENT $34.00

WHITE PETROLATUM-MINERAL OIL 83 %-15 % EYE OINTMENT $20.00

WHITE PETROLATUM-MINERAL OIL 94 %-3 % EYE OINTMENT $40.00

WHITE PETROLATUM-MINERAL OIL TOPICAL CREAM $18.00

WHLCHAIR MNGT TRAIN 15 MIN PT $149.00

WHO STATIC CUSTOM $1,217.00

WIDGET AGEE DIGIT DWD-232 $3,938.00

WIRE BOLT EZ FRAME $805.00

WIRE BOLT LONG DIA 1.5 TO 2.0MM $227.00

WIRE BOLT MEDIUM DIA 1.5 TO 2.0MM $218.00

WIRE COMPRESSION 20MM THD 1.6X150MM $104.00

WIRE COMPRESSION 20MM THD 2.8X200MM $162.00

WIRE COMPRESSION 25MM THD 2.8X200MM $156.00

WIRE COMPRESSION 30MM THD 2.8X200MM $156.00

WIRE COMPRESSION 35MM THD 2.8X200MM $156.00

WIRE EXTERNAL FIXATION 1.8MM 400MML REDUCTION F/DISTRACT $509.00

WIRE EXTERNAL FIXATION 1.8MM 400MML SMOOTH F/DISTRACTION $163.00

WIRE FIXATION 2MM 450MML OLIVE TIP HOFFMANN II $258.00

WIRE FIXATION KIRSCHNER 2MM 150MML W/STOP F/T10 SCR HE $219.00

WIRE GLIDE 0.035"X150CM 3CM ANG STIFF UWS6035 $675.00

WIRE GLIDE 0.035"X150CM 3CM STR REG UWS1035 $614.00

WIRE GLIDE 0.035"X150CM VASC GR3506 $363.00

WIRE GUIDE 0.035"X145CM AMPLATZ SUPER STIFF STR M001465230 $319.00

WIRE GUIDE 0.035"X260CM DREAMWIRE M00556101 $1,176.00

WIRE GUIDE 0.035"X260CM NAVIPRO ANG 5625 $2,466.00

WIRE GUIDE 0.035"X450CM DREAMWIRE M00556141 $1,176.00

WIRE GUIDE 0.062X6" ACUTRACK SGL TROCAR TIP THRD WT-1606STT $100.00

WIRE GUIDE 0.062X6" ACUTRAK DBL TROCAR TIP SS WS-1606DT $33.00

Page 473: DESCRIPTION Price - Fairview

WIRE GUIDE 2.0X230MM NON-THRD 292.656 $79.00

WIRE GUIDE 2.5MM FOR 5.0MM SCREWS 324.174 $327.00

WIRE GUIDE 2.5MM FOR 7.3MM SCREWS 324.175 $327.00

WIRE GUIDE 2.8X300MM NON-THRD W/FLUTES 292.81 $212.00

WIRE GUIDE 2.8X300MM THRD TROCAR POINT 292.68 $95.00

WIRE GUIDE 3.2MM CALIBRATED 292.69 $248.00

WIRE GUIDE 3.2X290MM 03.010.115 $197.00

WIRE GUIDE 3.2X400MM 357.399 $197.00

WIRE GUIDE 9"X2.5MM 44182523 $50.00

WIRE GUIDE CD HORIZON SEXTANT THREADED BLUNT 8670001 $126.00

WIRE GUIDE DANEK SPINAL SYSTEM 873-004 $188.00

WIRE GUIDE MEDT TSRH SS 803-403 $165.00

WIRE GUIDE PC ROADRUNNER $77.00

WIRE GUIDE STRK ASNIS III 1.4X150MM 702459 $185.00

WIRE GUIDE STRK BALL TIP 3X800MM 1806-0080S $452.00

WIRE GUIDE SUTURE PASSER 18GA AR-1255-18 $188.00

WIRE GUIDE SYN 2.8X350MM 357.039 $103.00

WIRE GUIDE SYN 2.8X450MM THRD 900.726 $164.00

WIRE GUIDE SYN 2MMX240MM CAN HUNERAL NAIL 03.010.025 $71.00

WIRE K .045IN X 5IN $63.00

WIRE K .045X9 (PKG 6) EACH THD DMND PTS $285.00

WIRE K .045X9 DMND/CHK $285.00

WIRE K .054X4 (PKG 6) EACH TROCAR BOTH $130.00

WIRE K .062X3INCH $200.00

WIRE K .062X4 (PKG 6) EACH TROCAR 1 END $105.00

WIRE K .062X4 (PKG 6) EACH TROCAR BOTH $130.00

WIRE K 0.8X80MM $38.00

WIRE K 035X9 TRC/CHK $285.00

WIRE K 1.2X150MM 707091202 $15.00

WIRE K 1.2X150MM TROCAR TI $88.00

WIRE K 1.4MM $63.00

WIRE K 1.5 X 150MM 02.110.300 $171.00

WIRE K 1.6MM TOTAL ANKLE $149.00

WIRE K 1.6X100MM $30.00

WIRE K 2.0 X 150MM 492.20 $214.00

WIRE K 2.0 X 280MM THREADED 292.699 $87.00

WIRE K 2.0X150MM $3.00

WIRE K 2.0X150MM TROCAR POINT $58.00

WIRE K 2.4X450MM SHARP $100.00

WIRE K 2.5 X 150MM $15.00

WIRE K 2.5X230MM NO THD $58.00

WIRE K 2X280MM $80.00

WIRE K 3MM DARCO $65.00

WIRE K 9 X .045 SGL TROCAR KM172-19-45 $36.00

WIRE K 9X.035 SGL TROCAR KM172-19-35 $6.00

WIRE K ASNIS 2.0 MICRO 0.8 X 100MM $105.00

WIRE K ASNIS MICRO 1.2X100MM 3MM $114.00

Page 474: DESCRIPTION Price - Fairview

WIRE K BLUNT $173.00

WIRE K BLUNT TROCAR 1.1X150MM $63.00

WIRE K DARCO HEADED 2.5MM K-WIRE $108.00

WIRE K DMND .035X4 $43.00

WIRE K HEADED 2.5MM K-WIRE $65.00

WIRE K NITINOL SHARP $164.00

WIRE K RECON 3.2X400MM $564.00

WIRE K SHARP $173.00

WIRE K T2 $358.00

WIRE K T2 FOR CONDYLE SCREWS $291.00

WIRE K THRD DMD PT .045X4 (PKG 6) E $130.00

WIRE K TROCAR .054X4 $25.00

WIRE K TROCAR POINT $58.00

WIRE K TROCAR POINT 1.60 X 150MM $214.00

WIRE K TROCAR POINT BOTH END 1.25X150MM $217.00

WIRE K TROCAR PT 1 END .062X4 SINGLE STE $28.00

WIRE K TROCAR RND .035X9 SINGLE STERILE $25.00

WIRE K TROCAR RND .062X9 SINGE STERILE S $90.00

WIRE K TROCAR TIP .054X18 1001-18 $25.00

WIRE K VARIAX FOOT FT 1.6X2 $121.00

WIRE K W/ BALL TIP POINT 1.6X480MM $171.00

WIRE K W/ BLUNT TIP 1.6X480MM $128.00

WIRE KIRCHNER W/TROCAR PT 1.8X150MM $219.00

WIRE OLIVE SALVATION 2MM $575.00

WIRE PLATE REDUCTION 1.25MM $415.00

WIRE SALVATION 2MM $433.00

WIRE SUTURE 18 GAUGE $187.00

WIRE SUTURE 22 GAUGE $187.00

WIRE WITH OLIVE DIA 1.8 X 450MM $247.00

WITCH HAZEL-GLYCERIN (HAMAMEL) TOPICAL PADS $5.00

WND. DUODERM 4X4 EACH 4259 $29.00

WND.3M 90001 TEGASORB EA $92.00

WND.SN 6643 ALLEVYN 3X3 EA $21.00

WOC CONSULT 31-60 MINS $358.00

WOC CONSULT 61-90 MINS $485.00

WOC CONSULT 91+ MINS $539.00

WOC CONSULT UP TO 30 MINS $256.00

WOUND CARE OP VISIT $307.00

WOUND CLOSURE V-LOC 90 SZ 2-0 12" GS-21 $675.00

WOUND CLOSURE V-LOC PBT SZ 0 18" GS-21 $781.00

WOUND DEBRID 20 CM OR < PT $512.00

WOUND DEBRID EA ADDL 20CM $336.00

WOUND DRESSINGS TOPICAL PASTE $62.00

WOUND MATRIX 6-LAYER 7 X 10 CM $7,121.00

WOUND PREP ADDL 100 CM $191.00

WOUND(S) CARE NON-SELECTIVE $443.00

WRENCH TORQUE $63.00

Page 475: DESCRIPTION Price - Fairview

WRIST SPLINT VELCRO $37.00

X3 TRIATHLON CS INS SZ3 10MM $2,500.00

X3 TRIATHLON CS INS SZ4 10MM $1,865.00

X3 TRIATHLON CS INS SZ4 12MM $2,500.00

X3 TRIATHLON CS INS SZ4 14MM $2,500.00

XM ARCHIVE TISSUE MOLEC ANAL $132.00

XR ABDOMEN LATERAL $292.00

XR BONE SURVEY INFANT $631.00

XR BONE SURVEY LIMITED $800.00

XR CERVICAL SPINE 4 - 5 VWS $485.00

XR ERCP PANCREAS ONLY $1,138.00

XR FACIAL BONES 1 - 3 VWS $411.00

XR GASTROGRAFIN ENEMA THERAPEUTIC $604.00

XR MANDIBLE 1 - 3 VWS $431.00

XR MYELOGRAM INJ SITE C1 - C2 $1,713.00

X-RAY ANKLE 2 VW $428.00

X-RAY ANKLE 3+ VW $315.00

X-RAY ANTEGRADE PYELOGRAM TUBE $1,134.00

X-RAY CLAVICLE $294.00

X-RAY CYSTOGRAM, MIN 3 VIEW $991.00

X-RAY ELBOW 2 VW $290.00

X-RAY ELBOW 3+ VW $354.00

XRAY EXAM ENTIRE SPINE 4-5 VIEWS $712.00

X-RAY EXAM OF FINGER(S) $330.00

X-RAY EXAM OF LOWER SPINE $297.00

XRAY EXAM, ENTIRE SPINE, 6 OR MORE VIEWS $770.00

XRAY EXAM, FEMUR; MINIMUM 2 VIEWS $308.00

XRAY EXAM, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED; 1 VIEW $279.00

XRAY EXAM, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED; 2-3 VIEWS $267.00

XRAY EXAM, HIPS, BILATERAL, WITH PELVIS WHEN PERFORMED; 2 VIEWS $406.00

XRAY EXAM, HIPS, BILATERAL, WITH PELVIS WHEN PERFORMED; 3-4 VIEWS $442.00

XRAY EXAM, HIPS, BILATERAL, WITH PELVIS WHEN PERFORMED; MINIMUM OF 5 VIEWS $684.00

XRAY EXAM, SPINE; 2 OR 3 VIEWS $443.00

XRAY EXAM, SPINE; ONE VIEW $340.00

X-RAY FISTULA,ABSCESS,SINUS TRACT $1,138.00

X-RAY FOOT 2 VW $282.00

X-RAY FOOT 3+ VW $324.00

X-RAY FOREARM 2 VW $255.00

X-RAY HAND 2 VW $549.00

X-RAY HAND 3+ VW $276.00

X-RAY HEEL $388.00

X-RAY HUMERUS $341.00

X-RAY KNEE 1 OR 2 VIEW $417.00

X-RAY KNEE 3 VIEW $395.00

X-RAY KNEE 4+ VIEW $536.00

X-RAY LUMBAR SPINE 2/3 VW $342.00

X-RAY PELVIS 1/2 VW $299.00

Page 476: DESCRIPTION Price - Fairview

X-RAY SCAPULA $374.00

X-RAY SHOULDER 1 VW $279.00

X-RAY SHOULDER 2+ VW $368.00

X-RAY SIALOGRAM $961.00

X-RAY SINUSES <3 VW $308.00

X-RAY SKULL <4 VW $385.00

X-RAY SPINE ONE VIEW $459.00

X-RAY TIB + FIB, 2VW $245.00

X-RAY TOE(S) $259.00

X-RAY WRIST 2 VW $323.00

X-RAY WRIST 3+ VW $313.00

X-RAYS, BONE LENGTH STUDIES $495.00

XTRCT SCREW TREPHINE 5.0 LRG CFTR AR-8750-11 $1,563.00

YEAST SUSCEPTIBILITY $85.00

YUEH CENTESIS DISPOSABLE CATHETER NEEDLE $50.00

ZAFIRLUKAST 10 MG TABLET $9.00

ZAFIRLUKAST 20 MG TABLET $5.00

ZALEPLON 5 MG CAPSULE $5.00

ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION $15.00

ZERO-P VA IMP 7MM HEIGHT LORDOTIC/LG-STERILE $7,000.00

ZERO-P VA IMP 8MM HEIGHT LORDOTIC-STERILE $7,000.00

ZERO-P VA IMP 8MM HEIGHT PARALLEL-STERILE $7,000.00

ZERO-P VA IMP 9MM HEIGHT LORDOTIC/LG-STERILE $7,000.00

ZIDOVUDINE 10 MG/ML ORAL SYRUP $7.00

ZIDOVUDINE 100 MG CAPSULE $7.00

ZILEUTON ER 600 MG TABLET,EXTENDED RELEASE 12HR MPHASE $136.00

ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION $96.00

ZINC GLUCONATE 50 MG TABLET $5.00

ZINC OXIDE 20 % TOPICAL OINTMENT $20.00

ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE $15.00

ZINC SULFATE 220 MG (50 MG) CAPSULE $5.00

ZINC SULFATE 66 MG TABLET $5.00

ZINC,SERUM, SO $69.00

ZIPRASIDONE 20 MG CAPSULE $24.00

ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION $108.00

ZIPRASIDONE 40 MG CAPSULE $12.00

ZIPRASIDONE 60 MG CAPSULE $5.00

ZIPRASIDONE 80 MG CAPSULE $5.00

ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION $311.00

ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK $1,483.00

ZOLMITRIPTAN 2.5 MG TABLET $512.00

ZOLMITRIPTAN 5 MG TABLET $128.00

ZOLPIDEM 10 MG TABLET $12.00

ZOLPIDEM 5 MG TABLET $12.00

ZOLPIDEM ER 6.25 MG TABLET,EXTENDED RELEASE,MULTIPHASE $12.00

ZOLPIDEM, UR $273.00

ZONISAMIDE 100 MG CAPSULE $5.00

Page 477: DESCRIPTION Price - Fairview

ZONISAMIDE 25 MG CAPSULE $5.00

ZONISAMIDE 50 MG CAPSULE $5.00

ZONISAMIDE, SO $114.00

ZOSTER VACCINE LIVE (PF) 19,400 UNIT/0.65 ML SUBCUTANEOUS SUSPENSION $383.00